The Effectiveness of Rehabilitation in Gait Recovery After Knee or Hip Arthroplasty

Fondazione Don Carlo Gnocchi Onlus90 enrolled

Overview

This study aims to evaluate the effectiveness of rehabilitation on gait recovery in subjects after knee or hip arthroplasty. Assessment is performed the day after admission (T0) and the day of discharge (T1), in a post-acute rehabilitation hospital, through an optoelectronic system (BTS DX-400). Other functional scales are administered to the subjects. during the rehabilitation period, subjects received conventional physiotherapy.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Arthroplasty, Replacement, Hip Arthroplasty, Replacement, Knee

Interventions

Conventional physiotherapyOTHER

The subjects will receive rehabilitation according to the guidelines on the management of subjects after knee or hip arthroplasty, recovery of joint Range of Motion, recovery of lower limb strength, education to the crutches management, and stairs climbing and descending

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Knee and Hip Arthroplasty subjects Inclusion Criteria: * Subjects \> 18 years; * Both Sexs; * Knee or Hip Arthroplasty in the previous 3-4 days before admission; * Subjects with clinical stability at admission (Hemoglobin \> 9 g/l). Exclusion Criteria: * Fever at admission; * Any rheumatic or systemic diseases; * Previous surgery at the lower limbs (6 months before admission) or other arthroplasties at the lower limbs; * MiniMental State Examination \< 24; * Other neurologic disorders. For the healthy volunteers Inclusion Criteria: * Subjects age-matched with the subjects in the hip and knee group. Exclusion Criteria: * Any disorder that could negatively affect gait perfomance.

Locations (1)

IRCCS Fondazione Don Carlo Gnocchi

Milan, Italy

Outcomes

Primary Outcomes

Change in Gait Profile Score

Change from Admission of Gait Profile Score untill 15/21 days (Discharge)

Time frame: From Admission (T0) up to 15/21 days (discharge) (T1)

Change in Gai Deviation Index

Change from Admission of Gait Deviation Index untill 15/21 days (Discharge)

Time frame: From Admission (T0) up to 15/21 days (discharge) (T1)

Change in Gait Variable Scores

Change from Admission of Gait Variable Score untill 15/21 days (Discharge)

Time frame: From Admission (T0) up to 15/21 days (discharge) (T1)

Change in gait speed

Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge)

Time frame: From Admission (T0) up to 15/21 days (discharge) (T1)

Change in gait cycle length

Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge)

Time frame: From Admission (T0) up to 15/21 days (discharge) (T1)

Change in step length

Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge)

Time frame: From Admission (T0) up to 15/21 days (discharge) (T1)

Change in gait cadence

Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge)

Time frame: From Admission (T0) up to 15/21 days (discharge) (T1)

Change in gait cycle duration

Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge)

Data from ClinicalTrials.gov

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Secondary Outcomes

Change in Modified Barthel Index

Change from Admission of Modified Bathel Index untill 15/21 days (Discharge)

Time frame: From Admission (T0) up to 15/21 days (discharge) (T1)

Change in International Knee Society score

Change from Admission of International Knee Society score untill 15/21 days (Discharge)

Time frame: From Admission (T0) up to 15/21 days (discharge) (T1)

Change in Merlè D'Aubigne score

Change from Admission of Merlè D'Aubigne score untill 15/21 days (Discharge)

Time frame: From Admission (T0) up to 15/21 days (discharge) (T1)

Change in Numerical Pain Rating Scale

Change from Admission of Numerical Pain Rating Scale untill 15/21 days (Discharge)

Time frame: From Admission (T0) up to 15/21 days (discharge) (T1)