Clinical trial NCT06274866: Effects Of A Home Based Exercise Program Following Total Hip Arthroplasty
Official title: Investigation Of The Effects Of A Home Based Exercise Program Under Physiotherapist Supervision Following Total Hip Arthroplasty And Comparison With The Control Group
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: PHYSİOTHERAPY
Keywords: Total Hip Arthroplasty
Home Based Exercise Program
Balance
Pain
Function
Lead sponsor: Halic University
Sponsor class: OTHER
First posted: 2024-02-23
Enrollment: 48
Sex: ALL
Minimum age (years): 40
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomize controlled two groups
Primary purpose: TREATMENT

Brief summary: The aim of this study is to examine the effects of home-based exercise on pain-related factors, postural control and early functional parameters in individuals undergoing total hip arthroplasty. Forty-four individuals with hip osteoarthritis were included in current study. Individuals were randomized as study group (n=23) and control group (n=21) by drawing lots. Individuals in the study group were followed up with a personalized home-based exercise program for 6 weeks. Individuals in the control group were followed up with an exercise training brochure. The exercise program of the individuals in the study group was checked at two-week intervals and adjustments were made in the exercise program. All individuals were evaluated before the operation, 2 weeks after the operation, and 12 weeks after the operation, and their data were recorded. Range of motion was measured with an inclinometer, muscle strength was measured with a hand dynamometer, joint position sense was measured with a target angle test, pain was measured with a visual pain scale, leg length was measured with a tape measure, and finally, the Q angle was measured with a goniometer. In addition to these,Tampa kinesiophobia scale, Oxford hip score and international physical activity scale were used. Timed up-and-go test was used to evaluate functional performance. Foursquare step test was used to evaluate balance, and finally, tetrax posturography device was used to evaluate postural control.

Detailed description: The aim of this study was to examine the patients who underwent Total Hip Arthroplasty surgery with the diagnosis of hip osteoarthritis.

Home-based exercise program given individually under the control of a physiotherapist is effective in reducing pain.

related factors (joint range of motion, muscle strength, kinesiophobia, physical activity), To investigate its effect on functional status, balance and postural control.

Eligibility criteria: Inclusion Criteria:

* Having surgery with a diagnosis of osteoarthritis
* Cases have unilateral hip osteoarthritis
* Not having received physical therapy in the 6 months before the surgery
* Total hip arthroplasty surgery should only be performed on posterior or posterolateral done with initiative

Exclusion Criteria:

* Presence of Dementia, Neurological Deficit
* Having other diseases that may affect balance (vertigo, previous CVO, neuropathy, epilepsy)
* Being on medication that may affect balance (antidepressants, antiepileptics, antipsychotics)
* Individuals who use alcohol heavily
* End stage organ failure
* Cancer patients under active treatment (except those in remission

Primary outcomes:
measure: OXFORD HİP SCORE
timeFrame: Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.
measure: TAMPA SCALE FOR KINESİOPHOBİA
timeFrame: Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.
measure: İNTERNATİONAL PHYSİCAL ACTİVİTY QUESTİONAİRE (SHORT FORM)
timeFrame: Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.
measure: JOİNT POSİTİON SENSE ERROR TEST
timeFrame: Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.
measure: FOUR SQUARE STEP TEST
timeFrame: Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.
measure: THE TİMED UP and GO TEST
timeFrame: Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.
measure: Assessment of Hip Muscle Strength
timeFrame: Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.
measure: Assessment of Hip Joint Range of Motion
timeFrame: Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.
measure: Assessment of Postural Control
timeFrame: Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.
Secondary outcomes:
measure: MEASURİNG LEG LENGTH DİSCREPANCY
timeFrame: Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.
measure: Q ANGLE
timeFrame: Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Yeditepe Hospital
Study officials:
References:
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citation: Pop T, Szymczyk D, Majewska J, Bejer A, Baran J, Bielecki A, Rusek W. The Assessment of Static Balance in Patients after Total Hip Replacement in the Period of 2-3 Years after Surgery. Biomed Res Int. 2018 Jan 4;2018:3707254. doi: 10.1155/2018/3707254. eCollection 2018.
citation: Ometti M, Brambilla L, Gatti R, Tettamanti A, La Cava T, Pironti P, Fraschini G, Salini V. Capsulectomy vs capsulotomy in total hip arthroplasty. Clinical outcomes and proprioception evaluation: Study protocol for a randomized, controlled, double blinded trial. J Orthop. 2019 Sep 12;16(6):526-533. doi: 10.1016/j.jor.2019.09.020. eCollection 2019 Nov-Dec.
citation: Trudelle-Jackson E, Emerson R, Smith S. Outcomes of total hip arthroplasty: a study of patients one year postsurgery. J Orthop Sports Phys Ther. 2002 Jun;32(6):260-7. doi: 10.2519/jospt.2002.32.6.260.