Fascial Manipulation® Associated With Standard Care Versus Standard Post-surgical Care for Total Hip Arthroplasty

Study Overview
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Brief Summary
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Post-surgical physiotherapy programs following to total hip arthroplasty (THA) show important differences between types and numbers of treatment sessions. Objectives are to investigate effectiveness of Fascial Manipulation when associated to a standard protocol of care.

Detailed Description
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Background. Post-surgical physiotherapy programs following to total hip arthroplasty (THA) show important differences between types and numbers of treatment sessions. Objectives are to investigate effectiveness of Fascial Manipulation when associated to a standard protocol of care. Methods. Fifty-one subjects operated with THA were randomized into two groups, both followed a standard protocol of care where two sessions were replaced with Fascial Manipulation in the study group. Functional outcomes measures collected before and after treatment and at the end of the rehabilitation program included Harris Hip Score, Time Up and Go test, articular range of motion and verbal numerical scale.

Official Title
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Fascial Manipulation® Associated With Standard Care Versus Standard Post-surgical Care for Total Hip Arthroplasty: a Randomized Controlled Trial.

Conditions
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Arthritis

Intervention / Treatment
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* Other: Fascial Manipulation® (FM)
* Other: standard active exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: first THA surgery, posterior-lateral access, onset of pain of maximum 2 years Exclusion Criteria: patients with previous hip or knee prosthesis, congenital hip dysplasia, revision THA, elective THA secondary to trauma, real leg-length discrepancy (≥1.5cm), cognitive impairment, concomitant rheumatic pathology in acute phase, serious comorbidities including cardiac, respiratory and/or neuromuscular pathologies.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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 |
| --- | --- |
| Other: standard treathment<br>two sessions of 45 minutes of active exercises for 10 days | Other: standard active exercises<br>* two sessions of 45 minutes of active exercises<br>|
| Experimental: FM associated to standard treathment<br>the same intervention of CG except on days 2 and 7 where one session treatment was replaced with a FM treatment. | Other: Fascial Manipulation® (FM)<br>* Fascial Manipulation® (FM) is a manual therapy that focus on the deep muscular fascia. This technique considers the fascia as a three-dimensional continuum. The mainstay of this manual technique lies in the identification of specific localised areas of the fascia, defined Center of Coordination (CC), where the gliding of the subcutis should be preserved to avoid biomechanical in-coordination of the surrounding muscles. The method is performed by applying a deep friction over the CCs that result more altered at the clinical palpation<br>Other: standard active exercises<br>* two sessions of 45 minutes of active exercises<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change of pain during movement | value of pain during a specific movement , measured with Visual Numeric Scale (VNS) scale | change from before and after the 2nd day treatment, change from before and after the 7nd day treatment, change from 2nd and 10th day (end of study) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Range of motion (ROM) | hip ROM amplitude, measured with bobble inclinometer | before and after the 2nd day treatment, before and after the 7nd day treatment, 10th day (end of study) | 
| Harris Hip Score | Functional outcome | before and after the 2nd day treatment, before and after the 7nd day treatment, 10th day (end of study) | 
| Timed up and Go test (TuG) | functional test for stand up and walk speed | before and after the 2nd day treatment, before and after the 7nd day treatment, 10th day (end of study) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Total Hip Replacement, Manipulation Therapy