Reliability and Validity of the Six-Spot Step Test After Total Hip Arthroplasty

NCT06704217 | Completed

• 2 other identifiers: ODU-SBFTR-AYGUNPOLAT-0032024/20
• Study Type: interventional
• Target: 61
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to assess the SSST's validity, reliability, and ability to differentiate between high and low fall risk individuals in THA patients. Establishing the SSST as a valid and reliable tool will help manage rehabilitation and apply timely interventions for THA patients.

Conditions

Total Hip Replacement; Reproducibility of Results; Rehabilitation

Outcome Measures

Primary Outcomes (6)

• Six Spot Step Test-1

  The SSST wil be measured by the first investigator

  Day 1

• Six Spot Step Test-2

  The SSST wil be measured by the second investigator

  Day 1

• Six Spot Step Test-3

  The SSST wil be measured by the first investigator

  7-10 days after

• Six Spot Step Test-4

  The SSST wil be measured by the second investigator

  7-10 days after

• Timed Up and Go test

  A timed up and go test test will be measured for validity analysis.

  Day 1

• Four Square Step Test

  A four square step test will be measured for validity analysis.

  Day 1

Study Arms (1)

Other

EXPERIMENTAL

Patients with total hip arthroplasty (THA)

Diagnostic Test: Six Spot Step Test; Diagnostic Test: Oxford Hip Score; Diagnostic Test: Berg Balance Scale

Interventions

Six Spot Step Test DIAGNOSTIC_TEST

The Six-Spot Step Test (SSST), which evaluates balance and functional ambulation, will be performed in an area 5 meters long and 1 meter wide. Five wooden cylinders will be arranged in a zig-zag pattern within this space, with the last cylinder positioned at the centerline. The participant will be asked to strike the wooden cylinders with the medial or lateral side of the same foot and push them outward. The test will be repeated twice with the dominant foot and twice with the non-dominant foot. A trial will be conducted before the test to familiarize participants with the procedure. A two-minute rest period between the test and trials will be provided to minimize fatigue effects. The test's inter-rater reliability will be assessed by two physiotherapists with more than 5 years of clinical experience, who will administer the test twice at 5-minute intervals.

Other

Oxford Hip Score DIAGNOSTIC_TEST

The Oxford Hip Score will be used for functional level assessment.

Other

Berg Balance Scale DIAGNOSTIC_TEST

The Berg Balance Scale (BBS) will be used to assess dynamic balance, which is reliable and commonly used within the orthopedic setting.

Other

Eligibility Criteria

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

You may qualify if:

• Underwent primary unilateral Total Hip Arthroplasty (THA)
• Surgery performed using the posterolateral approach
• At least six months of postoperative follow-up

You may not qualify if:

• Patients who underwent bilateral or revision THA
• History of additional lower limb surgery
• Body mass index (BMI) greater than 40 kg/m²
• Neurological, orthopedic, or systemic disorders that could impair gait or balance

Sponsors & Collaborators

• Ordu University: lead

Study Sites (1)

Ordu University

Ordu, Turkey (Türkiye)

Location

Related Publications (1)

• Aygun-Polat E, Polat Y, Ozbilen YE, Altun A, Acaroz S, Cirakli A. Reliability and validity of the Six-Spot Step Test in patients with total hip arthroplasty. Physiotherapy. 2026 Mar;130:101848. doi: 10.1016/j.physio.2025.101848. Epub 2025 Sep 15.

  PMID: 41289866 DERIVED

Study Officials

• Elif AYGUN POLAT, PhD

  Ordu University

  STUDY DIRECTOR

• Yusuf POLAT, Assoc. Prof.

  Ordu University

  PRINCIPAL INVESTIGATOR

• Sevim ACAROZ, Assoc. Prof.

  Ordu University

  PRINCIPAL INVESTIGATOR

• Yunus Emre OZBILEN, MD

  Ordu University

  PRINCIPAL INVESTIGATOR

• Alper ÇIRAKLI, Prof.

  Ordu University

  STUDY CHAIR

Study Design

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

Study Record Dates

• First Submitted: November 21, 2024
• First Posted: November 26, 2024
• Study Start: November 30, 2024
• Primary Completion: December 30, 2024
• Study Completion: January 12, 2025
• Last Updated: January 14, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)