Walking Skill Training Program Effects in Patients With Total Hip Arthroplasty

Study Overview
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Brief Summary
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Rehabilitation plays an important part after total hip arthroplasty. In this common practice few studies have been performed on this issue. The aims of this study were: to examine the immediate effects of a walking skill training program on walking, stair climbing, balance, self-reported physical functioning physical functioning, pain and self-efficacy compared to a control group without supervised physiotherapy to examine whether the effects persisted 12 months after surgery

Official Title
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Effect of a Walking Skill Training Program in Patients Who Have Undergone Total Hip Arthroplasty: Followup One Year After Surgery

Conditions
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Arthroplasty, Replacement, Hip, Exercise Therapy

Intervention / Treatment
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* Other: Walking skill training program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Primary cox arthrosis Good written and oral Norwegian language Exclusion Criteria: Severe hip arthrosis in the other hip or severe gon arthrosis that restricted walking Neurological disorders Rheumatoid arthritis

Ages Eligible for Study
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Minimum Age: 45 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: Walking skill training group<br>Participation in the supervised walking skill training program. | Other: Walking skill training program<br>* 12 individualized training sessions containing functional exercises like walking, stair climbing, balance training and with supervision and guidance from a physiotherapist.<br>|
| No Intervention: Control group<br>No participation in the supervised walking skill training program | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 6 Minutes Walk Test (6MWT) | Participants walked in a 40 meter hospital corridor for 6 minutes. | 5 months and 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hip Dysfunction and Osteoarthritis Outcome Score (HOOS) | Self-reported symptoms, pain, physical function, function in sport and recreation, quality of life. 0 (worse) - 100 (best) | 5 months and 12 months | 
| Harris Hip Score (HHS) | Pain and physical function. 0 (worse) - 100 (best) | 5 months and 12 months | 
| Self-efficacy | Self-reported self-efficacy in activities. 0 (worse) - 100 (best). | 5 months and 12 months | 
| Stair Climbing Test (ST) | Ascend and descend 8 steps with a step hight of 16 cm as fast as they could without running. Few seconds (best) - many seconds (worse) | 5 months and 12 months | 
| ROM Extension | Active range of motion (ROM) in hip extension test. Degrees is registered. 0 degrees indicates zero position of the hip, minus digrees indicates flexion contracture. | 5 months and 12 months | 
| Index of Muscle Function (IMF) | Tests of general mobility, muscle strength, balance/coordination, and endurance. 40 (worse) - 0 (best) | 5 months and 12 months | 
| Figure-of-eight Test | Test of dynamic balance. Number of steps on and outside the line is registered. 0 (best) | 5 months and 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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total hip arthroplasty, physical functioning, training program, self-efficacy, exercise therapy, walking