Effects of Adding a Fall Prevention Program to Physiotherapy on Falls and Function in Women Over 60 After Knee Replacement

What this Trial Is About

This research aims to study the short- and long-term effects of adding a comprehensive fall prevention program to regular physiotherapy for elderly women who have undergone total knee replacement TKR due to osteoarthritis. It focuses on reducing the number of falls, improving balance, and enhancing functional ability. The study is a single-blinded, randomized controlled trial lasting 24 weeks, involving older adults treated at Al-Razi Orthopedic Hospital. Participants will be divided into two groups. The control group will receive conventional physiotherapy that includes exercises to improve blood circulation, strengthen muscles, increase knee range of motion, and gait training. The experimental group will receive the same physiotherapy plus a fall prevention program featuring Otago balance exercises, personalized advice on assistive devices based on balance scores, environmental hazard checks, and guidance on vision care and footwear. Both groups will follow a home exercise program. During the study, participants will be monitored for falls at baseline, 12 weeks, and one year. Assessments will include knee range of motion and patient satisfaction at 12 weeks and one year. Adherence to the exercise programs will also be tracked. The trial aims to evaluate how well the combined treatment improves outcomes compared to physiotherapy alone, with safety and functional recovery closely observed throughout the study period.

Effects of Fall Prevention Program on the Number of Falls Among Elderly Following Total Knee Replacement