Kinematics and Muscle Strength in Two, Five or 10 Years Afther Total Hip Arthroplasty

Hip Osteoarthritis Clinical Trial

— Arthroplasty  

Official title:

Kinematics and Muscle Strength in Two, Five or 10 Years Afther Total Hip Arthroplasty: Comparison With Healthy Individuales Controlled Cross Sectional Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04214171
• Other study ID #: Joao B
• Status: Completed
• Start date: January 1, 2017
• Est. completion date: February 1, 2019

Study information

• Verified date: September 2020
• Source: Faculdade de Ciências Médicas da Santa Casa de São Paulo
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

Introduction: Femoral and acetabular replacement is characterized as total hip arthroplasty (THA). It has been used as treatment of various pathologies of this joint. In the postoperative period, some studies have shown that strength, function, range of motion and lower limb mechanics remains altered for more than One year after THA in relation to the non-operated side. However, studies that have correlated kinematics and hip muscle strength in individuals who underwent THA for long time, do not exist in literature. Objective: to evaluate lower limb muscle strength and 2D kinematics during stair ascending and descending in patients undergoing total hip arthroplasty. Methods: Third individuals who underwent total hip arthroplasty (THA) will be recruited at two, five and 10 year postoperative periods. They were allocated in three groups: Group 1 (10n), subjects submitted to THA for two years, Group 2 (10n) subjects submitted to THA for five years, Group 3 (10n) subjects submitted to THA for 10 years and Group 4 (10n) subjects without orthopaedic afections, all will be evaluated for dynamometric isometric muscle strength and kinematic analysis of stair ascending and descending by a "blinded" physical Therapist.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: February 1, 2019
• Est. primary completion date: September 1, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 60 Years to 80 Years

Eligibility

Inclusion Criteria:

• The investigators will recruit 40 individuals who underwent total hip arthroplasty (THA) by the hospital hip surgery group in the periods of two, five and 10 years postoperatively

• Control group without orthopaedic afections. Inclusion criteria: patients submitted to total hip arthroplasty between two years (24 months - 35 months), five years (60 months - 71 months) and 10 years (120 months - 131 months), aged between 50 and 80 years and sign the terms of free and informed consent

Exclusion Criteria:

• patients with a history of prosthesis dislocations or revision of arthroplasty

• hip or lower limb pain

• asymmetry of the lower limbs greater than two centimeters

• previous surgeries in the lower limbs

• limited range of motion in the hip joint

• use of antidepressive drugs or analgesics for continuous use

• Presence of neuromuscular pathologies and functional incapacity to perform the activities proposed in the Kinematics analysis.

Related Conditions & MeSH terms

• Hip Osteoarthritis
• Osteoarthritis, Hip

Intervention

Diagnostic Test:
• Gait and muscle strength will be assessed
The extensor moment of the hip during gait and evaluation of the muscular strength of the hip will be evaluated

Locations

Country	Name	City	State
Brazil	João Barboza	São Paulo

Sponsors (1)

Lead Sponsor	Collaborator
Faculdade de Ciências Médicas da Santa Casa de São Paulo

Country where clinical trial is conducted

Brazil, 

References & Publications (1)

Foucher KC, Cinnamon CC, Ryan CA, Chmell SJ, Dapiton K. Hip abductor strength and fatigue are associated with activity levels more than 1 year after total hip replacement. J Orthop Res. 2018 May;36(5):1519-1525. doi: 10.1002/jor.23783. Epub 2017 Nov 28. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	kinematic analysis of hip movements for flexion	Analysis of the movements of the hip - range of motion for flexion	evaluated at 10 years after hip arthroplasty
Primary	kinematic analysis of hip movements for extension	Analysis of the movements of the hip - range of motion for extension	evaluated at 10 years after hip arthroplasty
Primary	kinematic analysis of hip movements for internal rotation	Analysis of the movements of the hip - range of motion for internal rotation	evaluated at 10 years after hip arthroplasty
Primary	kinematic analysis of hip movements external rotation	Analysis of the movements of the hip - range of motion for external rotation	evaluated at 10 years after hip arthroplasty