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Trial registered on ANZCTR
Registration number
ACTRN12624001092583p
Ethics application status
Submitted, not yet approved
Date submitted
26/03/2024
Date registered
10/09/2024
Date last updated
10/09/2024
Date data sharing statement initially provided
10/09/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
A Randomised Controlled Study on the use MAXM Skate Digital Rehab Solution in the Public Health setting following Total Knee Arthroplasty
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Scientific title
A Randomised Controlled Study on the use MAXM Skate Digital Rehab Solution in the Public Health setting following Total Knee Arthroplasty
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Secondary ID [1]
311801
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteoarthritis
333317
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Total Knee Replacement
333318
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Rehabilitation
333319
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Total Knee Arthroplasty
333320
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Post operative Mental Health
334986
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Condition category
Condition code
Musculoskeletal
330003
330003
0
0
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Osteoarthritis
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Physical Medicine / Rehabilitation
330004
330004
0
0
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Physiotherapy
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Physical Medicine / Rehabilitation
330005
330005
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0
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Other physical medicine / rehabilitation
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Surgery
330006
330006
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0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants randomised to the MAXM Skate group will be required to undertake the MAXM Skate rehabilitation program. This involves using the skate device and accompanying Smart device App and sensor to complete a 12-week Rehabilitation Exercise Program. These exercises are pre-set and progressed across a 4-phase Program.
A patient must download the MAXM Skate App from their app store. They will log in using their Mobile phone as an identifier to access their user account.
The Exercise program requires the patient to complete 3 variations of Skate exercise: Flat Skate, Extension Skate and Flexion skate. These exercises are completed in a chair, utilising the device to move through Knee Joint flexion and Extension. The Skate exercises are also complemented with other TKA strength and movement Rehab exercises such as inner range quads, squats, lunges and walking to make it a full end-to-end program. The exercise challenge increases as a participant progresses through the post-operative weeks.
The participant will then be required to wear a sensor module on the operative leg when completing an exercise session. Each session is approximately 25 minutes, with two sessions to be completed per day. Accelerometer data representing the angle of the device relative to gravity is sent to the phone and through an algorithm, displayed to the participant as a % of their full knee ROM (135 deg).
As patients complete exercises within their app. It collected the reps and set data along with ROM data to monitor exercise adherence and compliance. Pain scores are also entered by the patient at the end of each exercise completed.
No Exercise intensity measure are taken.
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Intervention code [1]
328248
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Rehabilitation
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Intervention code [2]
329397
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Treatment: Devices
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Comparator / control treatment
Participants randomised to the Standard Care group will receive the standard care provided as per Southern Adelaide Local Health Network (SALHN) Arthroplasty Hip and Knee Protocol.
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Control group
Active
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Outcomes
Primary outcome [1]
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Knee Joint Range of Motion
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Assessment method [1]
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Degrees, measured via Goniometre
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Timepoint [1]
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Baseline, 2 , 6 and 12 weeks (primary End Point) post-operatively
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Secondary outcome [1]
433201
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Pain upon knee flexion
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Assessment method [1]
433201
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Visual Analogue Score (VAS)
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Timepoint [1]
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Baseline, 2 , 6 and 12 weeks post operatively
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Secondary outcome [2]
433202
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Physical Function
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Assessment method [2]
433202
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Oxford Knee Score
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Timepoint [2]
433202
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Baseline, 2 , 6 and 12 weeks post operatively
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Secondary outcome [3]
433203
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Quality of Life
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Assessment method [3]
433203
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EQ-5D-5L
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Timepoint [3]
433203
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Baseline, 2 , 6 and 12 weeks post operatively
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Secondary outcome [4]
433204
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Physical Function
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Assessment method [4]
433204
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Knee Injury and Osteoarthritis Outcome Score (KOOS)
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Timepoint [4]
433204
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Baseline, 2 , 6 and 12 weeks post operatively
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Secondary outcome [5]
439234
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Pain upon Knee Extension
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Assessment method [5]
439234
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Visual Analogue Scale
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Timepoint [5]
439234
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Baseline, 2 Weeks, 6 Weeks and 12 Weeks Post - operatively
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Secondary outcome [6]
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Anxiety and Depression- this will be assessed as a composite outcome
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Assessment method [6]
439235
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Hospital Anxiety Depression Scale
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Timepoint [6]
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Baseline, 2 Weeks, 6 Weeks and 12 Weeks Post-operatively
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Secondary outcome [7]
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Pain
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Assessment method [7]
439236
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Pain Catastrophising Scale
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Timepoint [7]
439236
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Baseline, 2 weeks, 6 Weeks and 12 Weeks Post-operatively
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Eligibility
Key inclusion criteria
1. The patient requires a primary TKA due to non-inflammatory degenerative joint disease (e.g. osteoarthritis and traumatic arthritis) or inflammatory joint disease (e.g. rheumatoid arthritis).
