Pedometer Based Intervention After Total Hip Replacement-A Pilot Study
A 12 Week Pedometer Based Walking Intervention to Enhance Physical Activity Performance Following Total Hip Replacement-A Pilot Study
1 other identifier
interventional
20
1 country
1
Brief Summary
Total hip replacement is designed to alleviate pain, reduce disability and improve function and physical activity levels. Whilst pain, disability and function are often measured following surgery, actual physical activity is not. The aim of rehabilitation after total hip replacement would be to obtain optimal strength and range of movement at the hip along with cumulative endurance and balance. It is taken for granted that, once function is restored, the patient returns to physical activity levels associated with good health. In a previous study conducted by the same team it was observed that patients, at the end of 3 months after hip surgery, do not reach the levels of physical activity which are proven to be beneficial for health. Physiotherapy plays an important role in improving function and increasing levels of Physical activity in total hip replacement patients, but there is limited literature to substantiate this claim. There is a need to enhance levels of physical activity in patient after total hip replacement towards levels that are associated with good health. This study aims to demonstrate a method of enhancing physical activity levels after total hip replacement using a pedometer based intervention over a period of 3 months. Patients will follow a customized progressive stepping activity schedule aimed at establishing levels of physical activity that are associated with good health. To fully understand recovery patterns subjective and objective measures of strength of the hip muscles, range of motion at the hip, overall endurance, balance and speed of walking of the patient will be assessed. Questionnaires will be utilized to assess quality of life both before and after total hip surgery. The physical activity levels of the patient will be measured with a physical activity monitor. This study will be completed at the Golden Jubilee National Hospital at Glasgow.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jan 2014
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 16, 2013
CompletedFirst Posted
Study publicly available on registry
October 30, 2013
CompletedStudy Start
First participant enrolled
January 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2014
CompletedMarch 13, 2015
March 1, 2015
8 months
October 16, 2013
March 12, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Physical Activity following Hip Replacement.
Free-living physical activity performance will be recorded using an Accelerometer(ActivPAL).A small CE marked physical activity monitor, ActivPAL (PAL Technologies Ltd. Glasgow, UK) will be attached to the anterior thigh (of the non-operated leg) using a water proof surgical dressing material. This monitor, with proven validity is 50mm x 35mm x 7mm and weighs 30g. The fixing with the dressing allows it to be worn continually without affecting any patient activity such as washing / showering etc. This remains in place for the duration of the recording. It can record date for up to 7 days. The time spent upright, time spent stepping and the numbers of steps taken are recorded continuously over multiday periods. The intervention group will be encouraged to increase their physical activity levels. This will be based on a measure of stepping activity and a pedometer will act as a guideline for how many steps are required per day.
pre-operative,Immediate post -operative,1st week post operative and 3 months post operative.
Study Arms (2)
Control group.
NO INTERVENTIONNatural progession based on Step count is recorded with a pedometer for 12 weeks.
Targeted protocol with Pedometer
EXPERIMENTALA step based targeted protocol is given along with a pedometer for 12 weeks post surgery.
Interventions
12 week protocol based on targetted steps are given to the patient along with a pedometer.
Eligibility Criteria
You may qualify if:
- Primary total hip replacement
- Age group between 60-80 years old.
- Able to give informed consent
- Able to return for follow-up
- Able to read and understand English and follow verbal and visual instructions
You may not qualify if:
- Bilateral total hip replacements
- Either hip or knee replacement in the last 12 months
- Severe locomotor limitation due to cardio-respiratory dysfunction
- Severe locomotor disorder due to central or peripheral nervous system deficits
- Severe locomotor limitation due to spinal condition
- Severe locomotor limitation due to musculoskeletal disabilities
- Diagnosed terminal
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Ben Stansfieldlead
- Golden Jubilee National Hospitalcollaborator
Study Sites (1)
Golden Jubilee National Hospital
Glasgow,Scotland, United Kingdom
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Academic Supervisor to the Chief Investigator of the Study
Study Record Dates
First Submitted
October 16, 2013
First Posted
October 30, 2013
Study Start
January 1, 2014
Primary Completion
September 1, 2014
Study Completion
September 1, 2014
Last Updated
March 13, 2015
Record last verified: 2015-03