Osteoarthritis, Hip, Sports Physical Therapy, Total Hip Arthroplasty
Conditions
Brief summary
160 patients who received a total hip arthroplasty (THA) were included and randomized to receive specific rehabilitation sport (RS) or not (control) in addition to a conventional rehabilitation program. Upon completion of the rehabilitation phase 6 weeks, 6 months and 12 months after surgery sports medical measurements have been performed. Strength abilities of the hip muscles were tested with isokinetic dynamometry, postural control with a force measuring platform and endurance via lactate measurements.
Detailed description
In Germany, rehabilitation sport (RS) is a reimbursed postoperative measure in order to support socio-professional reintegration and self-help. 160 patients who received a primary total hip arthroplasty (THA) were included and randomized to receive specific RS or not (control) in addition to a conventional rehabilitation program. Upon completion of the rehabilitation phase 6 weeks, 6 months and 12 months after surgery sports medical measurements have been performed. Strength abilities of the hip muscles were tested with isokinetic dynamometry, postural control with a force measuring platform and endurance via lactate measurements. The goal of the study was to prospectively randomized evaluate the effect of RS on hip-related muscular strength, endurance and postural stability on patients who underwent THA.
Interventions
BEHAVIORALrehabilitation sport
rehabilitation Sport over 52 weeks after THA, start 6 weeks postoperatively
Sponsors
Technische Universität Dresden
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* non-complicated THA * written informed consent
Exclusion criteria
* complicated THA * partial weight-bearing after surgery * cardial comorbidities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| hip-related muscular strength | change from baseline (6 weeks) at 6 months after THA | hip-related muscular strength measured with isokinetic dynamometry |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical function hip - WOMAC | change from 6 months to 12 months after THA | WOMAC Total Score (worst=0, best=100) |
| Physical function hip - HHS | change from 6 months to 12 months after THA | Harris-Hip-Score (worst=0, best=100) |
| Physical Activity | change from 6 months to 12 months after THA | University of California, Los Angeles (UCLA) Activity Scale (worst=1, best=10) |
| health related Quality of life | change from 6 months to 12 months after THA | EuroQol in 5 dimensions (EQ-5D) Index (worst=0, best=1), EQ-VAS (worst=0, best=100) |
| Hip pain - WOMAC | change from 6 months to 12 months after THA | Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscore (worst=0, best=100) |
| cardiovascular endurance | change from baseline (6 weeks) at 6 months after THA | cardiovascular endurance via lactate measurements |
| postural control | change from baseline (6 weeks) at 6 months after THA | postural control with a force measuring platform |
| hip-related muscular strength | change from baseline (6 weeks) at 12 months after THA | hip-related muscular strength measured with isokinetic dynamometry |
| Hip pain | change from 6 months to 12 months after THA | Visual Analogue Scale (worst=0, best=10) |
Outcome results
None listed