160 patients who received a total hip arthroplasty (THA) were included and randomized to receive specific rehabilitation sport (RS) or not (control) in addition to a conventional rehabilitation program. Upon completion of the rehabilitation phase 6 weeks, 6 months and 12 months after surgery sports medical measurements have been performed. Strength abilities of the hip muscles were tested with isokinetic dynamometry, postural control with a force measuring platform and endurance via lactate measurements.
In Germany, rehabilitation sport (RS) is a reimbursed postoperative measure in order to support socio-professional reintegration and self-help. 160 patients who received a primary total hip arthroplasty (THA) were included and randomized to receive specific RS or not (control) in addition to a conventional rehabilitation program. Upon completion of the rehabilitation phase 6 weeks, 6 months and 12 months after surgery sports medical measurements have been performed. Strength abilities of the hip muscles were tested with isokinetic dynamometry, postural control with a force measuring platform and endurance via lactate measurements. The goal of the study was to prospectively randomized evaluate the effect of RS on hip-related muscular strength, endurance and postural stability on patients who underwent THA.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
160
rehabilitation Sport over 52 weeks after THA, start 6 weeks postoperatively
hip-related muscular strength
hip-related muscular strength measured with isokinetic dynamometry
Time frame: change from baseline (6 weeks) at 6 months after THA
Hip pain - WOMAC
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscore (worst=0, best=100)
Time frame: change from 6 months to 12 months after THA
Physical function hip - WOMAC
WOMAC Total Score (worst=0, best=100)
Time frame: change from 6 months to 12 months after THA
Physical function hip - HHS
Harris-Hip-Score (worst=0, best=100)
Time frame: change from 6 months to 12 months after THA
Physical Activity
University of California, Los Angeles (UCLA) Activity Scale (worst=1, best=10)
Time frame: change from 6 months to 12 months after THA
health related Quality of life
EuroQol in 5 dimensions (EQ-5D) Index (worst=0, best=1), EQ-VAS (worst=0, best=100)
Time frame: change from 6 months to 12 months after THA
Hip pain
Visual Analogue Scale (worst=0, best=10)
Time frame: change from 6 months to 12 months after THA
cardiovascular endurance
cardiovascular endurance via lactate measurements
Time frame: change from baseline (6 weeks) at 6 months after THA
cardiovascular endurance
cardiovascular endurance via lactate measurements
Time frame: change from baseline (6 weeks) at 12 months after THA
postural control
postural control with a force measuring platform
Time frame: change from baseline (6 weeks) at 6 months after THA
postural control
postural control with a force measuring platform
Time frame: change from baseline (6 weeks) at 12 months after THA
hip-related muscular strength
hip-related muscular strength measured with isokinetic dynamometry
Time frame: change from baseline (6 weeks) at 12 months after THA
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