This single-center randomized controlled trial aims to evaluate the effects of motor imagery and action observation training on pain, functionality, balance, and fear of movement in patients after total knee arthroplasty (TKA). The study will be conducted at Simav Doç. Dr. İsmail Karakuyu State Hospital Orthopedics Department with a minimum of 40 participants meeting the inclusion criteria. Participants will be randomly assigned to one of three groups: (1) standard physiotherapy, (2) standard physiotherapy plus motor imagery training, or (3) standard physiotherapy plus action observation training. All interventions will last six weeks. Standard physiotherapy will include ankle pumping, active-assisted hip and knee flexion, isometric and stretching exercises, cryotherapy, gait, and stair training. The motor imagery group will perform guided imagery sessions using audio recordings describing the physiotherapy exercises and daily activities. The action observation group will observe exercise videos corresponding to the physiotherapy program. The primary outcomes will include pain, functional level, balance, and kinesiophobia. The study aims to determine whether the addition of mental simulation techniques to standard physiotherapy can enhance postoperative recovery and improve functional outcomes in patients undergoing total knee arthroplasty.
Age range
25 Years – 85 Years
Sex
ALL
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A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
Pain Assessment
Timeframe: a day before the operation
Pain Assessment
Timeframe: after 2 weeks of operation
Pain Assessment
Timeframe: after 6 weeks of operation
Muscle Strength Assessment:
Timeframe: a day before the operation
Muscle Strength Assessment:
Timeframe: after 2 weeks of operation
Muscle Strength Assessment:
Timeframe: after 6 weeks of operation
Functional Assessment
Timeframe: a day before the operation
Functional Assessment
Timeframe: after 2 weeks of operation
Functional Assessment
Timeframe: after 6 weeks of operation
Timed Get Up and Walk (TUG) Test
Timeframe: a day before the operation
Timed Get Up and Walk (TUG) Test
Timeframe: after 2 weeks of operation
Timed Get Up and Walk (TUG) Test
Timeframe: after 6 weeks of operation
ROM Assessment
Timeframe: a day before the operation
ROM Assessment
Timeframe: after 2 weeks of operation
ROM Assessment
Timeframe: after 6 weeks of operation
Assessment of Kinesiophobia
Timeframe: a day before the operation
Assessment of Kinesiophobia
Timeframe: after 2 weeks of operation
Assessment of Kinesiophobia
Timeframe: after 6 weeks of operation
The Standardized Mini Mental Test (SMMT)
Timeframe: a day before the operation
The Standardized Mini Mental Test (SMMT)
Timeframe: after 2 weeks of operation
The Standardized Mini Mental Test (SMMT)
Timeframe: after 6 weeks of operation