Total Hip Replacement Clinical Trial
Official title:
Does the Total Hip Replacement Impact of Postural Stability?
Total hip replacement (THR) is the procedure which can improve the quality of life in patients with osteoarthritis. However, deficits in static stability and impairment of the lower limb efficiency can be observed even several months after procedure. The aim of this study was to investigate the static balance of the standing position in patients treated by THR.
The balance platform and one leg standing test (OLS) were used to assess the static balance.
The postural balance tests were performed on the Metitur Good Balance platform. Static
balance tests on balance platform were performed in several position with different foot
placement like: normal standing with eyes open (NS EO) and eyes closed (NS EC) position,
tandem position (TP), second form of tandem position (2TP) and one leg standing position
(1L). Participants were asked to maintain the motionless upright position with both arms at
their sides and eyes staring at a target in front of them.
During the normal standing (NS) position the patient stood on the platform barefoot with the
feet placed parallelly (symmetric position of feet) with a 20 cm distance between them. The
length of the trials with EO and EC was 30 seconds each.
In TP (tandem position) the width of base of support was narrowed down significantly,
therefore test lasted only 10 s. During the test in TP one foot was placed directly in the
front of the other (on the line) and the heel of the front foot was touched the toes of the
rear foot. Tests were performed tests in TP with the left foot in front (TLF) and with right
foot in front (TRF) separately. In THR group the placement of the operated limb in the front
stance was called the TOF test, while the placement of the non operated limb in the front
stance was called the TNF test. The results obtained in TOF position and TNF position were
compared with tandem control index (TC - mean of results obtained from control group in TLF
and TRF positions).
In 2TP alternately left or right foot was places in front of the other, but the feet were
placed on both sides of the line dividing platform to two parts (line was tangent to the
medial edge of feet). The length of exercise was 20 s. Analogically to the tandem test,
patients were examined with the operated (2TOF) and non operated limb (2 TNF) in the front.
Results were compared to the second tandem control index (2TC) representing the mean results
of the control group as was described above.
When testing one leg standing position on the balance platform, the patients were asked to
raise one foot half the level of the calf of the supporting leg but not touching the stance
limb. The trial lasted for 5 s. The test was stopped when the subject used his arms (touched
the handrail) or used the raised foot (touched the floor). Usually after 2 failed attempts or
fear of falling down procedure was stopped and results was not recording. The results of the
patients after THR when standing on the operated (1 O) and non operated (1 N) leg were
compared to the index denoting the mean results of the control group (1 C).
During the static tests we analyzed the mean velocity of sway of the center of feet pressure
(COP) in the frontal plane (X, mm/s) and in the sagittal plane (Y, mm/s) and the value of the
middle of spectrum in the same planes. The spectrum is characterised by two co-dependent
variables such as frequency (Hz) and the excursion (mm).
During the one-leg standing test (OLS) the time of maintain this position by the patients was
measured. The placement of the limbs was the same as in the case of the balance platform
test. Subjects performed 3 trials on each lower limb. Time ended when subject either: loosed
balance and touched raised foot the floor, moved supporting leg on the ground, a significant
loss of balance or a maximum of 60 s had elapsed. Results achieved by the subjects after THR
on both operated (OLS-O) and non operated limbs (OLS-N) were compared with the index of the
control group (OLS-C: mean result of the tests performed on the left and right legs).
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04774562 -
The Effect of Video-Assisted Discharge Education After Total Hip Replacement Surgery
|
N/A | |
Recruiting |
NCT02793934 -
The Pilot Project Development Of MEdical Rehabilitation System in Russian Federation
|
||
Completed |
NCT02554149 -
Radiological Measurement of Femoral Stem Version Using Lateral Decubitus Method: A Prospective Study
|
N/A | |
Completed |
NCT01228162 -
Influence of Muscle Relaxation With Rocuronium Bromide During General Anaesthesia on Muscle Trauma and Postoperative Analgetic Consumption in Patients With Total Hip Prosthesis Implantation
|
Phase 4 | |
Completed |
NCT00219921 -
Postoperative Analgesia After Total Hip Replacement
|
Phase 3 | |
Completed |
NCT02644096 -
Rehabilitation of Patients After THR - Based on Patients´Selfrated Health
|
Phase 1 | |
Completed |
NCT02720471 -
Local Analgesia Versus Local Peroperative Infiltration After Total Hip Replacement
|
Phase 3 | |
Recruiting |
NCT03120312 -
Short Term and Long Term Outcome for Elderly Patients Treated With Total Hip Replacement
|
||
Withdrawn |
NCT01523418 -
Study to Observe Safety of Xarelto in VTE Prophlylaxis After Elective TKR (Total Knee Replacement) or THR (Total Hip Replacement)
|
N/A | |
Recruiting |
NCT01782859 -
Effect of Steroids on Thrombosis (Blood Clot Formation) and Inflammation in Patients Undergoing Hip Surgery
|
N/A | |
Completed |
NCT00889148 -
Morphine COnsumption in Joint Replacement Patients, With and Without GaBapentin Treatment, a RandomIzed ControlLEd Study
|
N/A | |
Completed |
NCT05375565 -
Comparative Effects of Weight Bearing and Non-weight Bearing Exercises in Patients With Total Hip Replacement
|
N/A | |
Completed |
NCT04166539 -
Neurotoxicity and Cardiotoxicity in Total Joint Arthroplasty
|
||
Completed |
NCT03072706 -
Evaluation of X-ray, Acetabular Guides and CT in THR
|
N/A | |
Not yet recruiting |
NCT02272205 -
Evaluation of Conventional Antibiotic Prophylaxis During a Change of Hip or Knee Infected at a Time
|
N/A | |
Completed |
NCT01522014 -
Randomized Clinical Trial of Ceramic Bearing Primary Total Hip Arthroplasty
|
Phase 4 | |
Completed |
NCT06169878 -
Efficiency of the Adjustable Lower Extremity Abduction Apparatus After Total Hip Replacement Surgery
|
N/A | |
Not yet recruiting |
NCT06409312 -
Digital Healthcare App After Total Hip Arthroplasty
|
N/A | |
Recruiting |
NCT03240484 -
Examining Effects of Spinal Fusion on Outcomes Following Total Hip Replacement
|
||
Completed |
NCT03424382 -
CREATION Health Readmission Risk Assessment Tool
|