Maximal Strength Training in Patients Undergoing Total Hip Arthroplasty

Muscle Weakness Clinical Trial

Official title:

Maximal Strength Training in Patients Undergoing Total Hip Arthroplasty: Implementing Evidence Based Rehabilitation Into Clinical Practice, and the Influence of Supervised Training

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02498093
• Other study ID #: 2010/3373
• Status: Completed
• Phase: N/A
• Start date: August 2015
• Est. completion date: August 2017

Study information

• Verified date: April 2020
• Source: Norwegian University of Science and Technology
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Conventional rehabilitation after total hip arthroplasty (THA) does not seem to restore muscular strength or walking speed. Three-5 years after surgery patients are still not fully rehabilitated. This study evaluates the effects of maximal strength training on the muscular strength in leg press and abduction in patients undergoing THA. Aim of the study is to increase the patients physical function through evidence-based rehabilitation in clinical practice, with gradually less supervision.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: August 2017
• Est. primary completion date: August 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• scheduled for total hip arthroplasty (THA)

• living nearby Trondheim

• diagnosis of primary osteoarthritis as the main cause for elective THA

• ASA score of I-III (stable)

Exclusion Criteria:

• muscular or skeletal disease which might influence the training and/or physical testing performance

• communication difficulties

• postoperatively discharged to a rehabilitation institution

• THA in the bilateral hip that is not fully rehabilitated.

Related Conditions & MeSH terms

• Muscle Weakness

Intervention

Behavioral:
• Maximal strength training

• conventional rehabilitation

Locations

Country	Name	City	State
Norway	Department of Neuroscience, Faculty of Medicine	Trondheim

Sponsors (2)

Lead Sponsor	Collaborator
Norwegian University of Science and Technology	St. Olavs Hospital

Country where clinical trial is conducted

Norway, 

References & Publications (2)

Winther SB, Foss OA, Husby OS, Wik TS, Klaksvik J, Husby VS. A randomized controlled trial on maximal strength training in 60 patients undergoing total hip arthroplasty. Acta Orthop. 2018 Jun;89(3):295-301. doi: 10.1080/17453674.2018.1441362. Epub 2018 Ma — View Citation

Winther SB, Foss OA, Klaksvik J, Husby VS. Pain and load progression following an early maximal strength training program in total hip- and knee arthroplasty patients. J Orthop Surg (Hong Kong). 2020 Jan-Apr;28(2):2309499020916392. doi: 10.1177/2309499020 — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Muscular strength	leg press (kg), abduction (kg)	3 months
Primary	Muscular strength	leg press (kg), abduction (kg)	6 months
Primary	muscular strength	leg press (kg), abduction (kg)	1 year
Secondary	Physical function	Harris hip score, 6 min walking test	up to 1 year
Secondary	Bone mineral density	Dual X-ray absorptiometry (DXA)	up to 1 year