Early Rehabilitation After Toal Hip Replacement. -Effect of Supervised Progressive Resistance Training
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Osteoarthritis, Hip
- Sponsor
- University of Aarhus
- Enrollment
- 73
- Locations
- 1
- Primary Endpoint
- Leg extension power
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Leg extension power
Time Frame: 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)
Secondary Outcomes
- 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)