Gait Analysis and Gait Training in Patient With Total Hip or Total Knee Replacement

Study Overview
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Brief Summary
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The main objective of the present study is the evaluation of the kinematic parameters of gait and distribution of the load, recorded thruogh a sensorized treadmill, on lower limbs in patients at 1 year from Total Hip Replacement or Total Knee Replacement. The secondary objective is to evaluate the effects of gait training with biofeedback by means of a sensorized treadmill in patients with asymmetry of the kinematic parameters of the step and of distribution of the load on the lower limbs.

Official Title
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Gait Analysis and Gait Training in Subjects 1 Year After Total Hip or Total Knee Replacement by Means

Conditions
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Arthroplasty, Replacement, Knee, Arthroplasty, Replacement, Hip

Intervention / Treatment
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* Other: Gait training with real time biofeedback


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Mini Mental State Examination ≥ 24 12 months after total hip or total knee replacement Exclusion Criteria: impossibility to perform a walking test disabling cardiovascular and osteo-arthro-muscular problems that can impair walking tests central or peripheral neurological disorders that compromise the sensory-motor skills of the patient under examination and / or the degree of collaboration patients who have not signed informed consent

Ages Eligible for Study
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Minimum Age: 18 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: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Gait training with real time biofeedback|Patients presenting asymmetry of the kinematic parameters of the step to the evaluation with sensorized treadmill, will undergo gait training program. The training program consists of 20 session (1 session/day) of gait training. Daily gait training will last 30 minutes as distributed: 5 minutes of heating at a comfortable speed for the patient Three 5-minute sessions of gait training with biofeedback interspersed with a break of 5 minutes each.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gait Speed | meters/second | immediately after treatment | 
| Step Length | length in meters | immediately after treatment | 
| Ground Contact Time | Time in seconds | immediately after treatment | 
| Hip Kinematics | angles (degrees) of hip ROM | immediately after treatment | 
| Knee Kinematics | angles (degrees) of knee ROM | immediately after treatment | 
| Ankle Kinematics | angles (degrees) of ankle ROM | immediately after treatment | 
| Lower limb loading | load percentage distribution on lower limbs | immediately after treatment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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gait analysis, gait training, biofeedback