Physical Therapy Following Total Hip Arthroplasty

Not Applicable

Completed

• Conditions: Surgery; Hip Osteoarthritis
• Interventions: Procedure: total hip arthroplasty

• Registration Number: NCT04199390
• Lead Sponsor: Orthopedic One

Brief Summary

130 patients undergoing primary unilateral total hip arthroplasty through anterior approach were enrolled and randomized into one of two groups. One group received standard of care clinic-based physical therapy postoperatively (clinic PT) while the other group underwent progressive home-based exercises to do after surgery (home PT). Patient surveys with Hip Osteoarthritis Outcome Scores (HOOS) and SF12v2 scores for both groups were obtained before surgery as well as 6, 14, and 24 weeks postop. Patients had the option to crossover into the other study group at their 6-week follow-up visit.

Detailed Description

Not available

Study Timeline

• Study Start: 2018-07-31
• Primary Completion: 2019-10-07
• Study Completion: 2019-10-07
• Status Verified: 2019-12
• Study First Submitted: 2019-12-10
• Study First Submitted QC: 2019-12-12
• Last Update Submitted: 2019-12-12
• Study First Posted: 2019-12-13
• Last Update Posted: 2019-12-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 130

Inclusion Criteria

• scheduled to undergo primary unilateral anterior total hip arthroplasty for the treatment of arthritis under the care of the Principal investigator
• available for follow ups postoperatively

Exclusion Criteria

• Age <18 or > 75
• Preoperative BMI ≥ 40
• Revision (i.e., non-primary) THA procedures
• Patients who have undergone THA in contralateral hip within the past 6 months
• Patient is scheduled for or anticipating THA on contralateral limb within 6 months
• Patients with an active infection (at the time of screening through surgery, as this is a surgical contraindication)
• Current co-morbidities such as alcohol or drug addiction, and/or mental disorders could potentially interfere with study participation
• Cognitive deficit or significant mental impairment that would, in the opinion of the investigator, impede patient self-reporting
• History of severe osteoporosis, metabolic bone disease, radioactive bone disease, or tumor in the bone surrounding the hip joint
• History of significant neurological and/or musculoskeletal disorders that may adversely affect gait after THA
• History of inflammatory hip arthritis
• History of septic hip arthritis in affected hip
• Patients requiring discharge to a rehabilitation center, skilled nursing facility, long-term care center, or convalescent home
• Non-English speaking
• Unable to give informed consent
• Currently enrolled in another therapeutic study for THA

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Clinic-based Physical Therapy	total hip arthroplasty	-
Home-based Physical Therapy	total hip arthroplasty	-

Primary Outcome Measures

Name	Time	Method
Change in SF-12v2 Scores	preoperative and postoperative 24 weeks
Change in Hip Disability and Osteoarthritis Outcome Scores	preoperative, postoperative 6 weeks, postoperative 12 weeks, and postoperative 24 weeks

Trial Locations

Locations (1)

Orthopedic One; 🇺🇸 Dublin, Ohio, United States