Effects Of A Home Based Exercise Program Following Total Hip Arthroplasty

NCT06274866 | Completed

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

Brief Summary

The aim of this study is to examine the effects of home-based exercise on pain-related factors, postural control and early functional parameters in individuals undergoing total hip arthroplasty. Forty-four individuals with hip osteoarthritis were included in current study. Individuals were randomized as study group (n=23) and control group (n=21) by drawing lots. Individuals in the study group were followed up with a personalized home-based exercise program for 6 weeks. Individuals in the control group were followed up with an exercise training brochure. The exercise program of the individuals in the study group was checked at two-week intervals and adjustments were made in the exercise program. All individuals were evaluated before the operation, 2 weeks after the operation, and 12 weeks after the operation, and their data were recorded. Range of motion was measured with an inclinometer, muscle strength was measured with a hand dynamometer, joint position sense was measured with a target angle test, pain was measured with a visual pain scale, leg length was measured with a tape measure, and finally, the Q angle was measured with a goniometer. In addition to these,Tampa kinesiophobia scale, Oxford hip score and international physical activity scale were used. Timed up-and-go test was used to evaluate functional performance. Foursquare step test was used to evaluate balance, and finally, tetrax posturography device was used to evaluate postural control.

Conditions

PHYSİOTHERAPY

Keywords

Total Hip Arthroplasty; Home Based Exercise Program; Balance; Pain; Function

Outcome Measures

Primary Outcomes (9)

• OXFORD HİP SCORE

  The Oxford Hip Score consists of 12 questions asking patients to describe their hip pain and function during the past 4 weeks. Each item uses a 5-point response scale with values from 0 to 4. An overall score is created by summing the responses to each of the 12 questions. The total score can range from 0 to 48 (most recent scoring system), where 0 is the worst possible score, indicating severe hip problems, and 48 is the best score, suggesting excellent hip function

  Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.

• TAMPA SCALE FOR KINESİOPHOBİA

  It is a scale consisting of 17 questions created to measure fear of injury. The scale includes injury/re-injury and fear-avoidance parameters in work-related activities.A 4-point Likert scoring on the scale (I strongly disagree 1, I disagree 2, I agree 3, I completely agree 4) is used. Individuals receive a total score between 17-68. A high score on the scale indicates that the person has a high level of kinesiophobia. Scores over 37 points are interpreted as high kinesiophobia.

  Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.

• İNTERNATİONAL PHYSİCAL ACTİVİTY QUESTİONAİRE (SHORT FORM)

  The short form records the activity of four intensity levels: 1) vigorous-intensity activity such as aerobics, 2) moderate-intensity activity such as leisure cycling, 3) walking, and 4) sitting. The original authors recommended the "last 7 day recall" version of the questionaire for physical activity surveillance.

  Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.

• JOİNT POSİTİON SENSE ERROR TEST

  The range of motion in the hip flexion direction is determined to be tested as active movement and passive movement in the 30 ˚, 60 ˚ and 90 ˚ positions. Movement deviations from specified angles are recorded along with the degree of deviation. The joint position sense error increases with the amount of deviation from the anticipated angle.

  Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.

• FOUR SQUARE STEP TEST

  It is a measurement of dynamic standing balance.Performance time is calculated for each individual. Prolonged performances indicate an absence of equilibrium.

  Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.

• THE TİMED UP and GO TEST

  The timed up and go test measures in seconds the time it takes a subject to rise from a chair, walk a distance of 3 meters, turn, walk back to the chair and sit down. This test has been used to examine balance, gait speed, and functional ability that would be required for the performance of basic activities of daily living in older people.

  Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.

• Assessment of Hip Muscle Strength

  A microFET®2 (Digital Hand-held Dynamometer, Hoggan Scientific, LLC; Salt Lake City, Utah) Hand-Held Dynamometer is going to used to measure muscle strength. Using the break test method, which reveals isometric muscle contraction during the muscle test, force is applied in the opposite direction until a joint movement occurred exceeding the maximum power applied with the dynamometer. The strength of the healthy and osteoarthritic hip muscles are evaluated with the patient in supine position. The measurements are recorded as Newton (N) units.

  Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.

• Assessment of Hip Joint Range of Motion

  Individuals' hip joint range of motion will be evaluated using the Baseline Bubble® Inclinometer. Hip flexion and abduction active range of motion will be evaluated in the standing position, and hip rotations will be evaluated in the supine position. Decreased hip joint range of motion is a clinical precursor of hip osteoarthritis, characterized by pain and loss of function.

  Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.

