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Evaluation of Functional Rehabilitation in Patients Undergoing Physiotherapy After Total Hip Arthroplasty

Not Applicable
Completed
Conditions
Osteoarthritis, Hip
Interventions
Procedure: No physiotherapy after THA
Procedure: THA Physiotherapy
Registration Number
NCT01491048
Lead Sponsor
Hospital de Clinicas de Porto Alegre
Brief Summary

This study aims to objectively evaluate the implications of physiotherapeutic rehabilitation in the Assistance Protocol of Total Hip Arthroplasty (THA), by assessing the motor performance and testing the quality of life of patients undergoing THA surgery, to improve rehabilitation strategies for this population.

Detailed Description

The Total Hip Arthroplasty (THA) is a surgical procedure which has been used for more than half a century in the treatment of hip joint diseases.

The Physiotherapy is an important component in the care of patients undergoing THA.

In order to reduce the length of hospitalization after THA, to promote functional independence and to monitor clinical events during hospitalization and up to the 30th postoperative day, the Hip Surgery Group (HSG) of the Department of Orthopedics and Traumatology Department of Orthopedics and Traumatology of Hospital de Clinicas de Porto Alegre (HCPA) has developed a global, multidisciplinary Assistance Protocol of the HSG with outpatient consultations and scheduled home visits for patients that have undergone THA at HCPA.

The team which developed the Assistance Protocol of the HSG consists of orthopedic doctors and anesthesiologists, nurses and social workers.

The insertion of the Physiotherapist in the THA Assistance Protocol is of great importance owing to the professional skills of that professional in the areas of prevention and rehabilitation, working with the multidisciplinary team in functional evaluation and in physical therapy of patients that underwent THA.

The monitoring of the physiotherapist is essential to establish a functional diagnosis, aiming pain relief, promoting the early functional rehabilitation, the reintegration of the patients in their daily activities and offering a better quality of life through reintegration into social life.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
104
Inclusion Criteria
  • Patients with indication for THA.
Exclusion Criteria
  • Patients who refuse to participate in this study.
  • Patients who live outside the city of Porto Alegre, due to difficulties for visits and the protocol monitoring.
  • Patients with femoral neck fracture, due to the impossibility of evaluation.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
No physiotherapy after THANo physiotherapy after THANo Physiotherapy care during the period of hospitalization after THA.
THA PhysiotherapyNo physiotherapy after THAPhysiotherapy care during the period of hospitalization after THA.
THA PhysiotherapyTHA PhysiotherapyPhysiotherapy care during the period of hospitalization after THA.
Primary Outcome Measures
NameTimeMethod
Physiotherapeutic Rehabilitation after THA.15 days after discharge

Patients hospitalized in the HCPA for THA surgery, are submitted to an assessment and are randomized. Soon after, the treatment group receives the physiotherapy protocol while the control group receives guidance together with the THA Assistance Protocol. Fifteen days later the patients return to hospital where they are reassessed.

Secondary Outcome Measures
NameTimeMethod
Physiotherapeutic Rehabilitation after THA.15 days after discharge.

Patients will be evaluated through tests of strength, range of motion, limb discrepancy, hip functionality and quality of life before and after discharge.

Trial Locations

Locations (1)

Hospital de Clinicas de Porto Alegre

🇧🇷

Porto Alegre, RS, Brazil

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