Pre-Operative Exercise Therapy and Patient Education Before Total Knee Replacement

Summary

The goal of this multi-center randomized controlled trial is to investigate the effect of pre-operative exercise therapy and education for patients awaiting knee replacement surgery on subjective knee function, patient satisfaction and enablement compared to standard care. The main questions it aims to answer are: * Does pre-operative exercise therapy and education lead to better subjective knee function compared to standard care one year after surgery? * Does pre-operative exercise therapy and education lead to a higher level of patient satisfaction compared to standard care one year after surgery? * Does pre-operative exercise therapy and education lead to better patient enablement compared to standard care six weeks after surgery? * Does pre-operative exercise therapy and education lead to better objective knee function compared to standard care six weeks after surgery? Participants will be randomized stratified by age (≤ 67 years, \> 67 years) to either pre-operative supervised individualized exercise therapy combined with education two sessions/week (intervention group) or to standard care (control group). The intervention will be continuously ongoing for at least eight weeks from the point of decision for surgery until as close to the surgery as possible.

Eligibility

Inclusion Criteria:

* Waiting list for primary unilateral knee replacement surgery
* Osteoarthritis of the knee being the primary reason for surgery
* Reside within 60 minutes of travel to the site of the intervention

Exclusion Criteria:

* Previous knee replacement surgery in the other knee
* Other reason than osteoarthritis of the knee as the primary reason for surgery
* Impaired cognitive function
* Not being independent speaking and reading in swedish language
* Chronic illness or disability etc hindering full participation in the intervention

Conditions2

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