Accelerated Rehabilitation in Hip Arthroplasty

Osteoarthritis Clinical Trial

— ARTHA  

Official title:

Accelerated Rehabilitation Versus Conventional Rehabilitation in Total Hip Arthroplasty: A Randomized Double Blinded Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02933632
• Other study ID #: FederalURS
• Status: Completed
• Phase: N/A
• Start date: August 2013
• Est. completion date: November 2014

Study information

• Verified date: October 2020
• Source: Federal University of Rio Grande do Sul
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Accelerated rehabilitation protocol in Total Hip Arthroplasty (THA-AR).

Description:

The accelerated rehabilitation protocol in Total Hip Arthroplasty (THA-AR) was designed to improve the functionality and optimize early discharge of patients undergoing THA surgery. This study compared physical therapy protocol in Total Hip Arthroplasty (THA-PT) already deployed in Porto Alegre Clinical Hospital with THA-AR.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 48
• Est. completion date: November 2014
• Est. primary completion date: November 2014
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Patients of the Public Health System of our Country that were admitted with hip osteoarthritis diagnose and submitted to a total hip arthroplasty surgery in the Hospital de Clínicas de Porto Alegre (HCPA).

Exclusion Criteria:

• Patients who refused to participate in this study;

• Patients lived in another city;

• Patients undergoing surgery for total hip arthroplasty due to hip fracture;

• Patients with cognitive disorders or diseases that adversely affect its cognitive function (Alzheimer's disease, senile dementia).

Related Conditions & MeSH terms

• Osteoarthritis

Intervention

Other:
• Physical Therapy-SAP
Day 1) Patients started approach after discharged anesthesia. Patients received verbal orientation and demonstration of the physiotherapy exercises that would strengthen muscles (gluteal and thigh). They were oriented to the decubitus changes and how to leave bed. They practiced 3 repetitions of 12 complete movements for each exercise; Day 2) Patients repeated the exercises learned from day 1. Following the proposed activities patients received verbal instructions on gait training and then starting gait training. Patients started gait training on this second day only if they felt safe and claimed that their pain was controlled. Otherwise, training was postponed to the next day; Day 3) Patients repeated the day 2. And the patient who had not started gait training in the day 2, began it on the day 3; Day 4 and other days) Patients repeated the gait training until the discharge date.
• Physical Therapy-ARP
Day 1-1°approach) Patients started after discharged anesthesia. Received verbal orientation and demonstration of the physiotherapy exercises that would strengthen muscles (gluteal and thigh). They were oriented to the decubitus changes and how to leave bed. They practiced 3 repetitions of 12 complete movements for each exercise; Day 1-2°approach) Patients repeated the exercises learned from day 1-1°approach. Following patients received verbal instructions on gait training and then starting gait training. Patients started gait training on this Day 1-2°approach only if they felt safe and claimed that their pain was controlled. Otherwise, training was postponed to next approach; Day 1-3°approach) Patients repeat the day 1-2°approach. And the patient, who had not started gait training in the day 1 - second approach, began it in this third approach; Day 2) Patients repeated three times the day 1-3°approach; Day 3) Patients repeated three times the day 1-3°approach.

Locations

Country	Name	City	State
Brazil	Federal University Rio Grande do Sul	Porto Alegre	Rio Grande Do Sul
Brazil	Hospital de Clínicas de Porto Alegre	Porto Alegre	Rio Grande Do Sul

Sponsors (1)

Lead Sponsor	Collaborator
Federal University of Rio Grande do Sul

Country where clinical trial is conducted

Brazil, 

References & Publications (1)

Marchisio AE, Ribeiro TA, Umpierres CSA, GalvÃo L, Rosito R, Macedo CAS, Galia CR. Accelerated rehabilitation versus conventional rehabilitation in total hip arthroplasty (ARTHA): a randomized double blinded clinical trial. Rev Col Bras Cir. 2020;47:e2020 — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Merle D'Aubigné and Postel score		From the moment of hospitalization until the day of hospital discharge, assessed up to four days.
Secondary	Length of hospital stay		From the moment of hospitalization until the day of hospital discharge, assessed up to four days.
Secondary	Muscle strength force	Measured based on Kendall's criteria. Measured in the operated hip.	From the moment of hospitalization until the day of hospital discharge, assessed up to four days.
Secondary	Goniometry	Evaluate the range of motion in flexion, extension, adduction, abduction, and internal and external rotation in the operated hip.	From the moment of hospitalization until the day of hospital discharge, assessed up to four days.
Secondary	Time to beginning the gait.		From the date of hospitalization until the day that began gait, assessed up to four days.

External Links

•   Link to publication