Total Hip Replacement, Reproducibility of Results, Rehabilitation
Conditions
Brief summary
This study aims to assess the SSST's validity, reliability, and ability to differentiate between high and low fall risk individuals in THA patients. Establishing the SSST as a valid and reliable tool will help manage rehabilitation and apply timely interventions for THA patients.
Detailed description
Total hip arthroplasty (THA) is a common surgery for patients with advanced hip osteoarthritis, aiming to reduce pain and improve function. However, THA patients often experience difficulties in mobility tasks, such as walking, stair climbing, and standing up, even years after surgery. These functional impairments increase the risk of falls, highlighting the need for effective clinical tests to assess balance and mobility. Identifying factors contributing to balance dysfunction and implementing appropriate rehabilitation are crucial for improving quality of life. The Six-Spot Step Test (SSST), developed by Nieuwenhuis et al., is a quick and easy test that evaluates balance and mobility in daily life activities. However, its validity and reliability in THA patients have not been studied. This research aims to assess the SSST's validity, reliability, and ability to differentiate between high and low fall risk individuals in THA patients. Establishing the SSST as a valid and reliable tool will help manage rehabilitation and apply timely interventions for THA patients.
Interventions
DIAGNOSTIC_TESTSix Spot Step Test
The Six-Spot Step Test (SSST), which evaluates balance and functional ambulation, will be performed in an area 5 meters long and 1 meter wide. Five wooden cylinders will be arranged in a zig-zag pattern within this space, with the last cylinder positioned at the centerline. The participant will be asked to strike the wooden cylinders with the medial or lateral side of the same foot and push them outward. The test will be repeated twice with the dominant foot and twice with the non-dominant foot. A trial will be conducted before the test to familiarize participants with the procedure. A two-minute rest period between the test and trials will be provided to minimize fatigue effects. The test's inter-rater reliability will be assessed by two physiotherapists with more than 5 years of clinical experience, who will administer the test twice at 5-minute intervals.
DIAGNOSTIC_TESTOxford Hip Score
The Oxford Hip Score will be used for functional level assessment.
DIAGNOSTIC_TESTBerg Balance Scale
The Berg Balance Scale (BBS) will be used to assess dynamic balance, which is reliable and commonly used within the orthopedic setting.
Sponsors
Ordu University
Study design
Allocation
NA
Intervention model
SEQUENTIAL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
55 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Underwent primary unilateral Total Hip Arthroplasty (THA) * Surgery performed using the posterolateral approach * At least six months of postoperative follow-up
Exclusion criteria
* Patients who underwent bilateral or revision THA * History of additional lower limb surgery * Body mass index (BMI) greater than 40 kg/m² * Neurological, orthopedic, or systemic disorders that could impair gait or balance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Six Spot Step Test-1 | Day 1 | The SSST wil be measured by the first investigator |
| Six Spot Step Test-2 | Day 1 | The SSST wil be measured by the second investigator |
| Six Spot Step Test-3 | 7-10 days after | The SSST wil be measured by the first investigator |
| Six Spot Step Test-4 | 7-10 days after | The SSST wil be measured by the second investigator |
| Timed Up and Go test | Day 1 | A timed up and go test test will be measured for validity analysis. |
| Four Square Step Test | Day 1 | A four square step test will be measured for validity analysis. |
Countries
Turkey (Türkiye)
Outcome results
None listed