Early Rehabilitation After Toal Hip Replacement. -Effect of Supervised Progressive Resistance Training
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 73
- 试验地点
- 1
- 主要终点
- Leg extension power
研究概览
简要总结
The purpose of this study is to determine whether supervised progressive resistance training is effective in the early phase after Total Hip Replacement. The investigators hypothesise that 10 weeks of supervised, progressive resistance training immediately after discharge will lead to increased functional performance, muscle strength and muscle power compared to standard rehabilitation consisting of home-based exercise.
详细描述
After total hip replacement (THR) surgery there is a documented deficit in muscle strength and functional performance. There is a lack of evidence concerning the effectiveness of postoperative physiotherapy and training, however a few small studies have shown promising effect of resistance training.
The present study will provide new and important knowledge concerning the effect of different rehabilitation strategies after THR. This might lead to a change in the rehabilitation regimes and faster and better recovery after THR surgery.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Total hip replacement for osteoarthrosis
- •Living within 30 km from the hospital
- •Motivated to attend training 2 times/week in 10 weeks
- •Reduced functional ability measured as: HOOS score < 67
- •written informed consent
排除标准
- •Comorbidities such as cancer, neuromuscular diseases, heart diseases etc.
- •Cognitive impairment
- •Body mass index > 35
- •Resurfacing prosthesis
- •Scheduled additional prosthetic surgery in lower extremity within 6 months
研究组 & 干预措施
Control group
Standard rehabilitation
干预措施: Control group (Other)
Resistance training
10 weeks of supervised progressive resistance training initiated within the first week after total hip replacement.
干预措施: Supervised progressive resistance training (Other)
结局指标
主要结局
Leg extension power
时间窗: 10 weeks postoperative
The power in leg extension is measured using the Nottingham leg extension power rig. Data is provided in watt and adjusted for bodyweight (watt/kg)
次要结局
- Walking speed(6 months postoperative)
- Sit-to-stand(6 months postoperative)
- Stair test(6 months postoperative)
- Hip Osteoarthritis Outcome Score (HOOS)(1 year postoperative)
- Leg extension power(6 months postoperative)
- Isometric muscle strength(6 months postoperative)
- Gait quality(6 months postoperative)
- Walking speed(4 weeks postoperative)
- Sit-to-stand(10 weeks postoperative)
- Stair test(10 weeks postoperative)
- Hip Osteoarthritis Outcome Score (HOOS)(6 months postoperative)
- Walking speed(10 weeks)
- Hip Osteoarthritis Outcome Score (HOOS)(2 weeks postoperative)
- Hip Osteoarthritis Outcome Score (HOOS)(4 weeks postoperative)
- Hip Osteoarthritis Outcome Score (HOOS)(6 weeks postoperative)
- Isometric muscle strength(4 weeks postoperative)
- Isometric muscle strength(10 weeks postoperative)
- Gait quality(10 weeks postoperative)
- Hip Osteoarthritis Outcome Score (HOOS)(10 weeks postoperative)