Comparative Effects of Weight Bearing and Non-weight Bearing Exercises in Patients With Total Hip Replacement

Study Overview
=================
Brief Summary
-----------------
to compare the effects of weight bearing and non-weight bearing exercises on pain, range of motion and disability in patients with total hip replacement

Official Title
-----------------
Comparative Effects of Weight Bearing and Non-weight Bearing Exercises on Pain, Range of Motion and Disability in Patients With Total Hip Replacement

Conditions
-----------------
Total Hip Replacement

Intervention / Treatment
-----------------
* Other: weight bearing exercises
* Other: non weight bearing exercises


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: unilateral total hip arthroplasty posterolateral approach of hip replacement patients that were willing to participate patients with 2 weeks post-operative history of total hip replacement Exclusion Criteria: History of any systemic pathology Individual suffering from congenital hip disease. Bilateral total hip arthroplasty Evidence of CNS involvement and any other neurological involvement Any red flag (malignancies or any kind of tumor History of lower extremity fracture. Patient having any local or systemic infection of hip joint

Ages Eligible for Study
-----------------
Minimum Age: 35 Years
Maximum Age: 60 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: weight bearing exercises<br>weight bearing exercises | Other: weight bearing exercises<br>* Standing knee raise 10 rep x 2sets Standing knee bend 10 rep x 2sets Standing hip extension 10 rep x 2sets Shallow squats 5 rep x 2 sets After 4 week gradually restricting the use of assistive device when patient become able to walk and stand for 10 mins then add stair climbing and descending with a step height not higher than 7 inch. The session will be around 45 to 60 minutes on each patient with 2 sessions per week on alternate days to observe the long term effects.<br>|
| Experimental: non weight bearing exercises<br>non weight bearing exercises | Other: non weight bearing exercises<br>* Seated knee flexion 10 rep x 2sets Seated knee extension 10 rep x2sets Use of stationary bicycle 10 mins Side lying leg lift 10 rep x2sets Straight leg raise 10 rep x 2sets The session will be around 45 to 60 minutes on each patient with 2 sessions per week on alternate days to observe the long term effects.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numeric pain rating scale (NPRS) | NPRS is anchored by terms describing pain severity extremes. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. no pain) to '10' representing the other pain extreme (e.g. pain as bad as you can imagine or worst pain imaginable | 6 weeks | 
| Goniometry | A goniometer is a device that measures an angle or permits the rotation of an object to a definite position | 6 weeks | 
| Hip disability and Osteoarthritis Outcome Score (HOOS) | A 40 item questionnaire (hip disability and osteoarthritis outcome score, HOOS) was constructed to assess patient-relevant outcomes in five separate subscales (pain, symptoms, activity of daily living, sport and recreation function and hip related quality of life). | 6 weeks | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
weight bearing, exercise, hip, pain, replacement, arthroplasty, range of motion