Despite the widespread use of hip and knee replacement surgery, there is a considerable lack of consensus regarding postoperative treatment and rehabilitation, mostly because of the lack of well-designed studies testing the efficacy and effectiveness of such practices. In particular there are no recommendations regarding the use of ergometer cycling after hip or knee replacement surgery. Therefore the investigators initiated a multicenter controlled clinical trial evaluating the effect of ergometer cycling versus no ergometer cycling after hip or knee replacement surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
457
Ergometer Cycling under the guidance of a physical therapist after the second postoperative week. These training sessions were scheduled to be performed three times a week for a time period of at least three weeks. The resistance of the ergometer was set to a minimum (for example 30 Watts). Physical therapists were informed to pay special attention, that the height of the saddle is set so that the forefoot reaches the pedal with the knee in extension.
Patients of the no ergometer cycling group did not receive any ergometer cycling after surgery
Rheumaklinik Bad Bramstedt, Department of Orthopedic Surgery
Bad Bramstedt, Germany
Ostseeklinik Damp, Department I of Orthopedic Surgery
Damp, Germany
University of Schleswig-Holstein Medical Center, Department of Orthopedic Surgery
Kiel, Germany
University of Schleswig-Holstein Medical Center, Lübeck Campus
Lübeck, Germany
Wedel Hospital, Department of Surgery
Wedel, Germany
WOMAC Physical Function
Time frame: 3 months to 24 months
WOMAC Pain and Stiffness
Time frame: 3 months to 24 months
SF-36
Time frame: 3 months to 24 months
Patient satisfaction
Time frame: 3 months to 24 months
Lequesne Hip or Knee Score
Time frame: 3 months to 24 months
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