Kinematics and Muscle Strength in Two, Five or 10 Years Afther Total Hip Arthroplasty

NCT04214171 | Completed

• 1 other identifier: Joao B
• Study Type: observational
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction: Femoral and acetabular replacement is characterized as total hip arthroplasty (THA). It has been used as treatment of various pathologies of this joint. In the postoperative period, some studies have shown that strength, function, range of motion and lower limb mechanics remains altered for more than One year after THA in relation to the non-operated side. However, studies that have correlated kinematics and hip muscle strength in individuals who underwent THA for long time, do not exist in literature. Objective: to evaluate lower limb muscle strength and 2D kinematics during stair ascending and descending in patients undergoing total hip arthroplasty. Methods: Third individuals who underwent total hip arthroplasty (THA) will be recruited at two, five and 10 year postoperative periods. They were allocated in three groups: Group 1 (10n), subjects submitted to THA for two years, Group 2 (10n) subjects submitted to THA for five years, Group 3 (10n) subjects submitted to THA for 10 years and Group 4 (10n) subjects without orthopaedic afections, all will be evaluated for dynamometric isometric muscle strength and kinematic analysis of stair ascending and descending by a "blinded" physical Therapist.

Conditions

Hip Osteoarthritis

Outcome Measures

Primary Outcomes (4)

• kinematic analysis of hip movements for flexion

  Analysis of the movements of the hip - range of motion for flexion

  evaluated at 10 years after hip arthroplasty

• kinematic analysis of hip movements for extension

  Analysis of the movements of the hip - range of motion for extension

  evaluated at 10 years after hip arthroplasty

• kinematic analysis of hip movements for internal rotation

  Analysis of the movements of the hip - range of motion for internal rotation

  evaluated at 10 years after hip arthroplasty

• kinematic analysis of hip movements external rotation

  Analysis of the movements of the hip - range of motion for external rotation

  evaluated at 10 years after hip arthroplasty

Study Arms (4)

group 2 years

The group underwent total hip arthroplasty at 2 years

Diagnostic Test: Gait and muscle strength will be assessed

group 5 years

The group underwent total hip arthroplasty at 5 years

Diagnostic Test: Gait and muscle strength will be assessed

group 10 years

The group underwent total hip arthroplasty at 10 years

Diagnostic Test: Gait and muscle strength will be assessed

group control

healthy patients

Diagnostic Test: Gait and muscle strength will be assessed

Interventions

Gait and muscle strength will be assessed DIAGNOSTIC_TEST

The extensor moment of the hip during gait and evaluation of the muscular strength of the hip will be evaluated

group 10 years; group 2 years; group 5 years; group control

Eligibility Criteria

• Age: 60 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

40 individuals who underwent total hip arthroplasty (THA) by the hospital hip surgery group

You may qualify if:

• The investigators will recruit 40 individuals who underwent total hip arthroplasty (THA) by the hospital hip surgery group in the periods of two, five and 10 years postoperatively

You may not qualify if:

• patients with a history of prosthesis dislocations or revision of arthroplasty
• hip or lower limb pain
• asymmetry of the lower limbs greater than two centimeters
• previous surgeries in the lower limbs
• limited range of motion in the hip joint
• use of antidepressive drugs or analgesics for continuous use
• Presence of neuromuscular pathologies and functional incapacity to perform the activities proposed in the Kinematics analysis.

Sponsors & Collaborators

• Faculdade de Ciências Médicas da Santa Casa de São Paulo: lead

Study Sites (1)

João Barboza

São Paulo, 04660000, Brazil

Location

Related Publications (1)

• Foucher KC, Cinnamon CC, Ryan CA, Chmell SJ, Dapiton K. Hip abductor strength and fatigue are associated with activity levels more than 1 year after total hip replacement. J Orthop Res. 2018 May;36(5):1519-1525. doi: 10.1002/jor.23783. Epub 2017 Nov 28.

  PMID: 29077218 RESULT

MeSH Terms

Conditions

Osteoarthritis, Hip

Interventions

Gait

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases

Intervention Hierarchy (Ancestors)

Physical Examination; Diagnostic Techniques and Procedures; Diagnosis; Walking; Locomotion; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Vera Lucia Santos Alves, Dr

  Faculdade de Ciências Médicas da Santa Casa de São Paulo

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head of Physical Therapy and Professor

Study Record Dates

• First Submitted: January 3, 2018
• First Posted: January 2, 2020
• Study Start: January 1, 2017
• Primary Completion: September 1, 2017
• Study Completion: February 1, 2019
• Last Updated: September 9, 2020

Record last verified: 2020-09

Data Sharing

• IPD Sharing: Will not share

Locations

BR (1)