Avascular necrosis of the femoral head. Osteonecrosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Diagnosis of osteonecrosis of the femoral head according to the diagnostic criteria of AVN from grade I to IV (based on ARCO classification criteria) Hip pain/ decreased mobility Ability to read and write and access to a smartphone or tablet Age over 18 years
Exclusion criteria
Exclusion criteria: Participation in a physical therapy program, and regular exercise therapy during the last 6 months Being on the waiting list for joint replacement surgery (in the next 3 months) Hip/ knee replacement surgery Patients who cannot complete therapeutic exercises for a period of three months Severe osteoporosis Severe medical, neurological, or psychiatric conditions Failure to fill out the consent form Severe osteonecrosis of the knee/ severe knee osteoarthritis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain and pain in functional activities. Timepoint: Will be measured at the baseline, after the end of 3 months intervention, and after the end of 4 months follow up. Method of measurement: Using a 10 cm numeric pain rating scale during walking and sitting to stand, also pain for the last two weeks. | — |
Secondary
| Measure | Time frame |
|---|---|
| Measure of dysfunction. Timepoint: Will be measured at the baseline, after the end of 3 months intervention, and after the end of 4 months follow up. Method of measurement: Harris Hip Score.;Pain, stiffness and physical function. Timepoint: Will be measured at the baseline, after the end of 3 months intervention, and after the end of 4 months follow up. Method of measurement: Western Ontario and McMaster Universities Osteoarthritis index in hip osteoarthritis.;Physical function. Timepoint: Will be measured at the baseline, after the end of 3 months intervention, and after the end of 4 months follow up. Method of measurement: Timed up and go (TUG); 30-s chair-stand test.;Joints range of motion. Timepoint: Will be measured at the baseline, after the end of 3 months intervention, and after the end of 4 months follow up. Method of measurement: Goniometer.;Muscles strength. Timepoint: Will be measured at the baseline, after the end of 3 months intervention, and after the end of 4 months follow up. Method of measurement: Hand-held dynamometer.;Walking speed. Timepoint: Will be measured at the baseline, after the end of 3 months intervention, and after the end of 4 months follow up. Method of measurement: 10-meter walk test. | — |
Countries
Iran (Islamic Republic of)
Contacts
Kharazmi University