None listed
Conditions
Brief summary
Rehabilitation after total hip replacement is important for recovery; at the Canberra hospital physiotherapy provides this rehabilitation. As physiotherapists we don’t know yet how long, what kind or when rehabilitation is most effective. Our own survey showed that only 50% of Australian hospitals offer rehabilitation for hip replacements at all. The project aims to see how effective rehabilitation is by measuring patient outcomes after their total hip replacement surgery. This is a randomised controlled trial with division into two groups after total hip replacement. Group one will receive rehabilitation in the form of the current supervised exercise class and group two will receive a home exercise program to be performed independently. We hypothesise that rehabilitation provided via a home based exercise program without formal supervision after hospital discharge, relying on patient compliance, will produce similar outcomes to those produced by the current method of rehabilitation for total hip replacement patients after hospital discharge, which is that of a centre based program with formal supervision.
Interventions
2 groups:
Group 2: Independent home exercise program (reliant on pt compliance)
This group is designed to investigate whether physiotherapy led rehabiltation is required post THR.
Standard post THR ex program provided to all patients, instructed to continue these 3x daily independently as per in hospital ad to continue on discharge from hospital; exs focus on lower limb ROM & strengthing.
Patients choose to follow instructions on ex sheet which are as follows (time frame for completion of each
2 groups: Group 2: Independent home exercise program (reliant on pt compliance) This group is designed to investigate whether physiotherapy led rehabiltation is required post THR. Standard post THR ex program provided to all patients, instructed to continue these 3x daily independently as per in hospital ad to continue on discharge from hospital; exs focus on lower limb ROM & strengthing. Patients choose to follow instructions on ex sheet which are as follows (time frame for completion of each session is patient dependent; 6 exs min x10 reps till 3 months then 8 exs recommended): - You must exercise at least 3 times daily. Repeat each exercise slowly at least 5-10 times. -Exercises 3 to 8 should be continued following discharge from hospital. Exercise 9-10 can be commenced at 3 months. The exercises are indicated on the sheet to continue till 3months and then an additional two exercises are shown that are able to be commenced after 3 months but their is no emphasis for how long the program needs to continue post 3 months. The re assessment intervals do continue till 6 months ( 5, 12 & 26 wks as documented)
Sponsors
The Canberra Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Have had an elective total hip replacement. 2. Be able to full weight bear post operatively/ weight bear as tolerated. 3. Reside within the normal service provision area post operatively.
Exclusion criteria
1. Total hip replacement surgery for metastatic disease, pathological fractures, infection or acute trauma. 2. Revision total hip replacement surgery. 3. Inability to provide informed consent due to poor understanding of explanation and unable to follow independently a home exercise program. 4. University of California, Los Angeles (UCLA) activity level < 2 pre operatively. 5. Persons under the age of 18. 6. Inabliity to provide informed consent.
Outcome results
None listed