Efficacy of a Single Preoperative Administration of Action Observation Therapy Associated With Motor Imagery in Patients Undergoing Total Hip Arthroplasty.

NCT05188560 | Completed

• 1 other identifier: 750
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Action Observation Therapy (AOT) and Motor Imagery (MI) are two rehabilitation approaches based on Mirror Neuron System (MNS). The MNS refers to a series of neurons able to activate both when one observes an action being performed or when one physically performs the action themselves. Previous studies reported that functional recovery is facilitated by asking patient observing videos with motor content (AOT) and after imagining (MI) the gestures observed. These rehabilitative apporach have been used in particular to promote functional recovery in patients with neuromotor problems, in particular in patients with stroke. To date, few studies have investigated the effectiveness of this therapeutic approach in functional recovery after orthopedic surgery and none of these applied AOT and MI in a single pre-operative session. The objective of the study is to verify whether a single administration consisting of two pre-operative sessions of AOT associated with MI can lead to an improvement of functional recovery in hip arthroplasty patients.

Conditions

Hip Osteoarthritis; Orthopedic Disorder

Keywords

Action observation therapy; motor imagery; Hip arthroplasty; functional recovery

Outcome Measures

Primary Outcomes (1)

• Changes in functional mobility using Timed Up and Go test (TUG).

  The primary outcome is to investigate whether a single administration consisting of two sessions of AOT and MI performed the day before the total hip arthroplasty may impact on functional recovery in the immediate post-operative period. Functional mobility will be evaluated with Timed Up and Go test.

  Both groups will be evaluated the day before (T0) and 4 days after (T1) surgery.

Secondary Outcomes (2)

• Changes in maximum gait speed

  Both groups will be evaluated the day before (T0) and 4 days after (T1) surgery.

• Changes in pain using Visual Analogue Scale (VAS)

  Both groups will be evaluated the day before (T0) and 4 days after (T1) surgery.

Study Arms (2)

AOT+MI

EXPERIMENTAL

participants who, in addiction to standard rehabilitation program after surgery, underwent a single pre-operative training session of action observation therapy associated with motor imagery.

Other: Action observation therapy; Other: motor imagery

Control group

NO INTERVENTION

Participants who was not subjected to any pre-operative activity. They received standard rehabilitation program after surgery too.

Interventions

Action observation therapy OTHER

Subject is asked to observe videos with motor contents

AOT+MI

motor imagery OTHER

mental simulation of a motor task

AOT+MI

Eligibility Criteria

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

You may qualify if:

• Total hip arthroplasty (THA) monolateral, first implant
• Locomotor autonomy with or without aids before surgery
• BMI (regular, overweight, Grade I obesity)
• No complications in surgery
• Orthopaedic prescription of tolerance load on the limb
• Autonomy with aids within the third post-operative day

You may not qualify if:

• Previous total hip replacement on contralateral hip
• Dementia or other conditions affecting patient's collaboration
• Unresolved clinical complications in the first two post-operative days
• Neurological, musculoskeletal or other disorders able to impact on functional recovery
• Visual or auditory deficits
• Total or partial revisions of THA
• Patients assigned to different groups hospitalized in the same room

Sponsors & Collaborators

• Istituto Clinico Humanitas: lead

Study Sites (1)

Istituto Clinico Humanitas

Rozzano, Milano, 20089, Italy

Location

MeSH Terms

Conditions

Osteoarthritis, Hip; Musculoskeletal Diseases

Condition Hierarchy (Ancestors)

Osteoarthritis; Arthritis; Joint Diseases; Rheumatic Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 20, 2021
• First Posted: January 12, 2022
• Study Start: March 1, 2021
• Primary Completion: October 1, 2021
• Study Completion: January 1, 2022
• Last Updated: March 4, 2022

Record last verified: 2022-01

Locations

IT (1)