Total Hip Replacement, Visual Biofeedback, Weight Bearing
Conditions
Brief summary
The study investigates the effects of visual biofeedback, based on a sensorized system for the dynamic evaluation of the plantar pressure versus rehabilitation with traditional verbal instructions of the physiotherapist, on weight bearing distribution in patients who underwent first total hip replacement. The study is a randomized controlled trial, with parallel groups, without blinding.
Detailed description
Forty patients, who underwent first total hip replacement surgery were enrolled and divided into two groups on second postoperative day. Experimental group followed the training wearing sensorized insoles that provided plantar pressures and shift of foot center of pressure images on three monitors. Control Group followed verbal instructions of physiotherapist during training. From 4th to 10th postoperative day both groups followed the same rehabilitation program including exercises to restore correct weight bearing.
Interventions
DEVICEVisual biofeedback with the use of sensorized insoles
Between the 4th and the 10th day post surgery, both groups performed the same rehabilitation protocol. The experimental group was re-educated to the correct gait dynamics by wearing the sensorized insoles and by using a specific software's graphical interface as a visual biofeedback.
OTHERStandard rehabilitation based on physiotherapist's verbal instructions
Between the 4th and the 10th day post surgery, both groups performed the same rehabilitation protocol.The Control group did not wear the insoles, but it carried out the rehabilitation programme under the physiotherapist supervision and with his verbal feedbacks.
Sponsors
University of Pavia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* 75 ≤ years of age, * absence of conditions that could alter the gait cycle, * absence of conditions that could reduce or alter visual ability, * etherometry ≤ 0.5 mm * Mini-Mental State Examination (MMSE) score ≥ 24.
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Weight Bearing Absolute difference between lower limbs (ΔWBA) | between the 4th and the 10th day post surgery | Weight Bearing Absolute difference between lower limbs in kg as reported by the stabilometric platform |
| Weight Bearing Percentage difference between lower limbs (ΔWBP) | between the 4th and the 10th day post surgery | Weight Bearing Percentage difference between lower limbs in % as reported by the stabilometric platform |
| Weight Bearing Percentage Healthy limb (WBPH) | between the 4th and the 10th day post surgery | Weight Bearing Percentage Healthy limb in % as reported by the stabilometric platform |
| Weight Bearing Percentage Surgical limb (WBPS) | between the 4th and the 10th day post surgery | Weight Bearing Percentage Surgical limb in % as reported by the stabilometric platform |
| Weight Bearing Absolute Healthy limb (WBAH) | between the 4th and the 10th day post surgery | Weight Bearing Absolute Healthy limb in kg as reported by the stabilometric platform |
| Weight Bearing Absolute Surgical limb (WBAS) | between the 4th and the 10th day post surgery | Weight Bearing Absolute Surgical limb in kg as reported by the stabilometric platform |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sway Surgical limb (SWS) | between the 4th and the 10th day post surgery | Sway Surgical limb in mm as reported by the stabilometric platform |
| Six Minutes Walking Test (6MWT) | between the 4th and the 10th day post surgery | Six Minutes Walking Test in m |
| Double Support Time (DST) | between the 4th and the 10th day post surgery | Double Support Time in ms as reported by the stabilometric platform |
| World Health Organization Quality of Life Questionnaire (WHOQOL) | between the 4th and the 10th day post surgery | World Health Organization Quality of Life Questionnaire |
| Numeric Rating Scale (NRS) | between the 4th and the 10th day post surgery | Numeric Rating Scale |
| Mid Step Length Healthy limb (MSLH) | between the 4th and the 10th day post surgery | Mid Step Length Healthy limb in mm as reported by the stabilometric platform |
| Mid Step Length Surgical limb (MSLS) | between the 4th and the 10th day post surgery | Mid Step Length Surgical limb in mm as reported by the stabilometric platform |
| Sway Healthy limb (SWH) | between the 4th and the 10th day post surgery | Sway Healthy limb in mm as reported by the stabilometric platform |
Countries
Italy
Outcome results
None listed