Diaphragmatic Breathing Exercises in Total Knee Arthroplasty Patients
ConditionAnesthesia and Analgesia
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age50-90
SponsorUniversity of Southern California
About this trial
Rationale: While total knee replacements (TKA) are one of the most commonly performed surgical procedures in the United States, this procedure can also be very painful. Postoperative mobilization and rehabilitation is vital to a patient's recovery, but inadequate pain control can impede patients' progress. Diaphragmatic breathing is an additional non-pharmacological and non-invasive tool with no adverse effects that could aid in recovery. This will serve as a pilot study for a possible larger controlled trials.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients (participants) undergoing total knee arthroplasty with a continuous peripheral nerve block catheter
Disqualifiers
Inability to perform or learn diaphragmatic breathing exercises or do not wish to participate in diaphragmatic breathing or study protocol
Pregnant patients
Patients without continuous peripheral nerve block catheter
Trial population
Patients (participants) undergoing total knee arthroplasty with placement of continuous peripheral nerve block catheter between the ages of 50-90 years of age at the Keck Hospital of USC who want to participate and consent to participate in the study. The control group will be made up of patients( 50-90 years of age) who underwent total knee arthroplasty with placement of a continuous peripheral nerve block catheter over the year prior, without participation in breathing exercises, at the Keck Hospital of USC.
Trial design
Design model
Case-control
Time perspective
Other
Treatments tested in this trial
Diaphragmatic Breathing
BehavioralSimple diaphragmatic breathing exercise
Treatment groups
50 Participants
are divided into 2 treatment groupsGroup A: Control0 interventions
Group B: Diaphragmatic Breathing1 intervention
Trial outcomes
Primary outcomes
1
Pain Level
Verbal Analog Pain Score - rate pain on 0-10 scale where 0=no pain, 10= worst possible pain
Time frame
Prior to intervention2
Opioid Usage (morphine equivalents)
Opioid Usage for pain
Time frame
Prior to intervention3
Anxiety Level
Verbal Analog Score -rate anxiety on 0-10 scale where 0= no anxiety, 10= worst possible anxiety
Time frame
Prior to intervention4
Pain Level
Verbal Analog Pain Score - rate pain on 0-10 scale where 0 =no pain, 10 = worst possible pain
Time frame
15 minutes after interventionSponsors and contacts
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Source ClinicalTrials.gov