Fascial Manipulation® Associated With Standard Care Versus Standard Post-surgical Care for Total Hip Arthroplasty

Azienda Ospedaliera Bolognini di Seriate Bergamo51 enrolled

Overview

Post-surgical physiotherapy programs following to total hip arthroplasty (THA) show important differences between types and numbers of treatment sessions. Objectives are to investigate effectiveness of Fascial Manipulation when associated to a standard protocol of care.

Background. Post-surgical physiotherapy programs following to total hip arthroplasty (THA) show important differences between types and numbers of treatment sessions. Objectives are to investigate effectiveness of Fascial Manipulation when associated to a standard protocol of care. Methods. Fifty-one subjects operated with THA were randomized into two groups, both followed a standard protocol of care where two sessions were replaced with Fascial Manipulation in the study group. Functional outcomes measures collected before and after treatment and at the end of the rehabilitation program included Harris Hip Score, Time Up and Go test, articular range of motion and verbal numerical scale.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Arthritis

Interventions

Fascial Manipulation® (FM)OTHER

Fascial Manipulation® (FM) is a manual therapy that focus on the deep muscular fascia. This technique considers the fascia as a three-dimensional continuum. The mainstay of this manual technique lies in the identification of specific localised areas of the fascia, defined Center of Coordination (CC), where the gliding of the subcutis should be preserved to avoid biomechanical in-coordination of the surrounding muscles. The method is performed by applying a deep friction over the CCs that result more altered at the clinical palpation

standard active exercisesOTHER

two sessions of 45 minutes of active exercises

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * first THA surgery, * posterior-lateral access, * onset of pain of maximum 2 years Exclusion Criteria: * patients with previous hip or knee prosthesis, * congenital hip dysplasia, * revision THA, * elective THA secondary to trauma, * real leg-length discrepancy (≥1.5cm), * cognitive impairment, * concomitant rheumatic pathology in acute phase, * serious comorbidities including cardiac, * respiratory and/or neuromuscular pathologies.

Outcomes

Primary Outcomes

change of pain during movement

value of pain during a specific movement , measured with Visual Numeric Scale (VNS) scale

Time frame: change from before and after the 2nd day treatment, change from before and after the 7nd day treatment, change from 2nd and 10th day (end of study)

Secondary Outcomes

Range of motion (ROM)

hip ROM amplitude, measured with bobble inclinometer

Time frame: before and after the 2nd day treatment, before and after the 7nd day treatment, 10th day (end of study)

Harris Hip Score

Functional outcome

Time frame: before and after the 2nd day treatment, before and after the 7nd day treatment, 10th day (end of study)

Timed up and Go test (TuG)

functional test for stand up and walk speed

Time frame: before and after the 2nd day treatment, before and after the 7nd day treatment, 10th day (end of study)

Data from ClinicalTrials.gov

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