Fascial Manipulation in Patients With Hip Osteoarthritis

Study Overview
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Brief Summary
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The study will test the efficacy of the treatment of soft tissues for osteoarthritis patients that are waiting for total hip arthroplasty. The fascial manipulation provides a deep pressure of specific points of the muscle fascia. The aims of this treatment are the improve of pain before the surgery and the improve of functional performance after the surgery.

Official Title
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Evaluation of the Efficacy of Treatment of the Soft Tissues With Fascial Manipulation for Patients That Are Waiting for Total Hip Arthroplasty in Osteoarthritis

Conditions
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Osteoarthritis

Intervention / Treatment
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* Other: fascial manipulation
* Other: standard treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients age 40-80, with primary coxarthrosis waiting for total hip arthroplasty that complain a pain measured by Numeric Rating Scale ≥ 5 and that live in Bologna Exclusion Criteria: arthroplasty revision or substitution. Patient with cognitive deficiency and severe comorbidity (rheumatic, neurological or cardiovascular pathology)

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: fascial manipolation and standard<br> | Other: fascial manipulation<br>* Recruited patients in study's group will be treated with the standard treatment and fascial manipulation. Specific points of fascial tissue will be treated with a deep friction to improve elasticity. The number of point treated will be refered to a specific evaluation for each patient. Fascial manipulation provide 3 session treatment (one treatment for week).<br>Other: standard treatment<br>* Before surgery, standard physiotherapy treatment provides an education session about the rehabilitation program tha is going to be execute after surgery. After surgery 2 daily physiotherapy treatment are implemented: bed exercise as active and passive flex-extension of lower limb, movements for postural change to reach sitting and standing position, walking training.<br>|
| Active Comparator: standard treatment<br> | Other: standard treatment<br>* Before surgery, standard physiotherapy treatment provides an education session about the rehabilitation program tha is going to be execute after surgery. After surgery 2 daily physiotherapy treatment are implemented: bed exercise as active and passive flex-extension of lower limb, movements for postural change to reach sitting and standing position, walking training.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain is measured by numeric rating scale |  | 3 weeks before surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| performance measurement assessed with Oxford Hip Scale, 30 second chair stand test, 10 meters walking test, Iova level of assistance. |  | a month after surgery |