The Effectiveness of Rehabilitation in Gait Recovery After Knee or Hip Arthroplasty: a Pilot Observational Study Based on Kinematic and Kinetic Parameters
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Arthroplasty, Replacement, Hip
- Sponsor
- Fondazione Don Carlo Gnocchi Onlus
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- Change in Gait Variable Scores
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
This study aims to evaluate the effectiveness of rehabilitation on gait recovery in subjects after knee or hip arthroplasty. Assessment is performed the day after admission (T0) and the day of discharge (T1), in a post-acute rehabilitation hospital, through an optoelectronic system (BTS DX-400). Other functional scales are administered to the subjects. during the rehabilitation period, subjects received conventional physiotherapy.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subjects \> 18 years;
- •Both Sexs;
- •Knee or Hip Arthroplasty in the previous 3-4 days before admission;
- •Subjects with clinical stability at admission (Hemoglobin \> 9 g/l).
Exclusion Criteria
- •Fever at admission;
- •Any rheumatic or systemic diseases;
- •Previous surgery at the lower limbs (6 months before admission) or other arthroplasties at the lower limbs;
- •MiniMental State Examination \< 24;
- •Other neurologic disorders.
- •For the healthy volunteers
- •Inclusion Criteria:
- •Subjects age-matched with the subjects in the hip and knee group.
- •Exclusion Criteria:
- •Any disorder that could negatively affect gait perfomance.
Outcomes
Primary Outcomes
Change in Gait Variable Scores
Time Frame: From Admission (T0) up to 15/21 days (discharge) (T1)
Change from Admission of Gait Variable Score untill 15/21 days (Discharge)
Change in gait cycle length
Time Frame: From Admission (T0) up to 15/21 days (discharge) (T1)
Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge)
Change in gait cycle duration
Time Frame: From Admission (T0) up to 15/21 days (discharge) (T1)
Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge)
Change in Gait Profile Score
Time Frame: From Admission (T0) up to 15/21 days (discharge) (T1)
Change from Admission of Gait Profile Score untill 15/21 days (Discharge)
Change in gait speed
Time Frame: From Admission (T0) up to 15/21 days (discharge) (T1)
Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge)
Change in step length
Time Frame: From Admission (T0) up to 15/21 days (discharge) (T1)
Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge)
Change in stance phase duration
Time Frame: From Admission (T0) up to 15/21 days (discharge) (T1)
Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge)
Change in swing phase duration
Time Frame: From Admission (T0) up to 15/21 days (discharge) (T1)
Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge)
Change in single support phase duration
Time Frame: From Admission (T0) up to 15/21 days (discharge) (T1)
Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge)
Change in Gai Deviation Index
Time Frame: From Admission (T0) up to 15/21 days (discharge) (T1)
Change from Admission of Gait Deviation Index untill 15/21 days (Discharge)
Change in gait cadence
Time Frame: From Admission (T0) up to 15/21 days (discharge) (T1)
Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge)
Change in double support phase duration
Time Frame: From Admission (T0) up to 15/21 days (discharge) (T1)
Change from Admission of Spatio-Temporal parameters untill 15/21 days (Discharge)
Secondary Outcomes
- Change in Modified Barthel Index(From Admission (T0) up to 15/21 days (discharge) (T1))
- Change in Merlè D'Aubigne score(From Admission (T0) up to 15/21 days (discharge) (T1))
- Change in International Knee Society score(From Admission (T0) up to 15/21 days (discharge) (T1))
- Change in Numerical Pain Rating Scale(From Admission (T0) up to 15/21 days (discharge) (T1))