Osteoarthritis
Conditions
Brief summary
Despite the widespread use of hip and knee replacement surgery, there is a considerable lack of consensus regarding postoperative treatment and rehabilitation, mostly because of the lack of well-designed studies testing the efficacy and effectiveness of such practices. In particular there are no recommendations regarding the use of ergometer cycling after hip or knee replacement surgery. Therefore the investigators initiated a multicenter controlled clinical trial evaluating the effect of ergometer cycling versus no ergometer cycling after hip or knee replacement surgery.
Interventions
BEHAVIORALErgometer Cycling
Ergometer Cycling under the guidance of a physical therapist after the second postoperative week. These training sessions were scheduled to be performed three times a week for a time period of at least three weeks. The resistance of the ergometer was set to a minimum (for example 30 Watts). Physical therapists were informed to pay special attention, that the height of the saddle is set so that the forefoot reaches the pedal with the knee in extension.
BEHAVIORALNo ergometer cycling
Patients of the no ergometer cycling group did not receive any ergometer cycling after surgery
Sponsors
Verein zur Förderung der Erforschung und Bekämpfung rheumatischer Erkrankungen Bad Bramstedt e.V
Landesversicherungsanstalt Schleswig-Holstein
Landesversicherungsanstalt Freie und Hansestadt Hamburg
Deutsche Arthrose-Hilfe
Verein zur Förderung der Rehabilitationsforschung in Schleswig-Holstein
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient who is about to receive unilateral hip or knee replacement surgery on an elective basis of diagnosis of osteoarthritis or femoral head necrosis
Exclusion criteria
* A history of septic arthritis * Hip fracture * Intraoperative complications * History of implant surgery on the joint to be operated on * Rheumatoid arthritis * Amputations * Inability of complete the questionnaires because of cognitive or language difficulties
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| WOMAC Physical Function | 3 months to 24 months |
Secondary
| Measure | Time frame |
|---|---|
| WOMAC Pain and Stiffness | 3 months to 24 months |
| SF-36 | 3 months to 24 months |
| Patient satisfaction | 3 months to 24 months |
| Lequesne Hip or Knee Score | 3 months to 24 months |
Countries
Germany
Outcome results
None listed