Accelerated Rehabilitation in Hip Arthroplasty

NCT02933632 | Completed

• 1 other identifier: FederalURS
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 2

Brief Summary

Accelerated rehabilitation protocol in Total Hip Arthroplasty (THA-AR).

Conditions

Osteoarthritis

Keywords

Osteoarthritis; Physiotherapy; Rehabilitation; Clinical Trials; Accelerated rehabilitation; Hip Replacement Arthroplasty

Outcome Measures

Primary Outcomes (1)

• Merle D'Aubigné and Postel score

  From the moment of hospitalization until the day of hospital discharge, assessed up to four days.

Secondary Outcomes (4)

• Length of hospital stay

  From the moment of hospitalization until the day of hospital discharge, assessed up to four days.

• Muscle strength force

  From the moment of hospitalization until the day of hospital discharge, assessed up to four days.

• Goniometry

  From the moment of hospitalization until the day of hospital discharge, assessed up to four days.

• Time to beginning the gait.

  From the date of hospitalization until the day that began gait, assessed up to four days.

Study Arms (2)

Standard Assistance Protocol-SAP

ACTIVE COMPARATOR

Patients underwent physical therapy once a day. Patients receive intervention by Physical Therapy-SAP.

Other: Physical Therapy-SAP

Accelerated Rehabilitation Protocol-ARP

ACTIVE COMPARATOR

Patients underwent physical therapy three times a day. Patients receive intervention by Physical Therapy-ARP.

Other: Physical Therapy-ARP

Interventions

Physical Therapy-SAP OTHER

* Day 1) Patients started approach after discharged anesthesia. Patients received verbal orientation and demonstration of the physiotherapy exercises that would strengthen muscles (gluteal and thigh). They were oriented to the decubitus changes and how to leave bed. They practiced 3 repetitions of 12 complete movements for each exercise; * Day 2) Patients repeated the exercises learned from day 1. Following the proposed activities patients received verbal instructions on gait training and then starting gait training. Patients started gait training on this second day only if they felt safe and claimed that their pain was controlled. Otherwise, training was postponed to the next day; * Day 3) Patients repeated the day 2. And the patient who had not started gait training in the day 2, began it on the day 3; * Day 4 and other days) Patients repeated the gait training until the discharge date.

Standard Assistance Protocol-SAP

Physical Therapy-ARP OTHER

* Day 1-1°approach) Patients started after discharged anesthesia. Received verbal orientation and demonstration of the physiotherapy exercises that would strengthen muscles (gluteal and thigh). They were oriented to the decubitus changes and how to leave bed. They practiced 3 repetitions of 12 complete movements for each exercise; * Day 1-2°approach) Patients repeated the exercises learned from day 1-1°approach. Following patients received verbal instructions on gait training and then starting gait training. Patients started gait training on this Day 1-2°approach only if they felt safe and claimed that their pain was controlled. Otherwise, training was postponed to next approach; * Day 1-3°approach) Patients repeat the day 1-2°approach. And the patient, who had not started gait training in the day 1 - second approach, began it in this third approach; * Day 2) Patients repeated three times the day 1-3°approach; * Day 3) Patients repeated three times the day 1-3°approach.

Accelerated Rehabilitation Protocol-ARP

Eligibility Criteria

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

You may qualify if:

• Patients of the Public Health System of our Country that were admitted with hip osteoarthritis diagnose and submitted to a total hip arthroplasty surgery in the Hospital de Clínicas de Porto Alegre (HCPA).

You may not qualify if:

• Patients who refused to participate in this study;
• Patients lived in another city;
• Patients undergoing surgery for total hip arthroplasty due to hip fracture;
• Patients with cognitive disorders or diseases that adversely affect its cognitive function (Alzheimer's disease, senile dementia).

Sponsors & Collaborators

• Federal University of Rio Grande do Sul: lead

Study Sites (2)

Hospital de Clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, 55, Brazil

Location

Federal University Rio Grande do Sul

Porto Alegre, Rio Grande do Sul, 90040-060, Brazil

Location

Related Publications (1)

• Marchisio AE, Ribeiro TA, Umpierres CSA, GalvAo L, Rosito R, Macedo CAS, Galia CR. Accelerated rehabilitation versus conventional rehabilitation in total hip arthroplasty (ARTHA): a randomized double blinded clinical trial. Rev Col Bras Cir. 2020;47:e20202548. doi: 10.1590/0100-6991e-20202548. Epub 2020 Aug 12. English, Portuguese.

  PMID: 32844909 RESULT

Related Links

• Link to publication

MeSH Terms

Conditions

Osteoarthritis

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Study Officials

• Carlos R Galia, Doctor

  Federal University Rio Grande do Sul

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Master Degree

Study Record Dates

• First Submitted: April 13, 2015
• First Posted: October 14, 2016
• Study Start: August 1, 2013
• Primary Completion: November 1, 2014
• Study Completion: November 1, 2014
• Last Updated: October 6, 2020

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will not share

Locations

BR (2)