2. The patient must understand the conditions of the study and be willing and able to provide written informed consent.
3. The patient is a skeletally mature man or a nonpregnant woman, aged greater than or equal to 18 years.
4. The patient agrees to comply with the specified preoperative and postoperative study requirements.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. The patient has an emotional or neurological condition that would pre-empt their ability to participate in the study including mental illness, intellectual disability and drug or alcohol abuse.
2. Any patient who is unable to meet the requirements of the use of the MAXM Skate Rehabilitation Device.
3. The patient is unable to perform home exercise program without supervision or assistance.
4. Any patient who is unable to understand the information and instructions provided and nature of follow up required.
5. A patient without their own smart device compatible with the MAXM Skate application. (available on iOS and Android devices)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by excel spreadsheet
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Power Calculation:
A sample size calculation based on achieving 90% power and a Type 1 error rate of 5% was chosen. The calculation determined that 110 participants (55 participants per group) would be required to detect a 10° difference in ROM between the MAXM program and SC groups three months after TKA assuming a within-group standard deviation (SD) of 16°. The clinically significant difference in ROM of 10° was estimated based on parameters described by Mockford colleagues (Mockford et al., 2008) in which the effect of a physiotherapy regimen on ROM was measured over a one-year post-TKA follow-up period. To account for a potential 10% loss to follow-up, a total sample of 124 participants (62 per group) is to be recruited.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
6/01/2025
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Actual
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Date of last participant enrolment
Anticipated
19/12/2025
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Actual
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Date of last data collection
Anticipated
20/03/2026
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Actual
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Sample size
Target
124
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
26307
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Noarlunga Health Service - Noarlunga Centre
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Recruitment postcode(s) [1]
42279
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5168 - Noarlunga Centre
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Funding & Sponsors
Funding source category [1]
316137
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Commercial sector/Industry
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Name [1]
316137
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MAXM Skate Pty LTD
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Address [1]
316137
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Country [1]
316137
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Australia
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Funding source category [2]
316141
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Government body
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Name [2]
316141
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Department of State Development - Seed Start Grant
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Address [2]
316141
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Country [2]
316141
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Australia
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Funding source category [3]
317294
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Hospital
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Name [3]
317294
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Noarlunga Hospital
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Address [3]
317294
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Country [3]
317294
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Australia
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Funding source category [4]
317295
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Commercial sector/Industry
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Name [4]
317295
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MAXM Skate Pty Ltd
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Address [4]
317295
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Country [4]
317295
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Australia
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Funding source category [5]
317296
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University
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Name [5]
317296
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Flinders University
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Address [5]
317296
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Country [5]
317296
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Australia
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Primary sponsor type
Government body
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Name
Southern Adelaide Local Health Network
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Address
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Country
Australia
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Secondary sponsor category [1]
318312
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Commercial sector/Industry
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Name [1]
318312
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MAXM Skate Pty Ltd
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Address [1]
318312
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Country [1]
318312
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Australia
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
314962
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Southern Adelaide Clinical Human Research Ethics Committee
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Ethics committee address [1]
314962
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https://www.sahealth.sa.gov.au/wps/wcm/connect/Public%2BContent/SA%2BHealth%2BInternet/About%2Bus/Our%2BLocal%2BHealth%2BNetworks/Southern%2BAdelaide%2BLocal%2BHealth%2BNetwork/Research/For%2BResearchers/Southern%2BAdelaide%2BClinical%2BHuman%2BResearch%2BEthics%2BCommittee
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Ethics committee country [1]
314962
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Australia
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Date submitted for ethics approval [1]
314962
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15/03/2024
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Approval date [1]
314962
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Ethics approval number [1]
314962
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Summary
Brief summary
The aim of this randomised controlled trial is to compare the safety and efficacy of the MAXM Skate Rehabilitation Device and associated digital rehab program to standard rehabilitative care for elective Knee Arthroplasty Patients in a Public Health Setting. Comparisons will be made between several functional, self-reported and performance-based outcomes measures until the completion of their rehab program 3 months post total knee arthroplasty. It is hypothesised that a TKA patient, in a public health care setting, uses MAXM Skate Device and digital rehab program then they will experience equal or greater return of function, clinical performance, and satisfaction in comparison to those receiving standard rehabilitative care.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Christopher Wilson
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Address
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Noarlunga Hospital - 30 Alexander Kelly Dr, Noarlunga Centre SA 5168
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Country
133266
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Australia
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Phone
133266
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+61416564557
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Fax
133266
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Email
133266
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[email protected]
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Contact person for public queries
Name
133267
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Luka Millar
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Address
133267
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MAXM Skate - 27 Oaklands Rd, Somerton Park SA 5044
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Country
133267
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Australia
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Phone
133267
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+61407786951
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Fax
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Email
133267
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[email protected]
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Contact person for scientific queries
Name
133268
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Luka Millar
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Address
133268
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MAXM Skate - 27 Oaklands Rd, Somerton Park SA 5044
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Country
133268
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Australia
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Phone
133268
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+61407786951
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Fax
133268
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Email
133268
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Sensitive commercial Data
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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