Functional Exercise After Total Hip Replacement

Health Service Executive, Ireland72 enrolled

Overview

The aim of this research project is to evaluate the efficacy of a specific functional exercise programme to improve pain, stiffness and physical function in patients post total hip replacement from week 12 to week 18 post surgery.

This will be a single blind randomised controlled trial with two arms. 70 subjects post primary total hip replacement will be randomised either to a functional; exercise group (n=35) or to a control group following usual care (n=35). Blinded outcome assessments will be carried out on all subjects by the principal investigator using the Western Ontario and Mc Master arthritis index on day 5 , week 12 aand week 18. Secondary outcomes measurements will also be collated at week 12 and week 18 including SF 12, 6 min walk test, Dynamometry, and a blinded radiologist will also measure glut med cross sectional area using real time ultrasound at week 12 and week 18.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

Conditions

Hip Surgery Corrective

Interventions

Functional exercise classPROCEDURE

Functional exercise class running twice weekly for six weeks from week 12 to week 18

usual care groupPROCEDURE

Usual care group adhere to post operative instructions given on discharge from hospital

Eligibility

Sex: ALLMin age: 50 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * 12 weeks post primary THR for osteoarthritis * Age 50 years and above * Able to read and understand and instructions in English * Willing to attend classes twice weekly for 8 weeks * Able to participate in an exercise programme without physical assistance * Able to Mobilize independently 15m without crutches and /or stick -Passed by the referring Orthopaedic Consultant as suitable for inclusion at six week appointment - Exclusion Criteria: * Medically unstable * Any central or peripheral nervous system deficits * Any underlying terminal disease -Any suspicion of infection following joint replacement -

Outcomes

Primary Outcomes

WOMAC Western Ontario and Mc Master osteoarthritis index questionaire

Multi dimensional self administered health status instrument used to measure changes in the dimensions of pain stiffness and function.

Time frame: 3 YEARS

Secondary Outcomes

Six minute walk test,

Physical performance test used to measure the distance covered in a set timeframe.

Time frame: 3 years

Short form SF- 12

Self completed questionaire that measures health status and quality of life under eight multi item scales measuring physical function, bodily pain, role limitation due to physical health problems, general health, vitality, social function, role limitation due to emotional problems and mental health.

Time frame: 3 YEARS

HiP Abduction Strength Dynamometry

Assessment scale of ability to maintain balance both statically and whilst performing various functional tasks will be completed by the principal investigator at week 12 and repeated for all patients at week 18.

Time frame: 3 years

Real time ultrasound imaging of the gluteus medius muscles

Patients will be scanned by a blinded radiologist to measure cross sectional area of the gluteus medius muscle at 12 weeks and again at 18 weeks.

Time frame: 3 years

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.