Mir Shakeel teleintegrated therapy for recovery after total knee replacement

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This two-arm, parallel-group randomized controlled trial will randomly assign adults aged 50–65 who had primary unilateral TKA to either a telerehabilitation program (MSTITP) or conventional face-to-face physiotherapy. The MSTITP arm delivers supervised video sessions, home-based progressive strengthening and range-of-motion exercises, gait re-education, and regular remote monitoring, while the control arm receives equal-duration clinic-based physiotherapy targeting the same outcomes. Primary outcomes include pain, range of motion, gait and functional mobility, with secondary measures of adherence and quality of life assessed at predefined follow-up points. Participants will be recruited and followed at Ghurki Trust and Teaching Hospital in Lahore and must have internet-capable devices for the telerehabilitation arm.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients who have underwent a primary unilateral total knee arthroplasty due to osteoarthritis
* Able to participate in a rehabilitation program, either telerehabilitation or in-person, and demonstrate sufficient mobility with or without assistive devices (e.g., crutches, walker) as deemed appropriate for post-TKA therapy.
* Participants must have reliable access to a smartphone, tablet, or computer with internet connectivity and the ability to engage in video calls.
* Willing and able to provide informed consent, and to comply with all study protocols, including scheduled therapy sessions and follow-up assessments.

Exclusion Criteria:

* Presence of significant comorbidities or complications that could interfere with safe participation in rehabilitation, such as severe cardiovascular disease, or conditions causing significant immobility (e.g., severe osteoarthritis in other joints or Rheumatoid Arthritis.
* Previous knee replacement or other significant knee surgeries on the same knee, as this may impact the standardization of rehabilitation outcomes.
* Currently enrolled in another physical therapy or rehabilitation trial, or engaging in additional rehabilitation outside the study protocol.
* Cognitive impairment or severe visual or hearing impairments that would prevent them from following therapy instructions or engaging with telerehabilitation technology.
* Any other conditions or factors that, in the opinion of the investigators, could hinder compliance with the study procedures or put the participant at undue risk.

Where it's running

• Ghurki Trust and Teaching Hospital
  Lahore, Punjab Province, Pakistan Recruiting

Study contacts

• Principal investigator: Dr. Mir Shakeel Ahmad — Lincoln College University
• Study coordinator: Dr. Mir Shakeel Ahmad
• Email: mirshakeel.phdscholar@lincoln.edu.my
• Phone: 00923224268894

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.