Rehabilitation after total hip replacement Musculoskeletal Diseases Hip osteoarthritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients undergoing primary total hip arthroplasty via a posterior approach which can either be cemented or uncemented 2. The joint affected should be the only severely arthritic joint, with no evidence of inflammatory arthropathy 3. Patient agreement to inclusion is also necessary
Exclusion criteria
Exclusion criteria: 1. Dementia, or neurological impairment 2. Presence of cancer or muscle wasting illness, severe musculoskeletal impairment, unstable chronic or terminal illness, major depression, and co-morbid disease that contraindicates resistance training
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Objective measures of physical function (related to activities of daily living): 1.1. Timed up and go test 1.2. Six minute walk test 1.3. Gait speed, stair climbing performance, and sit to stand score 1.4. Maximal voluntary contraction of quadriceps muscle and hip abductors The outcomes will be measured pre-operatively and post-operatively at 6 weeks, 6 months and 1 year | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Subjective measures of physical function (Oxford Hip Score (OHS) and Western Ontario and McMasters University Osteoarthitis Personal Function (WOMAC PF) subscale 2. Short questionnaire to assess health enhancing physical activity (SQUASH) 3. EuroQoL Quality of life index 4. Objective assessment of physical activity (pedometers for 3 days to assess activity pre-operatively and during the intervention) as well as clinical assessment 5. Recovery locus of control questionnaire, theory of planned behaviour questionnaire, modified zung depression index and modified somatic perception questionnaire will be used to assess motivation to exercise, mood, and perceptions in the recruited population The outcomes will be measured pre-operatively and post-operatively at 6 weeks, 6 months and 1 year | — |
Countries
United Kingdom