Comparative Effects of Weight Bearing and Non-weight Bearing Exercises in Patients With Total Hip Replacement

NCT05375565 | Completed

• 1 other identifier: REC/Lhr/22/0140 Habiba
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

to compare the effects of weight bearing and non-weight bearing exercises on pain, range of motion and disability in patients with total hip replacement

Conditions

Total Hip Replacement

Keywords

weight bearing; exercise; hip; pain; replacement; arthroplasty; range of motion

Outcome Measures

Primary Outcomes (3)

• Numeric pain rating scale (NPRS)

  NPRS is anchored by terms describing pain severity extremes. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable"

  6 weeks

• Goniometry

  A goniometer is a device that measures an angle or permits the rotation of an object to a definite position

  6 weeks

• Hip disability and Osteoarthritis Outcome Score (HOOS)

  A 40 item questionnaire (hip disability and osteoarthritis outcome score, HOOS) was constructed to assess patient-relevant outcomes in five separate subscales (pain, symptoms, activity of daily living, sport and recreation function and hip related quality of life).

  6 weeks

Study Arms (2)

weight bearing exercises

EXPERIMENTAL

weight bearing exercises

Other: weight bearing exercises

non weight bearing exercises

EXPERIMENTAL

non weight bearing exercises

Other: non weight bearing exercises

Interventions

weight bearing exercises OTHER

* Standing knee raise 10 rep x 2sets * Standing knee bend 10 rep x 2sets * Standing hip extension 10 rep x 2sets * Shallow squats 5 rep x 2 sets After 4 week gradually restricting the use of assistive device when patient become able to walk and stand for 10 mins then add stair climbing and descending with a step height not higher than 7 inch. The session will be around 45 to 60 minutes on each patient with 2 sessions per week on alternate days to observe the long term effects.

weight bearing exercises

non weight bearing exercises OTHER

* Seated knee flexion 10 rep x 2sets * Seated knee extension 10 rep x2sets * Use of stationary bicycle 10 mins * Side lying leg lift 10 rep x2sets * Straight leg raise 10 rep x 2sets The session will be around 45 to 60 minutes on each patient with 2 sessions per week on alternate days to observe the long term effects.

non weight bearing exercises

Eligibility Criteria

• Age: 35 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• unilateral total hip arthroplasty
• posterolateral approach of hip replacement
• patients that were willing to participate
• patients with 2 weeks post-operative history of total hip replacement

You may not qualify if:

• History of any systemic pathology
• Individual suffering from congenital hip disease.
• Bilateral total hip arthroplasty
• Evidence of CNS involvement and any other neurological involvement
• Any red flag (malignancies or any kind of tumor
• History of lower extremity fracture.
• Patient having any local or systemic infection of hip joint

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Lahore General hospital

Lahore, Punjab Province, 64000, Pakistan

Location

Related Publications (9)

• Wijnen A, Bouma SE, Seeber GH, van der Woude LHV, Bulstra SK, Lazovic D, Stevens M, van den Akker-Scheek I. The therapeutic validity and effectiveness of physiotherapeutic exercise following total hip arthroplasty for osteoarthritis: A systematic review. PLoS One. 2018 Mar 16;13(3):e0194517. doi: 10.1371/journal.pone.0194517. eCollection 2018.

  PMID: 29547670 BACKGROUND

• Pozzi F, Madara K, Zeni JA Jr. A SIX-WEEK SUPERVISED EXERCISE AND EDUCATIONAL INTERVENTION AFTER TOTAL HIP ARTHROPLASTY: A CASE SERIES. Int J Sports Phys Ther. 2017 Apr;12(2):259-272.

  PMID: 28515981 BACKGROUND

• Mikkelsen LR, Madsen MN, Rathleff MS, Thorborg K, Rossen CB, Kallemose T, Bandholm T. Pragmatic Home-Based Exercise after Total Hip Arthroplasty - Silkeborg: Protocol for a prospective cohort study (PHETHAS-1). F1000Res. 2019 Jun 25;8:965. doi: 10.12688/f1000research.19570.2. eCollection 2019.

  PMID: 31448107 BACKGROUND

• Wu JQ, Mao LB, Wu J. Efficacy of exercise for improving functional outcomes for patients undergoing total hip arthroplasty: A meta-analysis. Medicine (Baltimore). 2019 Mar;98(10):e14591. doi: 10.1097/MD.0000000000014591.

  PMID: 30855443 BACKGROUND

• Monaghan B, Cunningham P, Harrington P, Hing W, Blake C, O' Dohertya D, Cusack T. Randomised controlled trial to evaluate a physiotherapy-led functional exercise programme after total hip replacement. Physiotherapy. 2017 Sep;103(3):283-288. doi: 10.1016/j.physio.2016.01.003. Epub 2016 Feb 15.

  PMID: 27126617 BACKGROUND

• Goh SL, Persson MSM, Stocks J, Hou Y, Welton NJ, Lin J, Hall MC, Doherty M, Zhang W. Relative Efficacy of Different Exercises for Pain, Function, Performance and Quality of Life in Knee and Hip Osteoarthritis: Systematic Review and Network Meta-Analysis. Sports Med. 2019 May;49(5):743-761. doi: 10.1007/s40279-019-01082-0.

  PMID: 30830561 BACKGROUND

• Bandholm T, Wainwright TW, Kehlet H. Rehabilitation strategies for optimisation of functional recovery after major joint replacement. J Exp Orthop. 2018 Oct 11;5(1):44. doi: 10.1186/s40634-018-0156-2.

  PMID: 30306337 BACKGROUND

• Ackerman IN, Bohensky MA, Zomer E, Tacey M, Gorelik A, Brand CA, de Steiger R. The projected burden of primary total knee and hip replacement for osteoarthritis in Australia to the year 2030. BMC Musculoskelet Disord. 2019 Feb 23;20(1):90. doi: 10.1186/s12891-019-2411-9.

  PMID: 30797228 BACKGROUND

• Patel S, Bhanushali Y, Gadhavi B. Effect of Following Physiotherapy on Strength and Range of Motion in Patients with Total Hip Arthroplasty: A Case Series. International Journal of Health Sciences and Research. 2021;11(4):122-32.

  BACKGROUND

MeSH Terms

Conditions

Motor Activity; Pain

Condition Hierarchy (Ancestors)

Behavior; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• hina gul, t-DPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 26, 2022
• First Posted: May 16, 2022
• Study Start: October 1, 2021
• Primary Completion: July 31, 2022
• Study Completion: July 31, 2022
• Last Updated: December 20, 2022

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)