Effects of Lower Limbs Symmetrical Loading on Risk of Fall

NCT06077825 | Completed

• 1 other identifier: AcibademHospital
• Study Type: interventional
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

Objective: To assess the impact of total hip arthroplasty (THA) on functional outcomes and fall risk in patients with hip osteoarthritis. The objective was to investigate the effectiveness of physical therapy in postoperative rehabilitation and identify fall risk factors to guide fall prevention strategies after THA. Methods: A non-randomized, interventional clinical trial was conducted with 30 patients scheduled for THA. Functional outcomes were evaluated using the Harris Hip Score (HHS), 40-meter fast-paced walk test (40mFPWT), 30-Second Chair Test, and Western Ontario McMaster Universities Osteoarthritis Index (WOMAC). Balance and fall risk were assessed using the Single-Leg Standing Test and a posturography device (TETRAX). The Nottingham Health Profile (NHP) was used to measure subjective health status and quality of life. Assessments were performed preoperatively, at 6 weeks postoperatively, and at 3 months postoperatively.

Conditions

Total Hip Replacement

Keywords

total hip arthroplasty; static balance; postoperative rehabilitation

Outcome Measures

Primary Outcomes (6)

• Harris Hip Score (HHS)

  min-max (0-100) Results can be interpreted with the following: \<70 = poor result; 70-80 = fair, 80-90 = good, and 90-100 = excellent.

  preoperative, postoperative 6 weeks and 3 months

• 40-meter fast-paced walk test

  preoperative, postoperative 6 weeks and 3 months

• 30-Second Chair Test

  preoperative, postoperative 6 weeks and 3 months

• Western Ontario McMaster Universities Osteoarthritis Index (WOMAC)

  It is a self-administered questionnaire consisting of 24 items divided into 3 subscales: Pain, Stiffness, Physical Function. Higher scores on the WOMAC indicate worse pain, stiffness, and functional limitations.

  preoperative, postoperative 6 weeks and 3 months

• Static balance and fall risk

  It was assessed with Posturography device (TETRAX)

  preoperative, postoperative 6 weeks and 3 months

• Single-Leg Standing Test

  preoperative, postoperative 6 weeks and 3 months

Secondary Outcomes (1)

• The Nottingham Health Profile (NHP)

  preoperative, postoperative 6 weeks and 3 months

Study Arms (1)

experimental group

EXPERIMENTAL

30 patients who underwent total hip arthroplasty surgery took part in the experimental group.

Other: postoperative rehabilitation

Interventions

postoperative rehabilitation OTHER

30 patients took postoperative rehabilitation after total hip arthroplasty surgery, 3 times a week, for 6 weeks. They took conventional rehabilitation (hip range of motion exercises, progressive strengthening exercises for hip and knee muscles, balance and proprioceptive exercises and gait training).

experimental group

Eligibility Criteria

• Age: 55 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clinical and radiographic evidence of unilateral hip osteoarthritis
• Volunteering to participate in the study

You may not qualify if:

• History of neurologic disorders affecting postural control (e.g., Parkinson disease)
• Have other problems that affect balance, such as vertigo
• Undergoing revision hip surgery
• Osteoarthritis in the other lower extremity joints

Sponsors & Collaborators

• Bahçeşehir University: lead

Study Officials

• Selvi Yüce, PhD(c)

  Acibadem Maslak Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: September 25, 2023
• First Posted: October 11, 2023
• Study Start: July 15, 2015
• Primary Completion: June 5, 2016
• Study Completion: July 22, 2016
• Last Updated: October 11, 2023

Record last verified: 2023-10