Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee
Conditions
Keywords
Physical Therapy Modalities, Gait Analysis
Brief summary
This study aims to evaluate the effectiveness of rehabilitation on gait recovery in subjects after knee or hip arthroplasty. Assessment is performed the day after admission (T0) and the day of discharge (T1), in a post-acute rehabilitation hospital, through an optoelectronic system (BTS DX-400). Other functional scales are administered to the subjects. during the rehabilitation period, subjects received conventional physiotherapy.
Interventions
OTHERConventional physiotherapy
The subjects will receive rehabilitation according to the guidelines on the management of subjects after knee or hip arthroplasty, recovery of joint Range of Motion, recovery of lower limb strength, education to the crutches management, and stairs climbing and descending
Sponsors
Fondazione Don Carlo Gnocchi Onlus
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Knee and Hip Arthroplasty subjects Inclusion Criteria: * Subjects \> 18 years; * Both Sexs; * Knee or Hip Arthroplasty in the previous 3-4 days before admission; * Subjects with clinical stability at admission (Hemoglobin \> 9 g/l).
Exclusion criteria
* Fever at admission; * Any rheumatic or systemic diseases; * Previous surgery at the lower limbs (6 months before admission) or other arthroplasties at the lower limbs; * MiniMental State Examination \< 24; * Other neurologic disorders. For the healthy volunteers Inclusion Criteria: * Subjects age-matched with the subjects in the hip and knee group.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in double support phase duration | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge) |
| Change in gait cycle duration | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge) |
| Change in stance phase duration | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge) |
| Change in swing phase duration | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge) |
| Change in single support phase duration | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge) |
| Change in Gait Profile Score | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of Gait Profile Score untill 15/21 days (Discharge) |
| Change in Gai Deviation Index | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of Gait Deviation Index untill 15/21 days (Discharge) |
| Change in Gait Variable Scores | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of Gait Variable Score untill 15/21 days (Discharge) |
| Change in gait speed | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge) |
| Change in gait cycle length | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge) |
| Change in step length | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge) |
| Change in gait cadence | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in International Knee Society score | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of International Knee Society score untill 15/21 days (Discharge) |
| Change in Merlè D'Aubigne score | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of Merlè D'Aubigne score untill 15/21 days (Discharge) |
| Change in Numerical Pain Rating Scale | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of Numerical Pain Rating Scale untill 15/21 days (Discharge) |
| Change in Modified Barthel Index | From Admission (T0) up to 15/21 days (discharge) (T1) | Change from Admission of Modified Bathel Index untill 15/21 days (Discharge) |
Countries
Italy
Outcome results
None listed