Hip osteoarthritis Musculoskeletal Diseases Coxarthrosis [arthrosis of hip]
Conditions
Interventions
Experimental group: Short-term (3-6 weeks), intensive, tailor-made therapeutic exercise (twice a week).
Usual care group: One information meeting and practicing the use of crutches.
Sponsors
Hospital Gelderse Vallei (Netherlands)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Both males and females, age =70 years 2. Scheduled for elective total hip arthroplasty (THA) (minimum waiting period of 3 weeks) 3. Osteoarthritis is the motive for the THA 4. First surgical intervention of this pathology 5. Scores =2 on the Clinical Frailty Scale (CFS) 6. Able to permit time for the intervention between enrolment and surgery
Exclusion criteria
Exclusion criteria: 1. Unable to understand Dutch 2. Patients with severe heart disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility towards patients satisfactory is assessed by the following main outcomes: 1. The occurrence of adverse effects during testing or training. Participants will have to register any discomforted, stiffness or other adverse events in their diary. 2. Adherence to the treatment. Both groups are asked to register their adherence to the home based training programme (i.e. time exercised, days exercised and perceived exertion). Pedometer adherence is defined as the number of steps recorded on the daily pedometer log that met or surpassed the weekly goal. Also adequate use of the diary will be assessed as part of the adherence to the intervention. 3. The patients' appreciation and motivation towards the therapeutic intervention will be determined by a patient evaluation form (satisfaction questionnaire) that patients complete at the end of the preoperative training. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Preoperative effectiveness: 1.1. Aerobic capacity, assessed with the Physical Working Capacity 170 1.2. Strength and power of the lower limb muscles is assessed by the chair rise time 1.3. Functional mobility is assessed with the Timed Up and Go Test 1.4. Walking capacity is assessed with the six minutes walk test (6MWT) 1.5. Pain, functioning and quality of life is assessed with the Hip disability and Osteoarthritis Outcome Score (HOOS) 1.6. Patient specific complaint (Patient Specifieke Klacht [PSK]) questionnaire 1.7. Functional activities are assessed by the Longitudinal Aging Study Amsterdam (LASA) Physical Activity Questionnaire (LAPAQ) 2. Postoperative effectiveness: 2.1. Length of stay 2.2. Discharge destination (home, rehabilitation centre or nursing home) 2.3. The patient's functional mobility score using the Iowa Level of Assistance Scale | — |
Countries
Netherlands
Outcome results
None listed