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Adherence to Home-Based Physiotherapy and Music-Assisted Relaxation After Total Knee Arthroplasty
Sponsor: Pamukkale University
Summary
This randomized controlled study evaluated adherence to two home-based programs after total knee arthroplasty. All participants received a structured home-based physiotherapy program for 6 weeks. Participants assigned to the intervention group additionally performed an audio-guided, music-assisted progressive muscle relaxation program. Adherence to the home-based programs was assessed using participant-completed activity diaries. The study also explored changes in pain at rest, during walking, and at night; osteoarthritis-related pain, stiffness, and physical function; sleep quality; depression, anxiety, and stress symptoms; operated-side knee range of motion; lower-extremity physical performance; functional mobility; and health-related quality of life from preoperative baseline to postoperative week 6.
Official title: Comparison of Adherence to Home-Based Physiotherapy and Home-Based Progressive Relaxation Exercises and Examination of Clinical Outcomes in Patients Undergoing Total Knee Arthroplasty
Key Details
Gender
All
Age Range
50 Years - 75 Years
Study Type
INTERVENTIONAL
Enrollment
50
Start Date
2024-02-02
Completion Date
2025-11-17
Last Updated
2026-07-15
Healthy Volunteers
No
Interventions
Home-Based Physiotherapy
Participants received a structured home-based physiotherapy program after discharge following primary total knee arthroplasty. The program was prescribed for 6 weeks, 5 days per week, twice daily. Participants received individual instruction on correct exercise performance and a printed home exercise booklet. Completed sessions were recorded in an activity diary. At the end of the first postoperative week, an individual online contact was conducted to review exercise performance, correct possible errors, and answer questions related to home practice.
Music-Assisted Progressive Muscle Relaxation
Participants in the experimental arm received an approximately 27-minute audio-guided, music-assisted progressive muscle relaxation program in addition to home-based physiotherapy. The program was performed once before bedtime, 5 days per week, for 6 weeks. Participants received individual instruction in diaphragmatic breathing, sequential contraction and relaxation of major muscle groups, safe home practice, and use of the audio recording. The recording included verbal guidance delivered by a female voice with instrumental background music and was provided in MP3 format for use on participants' smartphones. Completed sessions were recorded in an activity diary, and an individual online contact was conducted at the end of the first postoperative week.
Locations (1)
Denizli Private Denipol Hospital, Denizli, Türkiye
Denizli, Turkey (Türkiye)