Reliability and Validity of the Six-Spot Step Test After Total Hip Arthroplasty

Not Applicable

Completed

• Conditions: Total Hip Replacement; Reproducibility of Results; Rehabilitation

• Registration Number: NCT06704217
• Lead Sponsor: T.C. ORDU ÜNİVERSİTESİ

Brief Summary

This study aims to assess the SSST's validity, reliability, and ability to differentiate between high and low fall risk individuals in THA patients. Establishing the SSST as a valid and reliable tool will help manage rehabilitation and apply timely interventions for THA patients.

Detailed Description

Total hip arthroplasty (THA) is a common surgery for patients with advanced hip osteoarthritis, aiming to reduce pain and improve function. However, THA patients often experience difficulties in mobility tasks, such as walking, stair climbing, and standing up, even years after surgery. These functional impairments increase the risk of falls, highlighting the need for effective clinical tests to assess balance and mobility. Identifying factors contributing to balance dysfunction and implementing appropriate rehabilitation are crucial for improving quality of life.

The Six-Spot Step Test (SSST), developed by Nieuwenhuis et al., is a quick and easy test that evaluates balance and mobility in daily life activities. However, its validity and reliability in THA patients have not been studied. This research aims to assess the SSST's validity, reliability, and ability to differentiate between high and low fall risk individuals in THA patients. Establishing the SSST as a valid and reliable tool will help manage rehabilitation and apply timely interventions for THA patients.

Study Timeline

• Study First Submitted: 2024-11-21
• Study First Submitted QC: 2024-11-22
• Study First Posted: 2024-11-26
• Study Start: 2024-11-30
• Primary Completion: 2024-12-30
• Status Verified: 2025-01
• Study Completion: 2025-01-12
• Last Update Submitted: 2025-01-12
• Last Update Posted: 2025-01-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 61

Inclusion Criteria

• Underwent primary unilateral Total Hip Arthroplasty (THA)
• Surgery performed using the posterolateral approach
• At least six months of postoperative follow-up

Exclusion Criteria

• Patients who underwent bilateral or revision THA
• History of additional lower limb surgery
• Body mass index (BMI) greater than 40 kg/m²
• Neurological, orthopedic, or systemic disorders that could impair gait or balance

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Primary Outcome Measures

Name	Time	Method
Six Spot Step Test-1	Day 1	The SSST wil be measured by the first investigator
Six Spot Step Test-2	Day 1	The SSST wil be measured by the second investigator
Six Spot Step Test-3	7-10 days after	The SSST wil be measured by the first investigator
Six Spot Step Test-4	7-10 days after	The SSST wil be measured by the second investigator
Timed Up and Go test	Day 1	A timed up and go test test will be measured for validity analysis.
Four Square Step Test	Day 1	A four square step test will be measured for validity analysis.

Trial Locations

Locations (1)

Ordu University; 🇹🇷 Ordu, Turkey