Actively Recruiting

Phase Not Applicable
Age: 40Years +
All Genders
ID07454356

Comparing High Intensity Stretch Device Combined With Physical Therapy Versus Physical Therapy Alone to Prevent Motion-Restoring Surgery Following Primary Total Knee Arthroplasty

Led by Ermi LLC · Updated on 2026-03-06

150

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating whether adding a hydraulic high-intensity stretching device called the Ermi Knee Flexionater to standard physical therapy can help people regain knee bending after total knee replacement surgery. The study focuses on patients who have difficulty bending their knee during recovery and aims to see if the device improves knee movement and affects recovery, daily activities, or the need for additional motion-restoring surgery. Participants are randomly assigned to one of two groups. One group receives standard postoperative physical therapy following their clinician's usual rehabilitation plan. The other group receives the same physical therapy plus uses the Ermi Knee Flexionater device at home daily for about one hour. Device use begins around four weeks after surgery and continues for up to eight weeks. Participants receive instruction on device use and record their compliance in a log, with weekly check-ins from researchers. Participants join the study about four weeks after surgery and have visits at approximately 8 weeks, 12 weeks, 6 months, 1 year, and 2 years after surgery. Researchers measure how well participants can bend their knee, assess pain and daily function using questionnaires, and perform walking and mobility tests. They track changes over time and monitor any adverse events to compare outcomes between the two groups.

CONDITIONS

Brief Title

Knee Flexionater to Avoid Motion Restoring Surgery

Who Can Participate

Age: 40Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 40 years or older
  • Undergoing primary total knee replacement surgery
  • Knee flexion less than 105 degrees at approximately 4 weeks after surgery
  • Considered a candidate for motion-restoring surgery, with any surgery delayed until after 2 months of nonoperative treatment
Not Eligible

You will not qualify if you...

  • Not willing to participate
  • Diagnosis of advanced rheumatoid arthritis
  • Neurological deficit affecting the operative leg
  • Revision total knee replacement or previous major surgery on the same knee
  • Cognitive impairment
  • Prior total hip replacement on the same side (ipsilateral total hip arthroplasty)
  • Living more than 2 hours from the study site or unwilling to attend required local physical therapy visits

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 8 weeks starting at approximately 4 weeks post-operative

Participants receive standard postoperative physical therapy following primary total knee arthroplasty. Those assigned to the experimental group will also use a hydraulic high-intensity stretch device daily at home for approximately one hour, starting around 4 weeks postoperatively and continuing for up to 8 weeks, in addition to attending prescribed physical therapy sessions.

Weekly visits for check-ins and physical therapy sessions

Follow-up

Duration - Up to 2 years post-operative

Participants are monitored to assess knee function and recovery following treatment, including measurement of knee flexion range of motion and various functional and pain scores.

Visits at 8 weeks, 12 weeks, 6 months, 1 year, and 2 years post-operative

Trial Site Locations

Total: 1 location

1

INOV8 Orthopedics

Houston, Texas, United States, 77043

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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