Effectiveness of Exercise Programs Following Total Hip and Knee Joint Arthroplasty

Not Applicable

Completed

• Conditions: Hip and Knee Joint Osteoarthritis; Hip and Knee Joint Arthroplasty
• Interventions: Other: Typical range of motion and muscle strengthening exercises, and balance exercises; Other: Typical group

• Registration Number: NCT01555307
• Lead Sponsor: Lawson Health Research Institute

Brief Summary

The purpose of the study was to evaluate the effectiveness of balance exercises added to typical joint range of motion and muscle strengthening exercises on balance in patients following total hip or knee joint arthroplasty

Detailed Description

Rehabilitation program following total hip and knee joint arthroplasty typically focus on joint range of motion and muscle strengthening exercises. Although the balance ability of these patients tends to be reduced, leading to limitations in mobility and activities of daily living, clinicians often assume that strength and joint range of motion exercises will ultimately lead to improvement in balance, making the typical exercise programs appropriate. However, the feasibility and effectiveness of introducing balance specific exercises during the post-operative period is unclear.

Study Timeline

• Study Start: 2007-06
• Primary Completion: 2009-05
• Study Completion: 2010-04
• Status Verified: 2012-01
• Study First Submitted: 2012-01-16
• Study First Submitted QC: 2012-03-14
• Last Update Submitted: 2012-03-14
• Study First Posted: 2012-03-15
• Last Update Posted: 2012-03-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 82

Inclusion Criteria

• Patients with primary unilateral total hip or knee joint arthroplasty.
• Patients who had been advised to weight bear as tolerated following surgery.

Exclusion Criteria

• Patients who had been advised by their surgeon to remain non-weight bearing or partial weight bearing on the operated leg or unoperated leg.
• Patients with neurological conditions such as hemiplegia, peripheral neuropathy, Parkinsons disease, multiple sclerosis, or spinal cord compression that might affect balance.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Balance group	Typical range of motion and muscle strengthening exercises, and balance exercises	Typical plus balance exercises
Typical group	Typical group	Typical exercises

Primary Outcome Measures

Name	Time	Method
Berg balance scale	Day 0 and Week 5

Secondary Outcome Measures

Name	Time	Method
Timed Up and go test	Day 0 and Week 5
Western Ontario McMaster Universities Osteoarthritis Index	Day 0 and Week 5
Activity-specific Balance Confidence Scale	Day 0 and Week 5
Force platform	Week 5

Trial Locations

Locations (1)

School of Physical Therapy, University of Western Ontario; 🇨🇦 London, Ontario, Canada