Clinical trial NCT03806114: Dislocation Precautions
Official title: Impact of Dislocation Precautions on Fear and Function in Patients Undergoing Hip Replacement
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Arthroplasty, Hip Replacement
Arthroplasties, Hip Replacement
Health-Related Quality Of Life
Lead sponsor: Ottawa Hospital Research Institute
Sponsor class: OTHER
First posted: 2019-01-16
Enrollment: 212
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: This study is looking at the impact of giving patients precautions, or restrictions for movement, when undergoing a total hip replacement. Have of the participants will receive precautions, while the other half will not receive any precautions.

Detailed description: Patients undergoing hip replacements are often told by health care providers to avoid specific positions and activities to decrease the risk of their hip dislocating following their surgery. This, however, results in patients becoming more fearful of moving and leads to limitations in their function and decreased quality of life. Previous research has shown that hip dislocations following surgery are most commonly attributed to poor implant position rather than the actions of the patients. Teaching precautions takes up healthcare resources and may use finances that are not necessarily required. This study aims to compare groups with half receiving precautions and half not receiving precautions, to assess the impact of precautions on the patients' quality of life.

Eligibility criteria: Inclusion Criteria:

* Receiving a primary total hip arthroplasty (THA) due to osteoarthritis or osteonecrosis
* Over 18
* Willing and able to sign consent

Exclusion Criteria:

* Receiving a lateral approach hip arthroplasty
* Cannot make follow up visits

Primary outcomes:
measure: Change in Oxford Hip Score
timeFrame: Week before surgery to 6 months after surgery
Secondary outcomes:
measure: Change in Tampa Scale for Kinesiophobia
timeFrame: Week before surgery to 6 months after surgery
measure: Change in Forgotten Joint Score
timeFrame: 6 weeks after surgery to 6 months after surgery
measure: Change in EQ-5D-5L
timeFrame: Week before surgery to 6 months after surgery
measure: Canadian Patient Experience Survey - Inpatient Care (CPES-IC)
timeFrame: At 2 weeks after surgery
Other outcomes:
Locations:
city: Ottawa
country: Canada
facility: The Ottawa Hospital
state: Ontario
Study officials:
References:
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