The purpose of this study is to determine whether the form of rehabilitation following primary total hip arthroplasty has an influence on patient satisfaction or functional performance in the eighteen weeks following surgery.
The current standard of care following total hip replacement is to restrict patient activity and range-of-motion with the goal of avoiding dislocation of the operative hip. These restrictions are commonly referred to as "hip precautions". Several recent studies have demonstrated these precautions may be safely abandoned with no increased risk of dislocation when the surgery is carried through an anterior/lateral approach. Previous work has failed to address the issue of patient satisfaction and functional performance when patients are managed with an unrestricted rehabilitation protocol post-operatively. We propose a prospective, randomized clinical trial to determine whether an unrestricted postoperative rehabilitation protocol has an impact on patient satisfaction and functional performance following primary total hip arthroplasty.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
10
Standard care range of motion restrictions will not be used
Standard care range of motion restrictions will remain in place
Holland Orthopaedic and Arthritic Centre
Toronto, Ontario, Canada
RECRUITINGTimed Up and Go (TUG)
The test involves measuring the duration of time required for a patient to rise from a standard arm chair, walk 3 metres, turn, walk back to the chair, and sit down.
Time frame: Six weeks post-operatively
4-Item Pain Intensity Measure (P4)
The measure involves patients recording the subjective experience of their pain on a scale from 0 - 10 at different times during the day (morning, afternoon, evening) as well as with activity.
Time frame: Baseline
Lower extremity functional scale (LEFS)
The Lower Extremity Functional Scale (LEFS) is a questionnaire containing 20 questions about a person's ability to perform everyday tasks. The LEFS can be used to evaluate the functional impairment of a patient with a disorder of one or both lower extremities. It can be used to monitor the patient over time and to evaluate the effectiveness of an intervention.
Time frame: Baseline
PROMIS Bank v2.0 - Satisfaction with Social Roles and Activities - Computerized Adaptive Testing
This is a tool developed by the National Institutes of Health (NIH) which uses item response theory to select questions from a validated item bank to get a precise measurement of patient status in a chosen domain.
Time frame: Baseline
Timed Up and Go (TUG)
The test involves measuring the duration of time required for a patient to rise from a standard arm chair, walk 3 metres, turn, walk back to the chair, and sit down.
Time frame: Baseline
Timed Up and Go (TUG)
The test involves measuring the duration of time required for a patient to rise from a standard arm chair, walk 3 metres, turn, walk back to the chair, and sit down.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: Date of discharge following surgery (2 to 6 days post-op, but could be up to 2 weeks)
Timed Up and Go (TUG)
The test involves measuring the duration of time required for a patient to rise from a standard arm chair, walk 3 metres, turn, walk back to the chair, and sit down.
Time frame: Eighteen weeks post-operatively
Six Minute Walk Test (6MWT)
This test involves the measurement of the total distance an individual is able to walk over a period of six minutes along a marked pathway with time allowed to rest as required.
Time frame: Baseline
Six Minute Walk Test (6MWT)
This test involves the measurement of the total distance an individual is able to walk over a period of six minutes along a marked pathway with time allowed to rest as required.
Time frame: Six weeks post-operatively
Six Minute Walk Test (6MWT)
This test involves the measurement of the total distance an individual is able to walk over a period of six minutes along a marked pathway with time allowed to rest as required.
Time frame: Eighteen weeks post-operatively
4-Item Pain Intensity Measure (P4)
The measure involves patients recording the subjective experience of their pain on a scale from 0 - 10 at different times during the day (morning, afternoon, evening) as well as with activity.
Time frame: Date of discharge following surgery (2 to 6 days post-op, but could be up to 2 weeks)
4-Item Pain Intensity Measure (P4)
The measure involves patients recording the subjective experience of their pain on a scale from 0 - 10 at different times during the day (morning, afternoon, evening) as well as with activity.
Time frame: Six weeks post-operatively
4-Item Pain Intensity Measure (P4)
The measure involves patients recording the subjective experience of their pain on a scale from 0 - 10 at different times during the day (morning, afternoon, evening) as well as with activity.
Time frame: Eighteen weeks post-operatively
Lower extremity functional scale (LEFS)
The Lower Extremity Functional Scale (LEFS) is a questionnaire containing 20 questions about a person's ability to perform everyday tasks. The LEFS can be used to evaluate the functional impairment of a patient with a disorder of one or both lower extremities. It can be used to monitor the patient over time and to evaluate the effectiveness of an intervention.
Time frame: Six weeks post-operatively
Lower extremity functional scale (LEFS)
The Lower Extremity Functional Scale (LEFS) is a questionnaire containing 20 questions about a person's ability to perform everyday tasks. The LEFS can be used to evaluate the functional impairment of a patient with a disorder of one or both lower extremities. It can be used to monitor the patient over time and to evaluate the effectiveness of an intervention.
Time frame: Eighteen weeks post-operatively
PROMIS Bank v2.0 - Satisfaction with Social Roles and Activities - Computerized Adaptive Testing
This is a tool developed by the National Institutes of Health (NIH) which uses item response theory to select questions from a validated item bank to get a precise measurement of patient status in a chosen domain.
Time frame: Six weeks post-operatively
PROMIS Bank v2.0 - Satisfaction with Social Roles and Activities - Computerized Adaptive Testing
This is a tool developed by the National Institutes of Health (NIH) which uses item response theory to select questions from a validated item bank to get a precise measurement of patient status in a chosen domain.
Time frame: Eighteen weeks post-operatively