Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee
Conditions
Keywords
gait analysis, gait training, biofeedback
Brief summary
The main objective of the present study is the evaluation of the kinematic parameters of gait and distribution of the load, recorded thruogh a sensorized treadmill, on lower limbs in patients at 1 year from Total Hip Replacement or Total Knee Replacement. The secondary objective is to evaluate the effects of gait training with biofeedback by means of a sensorized treadmill in patients with asymmetry of the kinematic parameters of the step and of distribution of the load on the lower limbs.
Interventions
Patients presenting asymmetry of the kinematic parameters of the step to the evaluation with sensorized treadmill, will undergo gait training program. The training program consists of 20 session (1 session/day) of gait training. Daily gait training will last 30 minutes as distributed: * 5 minutes of heating at a comfortable speed for the patient * Three 5-minute sessions of gait training with biofeedback interspersed with a break of 5 minutes each.
Sponsors
Study design
Eligibility
Inclusion criteria
* Mini Mental State Examination ≥ 24 * 12 months after total hip or total knee replacement
Exclusion criteria
* impossibility to perform a walking test * disabling cardiovascular and osteo-arthro-muscular problems that can impair walking tests * central or peripheral neurological disorders that compromise the sensory-motor skills of the patient under examination and / or the degree of collaboration * patients who have not signed informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gait Speed | immediately after treatment | meters/second |
| Step Length | immediately after treatment | length in meters |
| Ground Contact Time | immediately after treatment | Time in seconds |
| Hip Kinematics | immediately after treatment | angles (degrees) of hip ROM |
| Knee Kinematics | immediately after treatment | angles (degrees) of knee ROM |
| Ankle Kinematics | immediately after treatment | angles (degrees) of ankle ROM |
| Lower limb loading | immediately after treatment | load percentage distribution on lower limbs |
Countries
Italy