This study is looking at whether physical therapy (PT) clearance is truly needed before you can go home after total joint arthroplasty (TJA), which is joint replacement surgery. Currently, PT clearance is usually required, but this can sometimes delay going home, especially if your surgery is later in the day. Researchers are comparing two approaches: a new method where you get gait (walking) and stair training from PT before surgery, and then nurses help you walk after surgery, versus the standard approach where you get a PT evaluation and clearance after surgery. The goal is to see if the new method can help more people go home the same day safely. The study will enroll 210 participants and will measure the number of falls you have in the first 6 weeks after surgery. To join, you must be 18 to 90 years old, having your first total hip or knee replacement, and eligible to go home the same day with family or friends to help you.

Study design

This interventional study will compare two different approaches to physical therapy before and after total joint replacement surgery. It aims to enroll 210 participants.

What's involved

You would either receive preoperative gait and stair training from physical therapy with postoperative ambulation with nursing, or a conventional postoperative physical therapy evaluation and clearance.

Compensation

Not stated in the trial record.

Follow-up

The study will follow up with you for 6 weeks after your surgery to count any falls you may have.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.