Clinical trial NCT04492462: The Impact of Two Different Physical Therapy Programs in the Rehabilitation of Patients Undergoing Anterior Approach Hip Replacement Surgery
Official title: The Impact of Two Different Physical Therapy Programs in the Rehabilitation of Patients Undergoing Anterior Approach Hip Replacement Surgery
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Hip Arthritis
Total Hip Arthroplasty
Keywords: Total Hip Arthroplasty
Anterior Approach
Physical Therapy
Lead sponsor: Rutgers, The State University of New Jersey
Sponsor class: OTHER
First posted: 2020-07-30
Enrollment: 200
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study will look to determine two different types of physical therapy regimens in patients who undergo anterior total hip replacement. We will compare the results of two groups. The first group, the "Formal Physical Therapy" group, will undergo standard physical therapy following their surgery. They will see a physical therapist in a physical therapy office after their surgery. Here, the therapist will work with the patient to strengthen muscles and improve their walking. The second group, the "Self-directed Physical Therapy" group, will undergo physical therapy in the comfort of their own home using common household items (chairs, steps, etc). These patients will be given a list of exercises and stretches to perform on their own. It is our goal to prove that formal physical therapy is not needed after anterior hip replacements.


Eligibility criteria: Inclusion Criteria:

* Patients aged between 18 and 80 years of age
* Patients undergoing primary anterior total hip arthroplasty for the diagnosis of osteoarthritis
* Patients with no previous invasive hip surgery (such as a previous hip replacement)

Exclusion Criteria:

* Non-English speaking persons will be excluded in our study.
* Patients with a recent history (\<1 year) of heart attack, stroke, and lung clots.
* Previous invasive surgery on the hip undergoing replacement
* Patients with dementia, Parkinson's, or other neurological disorders
* Non-ambulatory patients
* Patients with impaired ability to consent, whether because of mental illness or otherwise
* Patients being discharged to a rehabilitation center
* Patients that experience intra-operative complications

Primary outcomes:
measure: Change inHarris Hip Score (HHS)
timeFrame: assessed 1,3,6, and 12 months after total hip replacement to assess change at each time point following surgery
Secondary outcomes:
measure: Change in timed up and go test
timeFrame: assessed 1,3,6, and 12 months after total hip replacement to assess change at each time point following surgery
measure: Change in Visual Analog Scale for Pain
timeFrame: assessed 1,3,6, and 12 months after total hip replacement to assess change at each time point following surgery
measure: Change in Western Ontario and McMaster University Osteoarthritis Index (WOMAC) form
timeFrame: assessed 1,3,6, and 12 months after total hip replacement to assess change at each time point following surgery
Other outcomes:
Locations:
city: Somerset
country: United States
facility: University Orthopaedic Associates
state: New Jersey
city: Somerville
country: United States
facility: Robert Wood Johnson Somerset Hospital
state: New Jersey
Study officials:
affiliation: Rutgers University
name: Stephen T Kayiaros, MD
role: PRINCIPAL_INVESTIGATOR
References: