CompletedNot Applicable

Stress Ball and Hand Holding on Pain After Knee Arthroplasty

Turkey (Türkiye)78 participantsStarted 2024-10-03

Plain-language summary

Pain after Total Knee Arthroplasty. (TKA) is an important problem When pain is not controlled, it can negatively affect the patients; mobility level.This research; A randomized controlled experimental design was planned to examine the effects of stress ball and hand holding on pain and mobility levels in patients who underwent Continuous Passive Movement (CPM) after Total knee arthroplasty.The study was planned to be conducted between 03.10.2024 and 09.07.2025 on patients who who had total knee arthroplasty. surgery at the Aksaray University Training and Research Hospital Orthopedics and Traumatology Clinic.Since no study similar to our study design was found in the literature, the sample size of the study was calculated as 22 patients in each arm with Cohen\* effect sizes for VAS, 3 arms, 2 repeated measurements, a medium effect size of 0.25 effect, 95% power and 5% type 1 error level.Considering that there may be data loss in the study, the sample size was increased by 20%, and a total of 78 patients, 26 in each arm.Assignment of patients to stress ball, hand holding and control arm using block randomization method,Determining by drawing lots which letters will represent the stress ball, hand holding and control arms as A, B, C,The blocks were planned to be created by a statistician."Stress ball intervention" to the stress ball, "Hand holding intervention" will be made to the hand holding arm, "No intervention other than standard maintenance" will be made to the control arm during CPM.The implementation of the study will be carried out by the researcher R.S. and will be blinded to random assignment.On the 1st and 2nd days after total knee prosthesis, exercises are performed for 30 minutes with continuous passive movement.Considering this situation and the literature, the pain levels of the patients will be evaluated a total of 4 times on the 1st and 2nd days, before the CPM exercise, at the 5th minute, 15th minute and at the end of the exercise (30th minute); Mobility levels will be evaluated at this time, as the patient is mobilized within 1-2 hours after exercise.It was planned to collect the data with the "Patient Questionnaire Form, "Pain Assessment Form", "Patient Mobility Scale" and Observer Mobility Scale".Permission to use the scales was obtained via e-mail. Ethics committee and institution permissions were obtained to start the study.It was planned to obtain informed consent from patients before the application.Data will be compared using Pearson chi-square, Fisher exact test, One-way ANOVA and repeated measures ANOVA, Kruskal Wallis test.It was planned to obtain informed consent from the patients before the study.The study is limited by the inclusion of patients with ASA I and II who underwent total knee prosthesis with a single physician and a single surgical technique at the Aksaray University Training and Research Hospital Orthopedics and Traumatology Clinic, regardless of whether they had chronic diseases.The study results can be used in planning the pain management of patients.It is thought that complications that may occur due to delayed mobilization and immobility can be prevented in patients whose pain is reduced.

Who can participate

Age range

18 Years

Sex

ALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * After being informed about the study, written consent was obtained for voluntary participation * Able to speak Turkish and communicate verbally. * Those aged 18 and over * In the preoperative evaluation, the patient had an American Society of Anesthesiologists (ASA) score of I and II * A combination of spinal anesthesia and adductor block was applied during the surgery. * First-ever unilateral total knee arthroplasty performed * Total knee arthroplasty surgery is performed by the same physician and using the same surgical technique * Cooperative and oriented * Patients who underwent CPM placement after removal of the Hemovac drain on day 1 post-surgery were included in the study Exclusion Criteria: * Alzheimer, dementia-like conditions that prevent understanding * General anesthesia was administered during the surgery. * Patients who stay in the recovery unit for more than 1 hour (more than the routine period) after surgery or who receive treatment and care in the intensive care unit (patients whose vital signs are unstable, who develop lung problems, who are bleeding, who require blood transfusion, who have severe pain) * Patients with hemoglobin levels below 9 g/dL were excluded from the study. Exclusion criteria for monitoring/analysis * Total knee arthroplasty CPM application period after total knee arthroplasty ends earlier than 2 days * The study investigated complications that developed during the procedure after total knee arthroplasty (such a…

Questions worth asking your doctor

Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.

1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?

Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.

Questions for the trial coordinator

The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.

1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?

A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.

What they're measuring

Pain levels

Timeframe: Patients' pain levels were assessed in four stages on the 1st and 2nd days post-surgery, between 09:00 and 14:00, before starting continuous passive range of motion exercises, and at the 5th, 15th, and 30th minutes of the exercise.

Trial details

NCT IDNCT06608264

SponsorNecmettin Erbakan University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2025-07-09

View on ClinicalTrials.gov More Pain and Mobility Levels of Patients Undergoing Total Knee Prosthesis During Continuous Passive Motion Exercise trials