• Assessment of Postural Control

  To evaluate postural control, measurements will be made with a software-based static posturography device (Tetrax®, Sunlight Medical Ltd). Tetrax® consists of four independent platforms that measure vertical pressure changes from both toes and both heels, and a computer software that combines the digital data from this platform. The system can digitally record data from four different measurement platforms in a certain period of time and document it as visual and numerical values. While measuring, individuals place their bare feet on the platforms and stand comfortably in a quiet environment. Individuals hold their head and eyes open and closed. It is evaluated in 8 different positions using neck rotations. The software evaluates postural control by generating a stability index with a numerical value from all measurements.

  Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.

Secondary Outcomes (2)

• MEASURİNG LEG LENGTH DİSCREPANCY

  Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.

• Q ANGLE

  Prior to surgery, two weeks following surgery, and twelve weeks following surgery, the same measurements will be taken.

Study Arms (2)

Study Group

EXPERIMENTAL

After total hip arthroplasty, participants who take supervised home based exercised program which consists especially early weight bearing hip specific mobilization and strengthening exercises.

Other: exercise program

Control group

OTHER

After total hip arthroplasty, participants who take an educational booklet (about exercise program) at hospital stay

Other: control group

Interventions

exercise program OTHER

Study group were followed up with a personalized home-based exercise program for 6 weeks. IThe exercise program of the individuals in the study group was checked at two-week intervals and adjustments were made in the exercise program

Also known as: educational supervised exercises

Study Group

control group OTHER

Individuals in the control group were followed up with an exercise training brochure.

Also known as: educational booklet

Control group

Eligibility Criteria

• Age: 40 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Having surgery with a diagnosis of osteoarthritis
• Cases have unilateral hip osteoarthritis
• Not having received physical therapy in the 6 months before the surgery
• Total hip arthroplasty surgery should only be performed on posterior or posterolateral done with initiative

You may not qualify if:

• Presence of Dementia, Neurological Deficit
• Having other diseases that may affect balance (vertigo, previous CVO, neuropathy, epilepsy)
• Being on medication that may affect balance (antidepressants, antiepileptics, antipsychotics)
• Individuals who use alcohol heavily
• End stage organ failure
• Cancer patients under active treatment (except those in remission

Sponsors & Collaborators

• Halic University: lead

Study Sites (1)

Yeditepe Hospital

Istanbul, Turkey (Türkiye)

Location

Related Publications (4)

• Davis AM, Perruccio AV, Ibrahim S, Hogg-Johnson S, Wong R, Streiner DL, Beaton DE, Cote P, Gignac MA, Flannery J, Schemitsch E, Mahomed NN, Badley EM. The trajectory of recovery and the inter-relationships of symptoms, activity and participation in the first year following total hip and knee replacement. Osteoarthritis Cartilage. 2011 Dec;19(12):1413-21. doi: 10.1016/j.joca.2011.08.007. Epub 2011 Aug 18.

  PMID: 21889596 BACKGROUND

• Pop T, Szymczyk D, Majewska J, Bejer A, Baran J, Bielecki A, Rusek W. The Assessment of Static Balance in Patients after Total Hip Replacement in the Period of 2-3 Years after Surgery. Biomed Res Int. 2018 Jan 4;2018:3707254. doi: 10.1155/2018/3707254. eCollection 2018.

  PMID: 29511678 BACKGROUND

• Ometti M, Brambilla L, Gatti R, Tettamanti A, La Cava T, Pironti P, Fraschini G, Salini V. Capsulectomy vs capsulotomy in total hip arthroplasty. Clinical outcomes and proprioception evaluation: Study protocol for a randomized, controlled, double blinded trial. J Orthop. 2019 Sep 12;16(6):526-533. doi: 10.1016/j.jor.2019.09.020. eCollection 2019 Nov-Dec.

  PMID: 31680746 BACKGROUND

• Trudelle-Jackson E, Emerson R, Smith S. Outcomes of total hip arthroplasty: a study of patients one year postsurgery. J Orthop Sports Phys Ther. 2002 Jun;32(6):260-7. doi: 10.2519/jospt.2002.32.6.260.

  PMID: 12061707 RESULT

MeSH Terms

Conditions

Pain

Interventions

Resistance Training; Control Groups

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Physical Conditioning, Human; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: no blinding
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomize controlled two groups

Study Record Dates

• First Submitted: February 2, 2024
• First Posted: February 23, 2024
• Study Start: January 10, 2023
• Primary Completion: April 30, 2023
• Study Completion: June 30, 2024
• Last Updated: July 31, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)