Prepping the knee before surgery: a new approach to better recovery
NCT ID NCT07790146
First seen Aug 27, 2026 · Last updated Aug 28, 2026 · Updated 1 time
Summary
This trial tests whether a 4-week prehabilitation program before total knee replacement can improve recovery. The program includes physical therapy, breathing exercises, psychological support, and targeted treatments based on each person's osteoarthritis type. Researchers will compare outcomes like pain, function, and mobility in 64 adults with severe knee osteoarthritis. The goal is to see if preparing the knee and body before surgery leads to better results and quality of life afterward.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A 4-week preoperative program combining physical therapy, breathing exercises, psychological support, and targeted treatments based on osteoarthritis type, before knee replacement surgery.
- What this could lead to
- If effective, this approach could reduce pain and improve mobility and satisfaction after knee replacement, helping more people recover fully.
- What could go wrong
- The trial is small and early, so results may not apply to everyone. The program adds time before surgery, and some people may not benefit or may find it burdensome.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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64 people
The number who actually took part.
- Started
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Jan 2023
- Finished
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Dec 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18 to 70 years * Verified knee OA stage III-IV (Kellgren-Lawrence) * Intermalleolar distance ≤ 8 cm (valgus) or intercondylar distance ≤ 8 cm (varus) * Limb shortening ≤ 2 cm * BMI \< 35 kg/m² * Barthel Index \> 65 points * No decompensation of concomitant chronic diseases * No recent physiotherapy or intra-articular injections (within 1-3 months) * Signed informed consent Exclusion Criteria: * Age \< 18 or \> 70 years * Limb shortening \> 2 cm * Previous knee surgery or trauma indicating secondary OA * BMI ≥ 35 kg/m² * Decompensated chronic infectious or non-infectious diseases * Inability to comply with the follow-up schedule
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Clinics of Samara State Medical University, Department of Traumatology and Orthopedics
Samara, Samara Oblast, 443099, Russia
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Other studies related to the condition(s) this trial covers.
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