Evaluating Teleprehabilitation to Improve Recovery for Adults Undergoing Total Knee Replacement Surgery

What this Trial Is About

Knee replacement surgeries are common elective procedures performed frequently, including about 29,000 annually in Belgium. While surgical techniques have improved, there remains a need to enhance patient preparation before surgery to better inform them and prepare for rehabilitation and returning to daily activities. This trial aims to assess the feasibility, acceptability, and safety of a multimodal biopsychosocial teleprehabilitation program for people undergoing total knee arthroplasty TKA. The study compares two groups one receives the biopsychosocial teleprehabilitation involving education on pain science and lifestyle, stress management, and physical activity promotion delivered through four preoperative and one postoperative teleconferencing sessions with a physical therapist plus an informational booklet. The other group receives best-evidence prehabilitation advice via an informational booklet based on established guidelines. This pilot trial will also help design a larger future trial to evaluate the programs effectiveness. Participants will be assessed through various measures before surgery, shortly after intervention, and at 6 weeks, 6 months, and 12 months post-surgery. These include physical activity levels, knee pain and function, quality of life, symptoms related to central sensitization, cognitive-emotional factors, joint awareness, surgery satisfaction, healthcare use, and productivity loss. Safety, compliance with sessions and exercises, and patient satisfaction will be monitored throughout the study period, which runs until August 2027.

Multimodal Biopsychosocial Teleprehabilitation for Total Knee Arthroplasty