| CTRI Number |
CTRI/2025/07/089953 [Registered on: 02/07/2025] Trial Registered Prospectively |
| Last Modified On: |
30/06/2025 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Medical Device Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
Effect of home-based rehabilitation
post total knee replacement with sensor device |
|
Scientific Title of Study
|
Enhancing home-based rehabilitation for knee stiffness post total knee replacement: A novel approach with wearable motion sensor device |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Preeti Mohanty |
| Designation |
Assistant Professor (senior scale) |
| Affiliation |
Manipal Institute of Technology |
| Address |
Department of Instrumentation and Control Engineering,Manipal Institute of Technology, MAHE
Udupi KARNATAKA 576104 India |
| Phone |
9886616682 |
| Fax |
|
| Email |
mohanty.preeti@manipal.edu |
|
Details of Contact Person Scientific Query
|
| Name |
Preeti Mohanty |
| Designation |
Assistant Professor (senior scale) |
| Affiliation |
Manipal Institute of Technology |
| Address |
Department of Instrumentation and Control Engineering,Manipal Institute of Technology, MAHE
Udupi KARNATAKA 576104 India |
| Phone |
9886616682 |
| Fax |
|
| Email |
mohanty.preeti@manipal.edu |
|
Details of Contact Person Public Query
|
| Name |
Preeti Mohanty |
| Designation |
Assistant Professor (senior scale) |
| Affiliation |
Manipal Institute of Technology |
| Address |
Department of Instrumentation and Control Engineering,Manipal Institute of Technology, MAHE
Udupi KARNATAKA 576104 India |
| Phone |
9886616682 |
| Fax |
|
| Email |
mohanty.preeti@manipal.edu |
|
|
Source of Monetary or Material Support
|
| Manipal Academy of Higher Education, Manipal, Udupi District, Karnataka, India, 576104 |
|
|
Primary Sponsor
|
| Name |
Manipal Academy of Higher Education |
| Address |
Manipal Academy of Higher Education, Manipal, Udupi District, Karnataka, India, 576104 |
| Type of Sponsor |
Other [Institution of Eminence, deemed to be university] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 2 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Preeti Mohanty |
Department of instrumentation and control engineering, MIT |
MAHE, Manipal, Udupi KARNATAKA |
09886616682
mohanty.preeti@manipal.edu |
| Dr Rajesh Navada G V |
Kasturba Hospital |
Room Number: 101, Department of physiotherapy, Unit of Manipal Academy of Higher Education, Manipal,576104 Udupi KARNATAKA |
09886430431
rajesh.gv@manipal.edu |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| KasturbaMedicalCollege/KasturbaHospitalInstitutionalEthicalCommittee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M179||Osteoarthritis of knee, unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Home program |
control group-The patients will be given an exercise diary to note down the number of exercises, along with the frequency and number of days performed, and pictures of the exercises for reference. |
| Intervention |
sensor–assisted rehabilitation program. |
Study group: All the parameters of exercise will be advised through the mobile app to which sensor sends the messages. The exercise program include 30-minute sessions twice a week, which has 2 face-to-face contacts at baseline and at the end of 8 weeks. The physio treatment will be:
Ankle pumps, Inner range quadriceps, Isometric knee extension in the outer range, Knee and hip flexion/extension, Straight leg raises, Isometric buttock contraction, Hip abduction/adduction, Lower limb functional exercises, Walking with a frequency of 3 times /day, 5 sets of 20 repetitions.
|
|
|
Inclusion Criteria
|
| Age From |
60.00 Year(s) |
| Age To |
90.00 Year(s) |
| Gender |
Both |
| Details |
Willing to participate in the study
Capable of managing a smartphone and medically stable.
Underwent total knee replacement for arthritic changes
Discharged from the hospital within 5to7 days.
Knee joint presentation (knee flexion lesser than 70 degrees, quadriceps strength lesser than 2plus, extension lag more than 5 degrees)
|
|
| ExclusionCriteria |
| Details |
Post-op complications such as deep vein thrombosis, infection, or neurovascular disorde.
Fixed bony deformity in lower limbs, decreased flexibility of trunk, any musculoskeletal injury or surgery in lower limbs in the last one year |
|
|
Method of Generating Random Sequence
|
Stratified block randomization |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Range of motion, manual muscle test, visual analogue scale, Knee injury and Osteoarthritis Outcome Score (KOOS), 6 Minute Walk Test, Time up and go |
baseine and 8 weeks |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
independence of use
patient satisfaction
safety & adverse events |
baseline & 8 weeks |
|
|
Target Sample Size
|
Total Sample Size="20" Sample Size from India="20"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
01/08/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="2" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
Pain and a limited range of motion (ROM) among patients undergoing total knee replacement (TKR) surgeries are common complaints during post-operative period. Proper rehabilitation at the community set up is utmost solution for improving joint health to attain the functional level. However, the potentiality for an effective treatment was not continued at home with the use of a particular approach due to various reasons resulting in post-operative joint complications. When subjective evaluation is not possible in patients’ house, the technology-based monitoring system need to be developed. Some gold standard technology which is portable, wearable, low-cost, accessible to all is the present need of the time by means of sensors attached to knees to measure ROM. The wearable motion sensor device (WMSD) with interactive mobile apps to monitor in-home exercise progress, through wireless telerehabilitation technology and assist in tracking the ROM for knee joint and patient compliance. |