The Impact of Two Different Physical Therapy Programs in the Rehabilitation of Patients Undergoing Anterior Approach Hip Replacement Surgery
试验速览
- 阶段
- 不适用
- 入组人数
- 200
- 试验地点
- 2
- 主要终点
- Change inHarris Hip Score (HHS)
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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)
排除标准
- •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
研究组 & 干预措施
Formal Physical Therapy
干预措施: Formal Physical Therapy (Other)
Self-directed Physical Therapy
干预措施: Self-directed Physical Therapy (Other)
结局指标
主要结局
Change inHarris Hip Score (HHS)
时间窗: 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
次要结局
- 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)
- 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)
- 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)
研究者
Stephen Kayiaros MD
Principal Investigator, Clinical Assistant Professor
Rutgers, The State University of New Jersey