Effectiveness of Exercise Programs Following Total Hip and Knee Joint Arthroplasty

Hip and Knee Joint Arthroplasty Clinical Trial

Official title:

Effectiveness of Exercise Programs Following Total Hip and Knee Joint Arthroplasty

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01555307
• Other study ID #: R-06-461
• Secondary ID: 12697E
• Status: Completed
• Phase: N/A
• First received: January 16, 2012
• Last updated: March 14, 2012
• Start date: June 2007
• Est. completion date: April 2010

Study information

• Verified date: January 2012
• Source: Lawson Health Research Institute
• Contact: n/a
• Is FDA regulated: No
• Health authority: Canada: Ethics Review Committee
• Study type: Interventional

Clinical Trial Summary

The purpose of the study was to evaluate the effectiveness of balance exercises added to typical joint range of motion and muscle strengthening exercises on balance in patients following total hip or knee joint arthroplasty

Description:

Rehabilitation program following total hip and knee joint arthroplasty typically focus on joint range of motion and muscle strengthening exercises. Although the balance ability of these patients tends to be reduced, leading to limitations in mobility and activities of daily living, clinicians often assume that strength and joint range of motion exercises will ultimately lead to improvement in balance, making the typical exercise programs appropriate. However, the feasibility and effectiveness of introducing balance specific exercises during the post-operative period is unclear.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 82
• Est. completion date: April 2010
• Est. primary completion date: May 2009
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 55 Years and older

Eligibility

Inclusion Criteria:

• Patients with primary unilateral total hip or knee joint arthroplasty.

• Patients who had been advised to weight bear as tolerated following surgery.

Exclusion Criteria:

• Patients who had been advised by their surgeon to remain non-weight bearing or partial weight bearing on the operated leg or unoperated leg.

• Patients with neurological conditions such as hemiplegia, peripheral neuropathy, Parkinsons disease, multiple sclerosis, or spinal cord compression that might affect balance.

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Hip and Knee Joint Arthroplasty
• Hip and Knee Joint Osteoarthritis

Intervention

Other:
• Typical range of motion and muscle strengthening exercises, and balance exercises
Seven typical exercises, and three balance exercises, 10 times each, 3 times a day.
• Typical group
Seven typical exercises, 10 times each, 3 times a day

Locations

Country	Name	City	State
Canada	School of Physical Therapy, University of Western Ontario	London	Ontario

Sponsors (1)

Lead Sponsor	Collaborator
Lawson Health Research Institute

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Berg balance scale		Day 0 and Week 5	No
Secondary	Timed Up and go test		Day 0 and Week 5	No
Secondary	Western Ontario McMaster Universities Osteoarthritis Index		Day 0 and Week 5	No
Secondary	Activity-specific Balance Confidence Scale		Day 0 and Week 5	No
Secondary	Force platform		Week 5	No