Comparison of Physiotherapy Versus Home Exercise Following Hip Replacement Surgery

NCT00175448 | Completed

• 1 other identifier: C02-0249
• Study Type: interventional
• Target: 144
• Locations: 0 countries
• Sites: N/A

Brief Summary

A Randomized Controlled Trial of Outpatient Physiotherapy versus a Self-Administered Home Exercise Program Following Discharge Home from Total Hip Arthroplasty

Conditions

Arthritis; Arthroscopic Hip Surgery

Outcome Measures

Primary Outcomes (1)

• Physical function at 16 weeks post THA in patients who received outpatient physiotherapy following discharge home compared to unsupervised self- directed exercises alone (as measured by the WOMAC).

  16 weeks

Secondary Outcomes (10)

• Does outpatient physiotherapy result in superior outcomes (final outcome) at 1 and 2 years post THA?

  2 years

• Does outpatient physiotherapy, compared to a self-directed exercise program, result in greater improvement in:

• generic health-related QOL (SF-36) and (HUI3)

• pain and stiffness (WOMAC pain and stiffness)

• activities of daily living (FSI)

Interventions

physiotherapy PROCEDURE

See Detailed Description.

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• primary THA (cemented or cementless)
• preoperative diagnosis of osteoarthritis (primary or secondary)
• meets objective discharge-to-home test following hip replacement
• ability to speak English and reply to questionnaires written in English
• ability to provide informed consent
• may include patients presenting for their second primary hip arthroplasty
• Discharge to Home Criteria
• independent supine-to-sit transfer
• independent sit-to-stand transfer
• walk with walking aid 30 meters
• ascend and descend 3 stairs
• deemed medically fit and safe for home environment by surgeon/nursing/PT

You may not qualify if:

• surgery as part of a workers' compensation claim
• arthroplasty performed for trauma or following open reduction and internal fixation, malignancy or inflammatory arthropathy
• intra-operative complication of fracture or sciatic nerve injury
• procedure requiring complex surgical approach other than posterior or anterolateral (ie trochanteric osteotomy/micro 2 incision approach)
• indications for additional primary or revision arthroplasty within the time frame of the study (24 months) in other hip or knee joints which would adversely affect quality of life and functional scores pertaining to the joint of interest

Sponsors & Collaborators

• University of British Columbia: lead

MeSH Terms

Conditions

Arthritis

Interventions

Physical Therapy Modalities

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• Nelson Greidanus, MD

  University of British Columbia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: September 11, 2005
• First Posted: September 15, 2005
• Study Start: September 1, 2005
• Primary Completion: December 1, 2007
• Study Completion: December 1, 2007
• Last Updated: September 25, 2008

Record last verified: 2005-09