Total Hip Replacement
Conditions
Keywords
total hip arthroplasty, static balance, postoperative rehabilitation
Brief summary
Objective: To assess the impact of total hip arthroplasty (THA) on functional outcomes and fall risk in patients with hip osteoarthritis. The objective was to investigate the effectiveness of physical therapy in postoperative rehabilitation and identify fall risk factors to guide fall prevention strategies after THA. Methods: A non-randomized, interventional clinical trial was conducted with 30 patients scheduled for THA. Functional outcomes were evaluated using the Harris Hip Score (HHS), 40-meter fast-paced walk test (40mFPWT), 30-Second Chair Test, and Western Ontario McMaster Universities Osteoarthritis Index (WOMAC). Balance and fall risk were assessed using the Single-Leg Standing Test and a posturography device (TETRAX). The Nottingham Health Profile (NHP) was used to measure subjective health status and quality of life. Assessments were performed preoperatively, at 6 weeks postoperatively, and at 3 months postoperatively.
Interventions
OTHERpostoperative rehabilitation
30 patients took postoperative rehabilitation after total hip arthroplasty surgery, 3 times a week, for 6 weeks. They took conventional rehabilitation (hip range of motion exercises, progressive strengthening exercises for hip and knee muscles, balance and proprioceptive exercises and gait training).
Sponsors
Bahçeşehir University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
55 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Clinical and radiographic evidence of unilateral hip osteoarthritis * Volunteering to participate in the study
Exclusion criteria
* History of neurologic disorders affecting postural control (e.g., Parkinson disease) * Have other problems that affect balance, such as vertigo * Undergoing revision hip surgery * Osteoarthritis in the other lower extremity joints
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 40-meter fast-paced walk test | preoperative, postoperative 6 weeks and 3 months | — |
| Single-Leg Standing Test | preoperative, postoperative 6 weeks and 3 months | — |
| Harris Hip Score (HHS) | preoperative, postoperative 6 weeks and 3 months | min-max (0-100) Results can be interpreted with the following: \<70 = poor result; 70-80 = fair, 80-90 = good, and 90-100 = excellent. |
| Static balance and fall risk | preoperative, postoperative 6 weeks and 3 months | It was assessed with Posturography device (TETRAX) |
| 30-Second Chair Test | preoperative, postoperative 6 weeks and 3 months | — |
| Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) | preoperative, postoperative 6 weeks and 3 months | It is a self-administered questionnaire consisting of 24 items divided into 3 subscales: Pain, Stiffness, Physical Function. Higher scores on the WOMAC indicate worse pain, stiffness, and functional limitations. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Nottingham Health Profile (NHP) | preoperative, postoperative 6 weeks and 3 months | The NHP is composed of 38 items divided into six domains: 1. Sleep 2. Mobility 3. Energy 4. Pain 5. Emotional reactions 6. Social isolation Items use a Yes/No answer format. Each item is weighted. NHP scores are calculated by averaging domain scores. Total scores range from 0 (no perceived distress) to 100 (maximum perceived distress). |
Outcome results
None listed