Effects of Lower Limbs Symmetrical Loading on Risk of Fall

Total Hip Replacement Clinical Trial

Official title:

Does Symmetrical Lower Limb Loads Distribution Effects Balance and Risk of Fall After Total Hip Arthroplasty?

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06077825
• Other study ID #: AcibademHospital
• Status: Completed
• Phase: N/A
• Start date: July 15, 2015
• Est. completion date: July 22, 2016

Study information

• Verified date: October 2023
• Source: Bahçesehir University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Objective: To assess the impact of total hip arthroplasty (THA) on functional outcomes and fall risk in patients with hip osteoarthritis. The objective was to investigate the effectiveness of physical therapy in postoperative rehabilitation and identify fall risk factors to guide fall prevention strategies after THA.

Methods: A non-randomized, interventional clinical trial was conducted with 30 patients scheduled for THA. Functional outcomes were evaluated using the Harris Hip Score (HHS), 40-meter fast-paced walk test (40mFPWT), 30-Second Chair Test, and Western Ontario McMaster Universities Osteoarthritis Index (WOMAC). Balance and fall risk were assessed using the Single-Leg Standing Test and a posturography device (TETRAX). The Nottingham Health Profile (NHP) was used to measure subjective health status and quality of life. Assessments were performed preoperatively, at 6 weeks postoperatively, and at 3 months postoperatively.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: July 22, 2016
• Est. primary completion date: June 5, 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 55 Years to 65 Years

Eligibility

Inclusion Criteria:

• Clinical and radiographic evidence of unilateral hip osteoarthritis

• Volunteering to participate in the study

Exclusion Criteria:

• History of neurologic disorders affecting postural control (e.g., Parkinson disease)

• Have other problems that affect balance, such as vertigo

• Undergoing revision hip surgery

• Osteoarthritis in the other lower extremity joints

Related Conditions & MeSH terms

• Total Hip Replacement

Intervention

Other:
• postoperative rehabilitation
30 patients took postoperative rehabilitation after total hip arthroplasty surgery, 3 times a week, for 6 weeks. They took conventional rehabilitation (hip range of motion exercises, progressive strengthening exercises for hip and knee muscles, balance and proprioceptive exercises and gait training).

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Bahçesehir University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Harris Hip Score (HHS)	min-max (0-100) Results can be interpreted with the following: <70 = poor result; 70-80 = fair, 80-90 = good, and 90-100 = excellent.	preoperative, postoperative 6 weeks and 3 months
Primary	40-meter fast-paced walk test		preoperative, postoperative 6 weeks and 3 months
Primary	30-Second Chair Test		preoperative, postoperative 6 weeks and 3 months
Primary	Western Ontario McMaster Universities Osteoarthritis Index (WOMAC)	It is a self-administered questionnaire consisting of 24 items divided into 3 subscales: Pain, Stiffness, Physical Function. Higher scores on the WOMAC indicate worse pain, stiffness, and functional limitations.	preoperative, postoperative 6 weeks and 3 months
Primary	Static balance and fall risk	It was assessed with Posturography device (TETRAX)	preoperative, postoperative 6 weeks and 3 months
Primary	Single-Leg Standing Test		preoperative, postoperative 6 weeks and 3 months
Secondary	The Nottingham Health Profile (NHP)	The NHP is composed of 38 items divided into six domains: Sleep; Mobility; Energy; Pain; Emotional reactions; Social isolation Items use a Yes/No answer format. Each item is weighted. NHP scores are calculated by averaging domain scores. Total scores range from 0 (no perceived distress) to 100 (maximum perceived distress).	preoperative, postoperative 6 weeks and 3 months