The Impact of Two Different Physical Therapy Programs in the Rehabilitation of Patients Undergoing Anterior Approach Hip Replacement Surgery

Not Applicable

• Conditions: Total Hip Arthroplasty; Hip Arthritis
• Interventions: Other: Self-directed Physical Therapy; Other: Formal Physical Therapy

• Registration Number: NCT04492462
• Lead Sponsor: Rutgers, The State University of New Jersey

Brief Summary

This study will look to determine two different types of physical therapy regimens in patients who undergo anterior total hip replacement. We will compare the results of two groups. The first group, the "Formal Physical Therapy" group, will undergo standard physical therapy following their surgery. They will see a physical therapist in a physical therapy office after their surgery. Here, the therapist will work with the patient to strengthen muscles and improve their walking. The second group, the "Self-directed Physical Therapy" group, will undergo physical therapy in the comfort of their own home using common household items (chairs, steps, etc). These patients will be given a list of exercises and stretches to perform on their own. It is our goal to prove that formal physical therapy is not needed after anterior hip replacements.

Detailed Description

Not available

Study Timeline

• Study Start: 2019-10-22
• Study First Submitted: 2020-06-29
• Study First Submitted QC: 2020-07-27
• Study First Posted: 2020-07-30
• Status Verified: 2021-09
• Last Update Submitted: 2021-09-14
• Last Update Posted: 2021-09-16
• Primary Completion: 2023-12-31
• Study Completion: 2023-12-31

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

• Patients aged between 18 and 80 years of age
• Patients undergoing primary anterior total hip arthroplasty for the diagnosis of osteoarthritis
• Patients with no previous invasive hip surgery (such as a previous hip replacement)

Exclusion Criteria

• Non-English speaking persons will be excluded in our study.
• Patients with a recent history (<1 year) of heart attack, stroke, and lung clots.
• Previous invasive surgery on the hip undergoing replacement
• Patients with dementia, Parkinson's, or other neurological disorders
• Non-ambulatory patients
• Patients with impaired ability to consent, whether because of mental illness or otherwise
• Patients being discharged to a rehabilitation center
• Patients that experience intra-operative complications

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Self-directed Physical Therapy	Self-directed Physical Therapy	-
Formal Physical Therapy	Formal Physical Therapy	-

Primary Outcome Measures

Name	Time	Method
Change inHarris Hip Score (HHS)	assessed 1,3,6, and 12 months after total hip replacement to assess change at each time point following surgery	elf-administered health survey that assesses pain, function, absence of deformity, and range of motion of the hip through 10 questions. HHS measures dysfunction, so a higher score indicates a better, higher functional outcome. Less than 70 is poor result, 70-80 ia fair result, 80-90 is good result, 90-100 is excellent result

Secondary Outcome Measures

Name	Time	Method
Change in Western Ontario and McMaster University Osteoarthritis Index (WOMAC) form	assessed 1,3,6, and 12 months after total hip replacement to assess change at each time point following surgery	Self-administered health survey that assesses pain, stiffness, and function of arthritis of the hip or knee. WOMAC form assesses activities of daily living, functional mobility, gait, general health, pain, and quality of life. WOMAC questions are scored on a scale of 0-4, which correspond to: None (0), Mild (1), Moderate (2), Severe (3), and Extreme (4). A total score of 0 to 96 is possible, with a lower score indicating less pain or disability.
Change in Visual Analog Scale for Pain	assessed 1,3,6, and 12 months after total hip replacement to assess change at each time point following surgery	Patients will rate their pain on a scale form 0-10 at a given time point with 0 being no pain and 10 being unbearable pain. The higher the number, the more pain
Change in timed up and go test	assessed 1,3,6, and 12 months after total hip replacement to assess change at each time point following surgery	Patients will be assessed the amount of time it takes for them rise from a standard arm chair, walk 10 feet on the floor at normal pace, and then return and site down in same standard arm chair. Duration to complete task will be recorded in seconds

Trial Locations

Locations (2)

University Orthopaedic Associates; 🇺🇸 Somerset, New Jersey, United States

Robert Wood Johnson Somerset Hospital; 🇺🇸 Somerville, New Jersey, United States