Effects of Lower Limbs Symmetrical Loading on Risk of Fall

Not Applicable

Completed

• Conditions: Total Hip Replacement
• Interventions: Other: postoperative rehabilitation

• Registration Number: NCT06077825
• Lead Sponsor: Bahçeşehir University

Brief Summary

Objective: To assess the impact of total hip arthroplasty (THA) on functional outcomes and fall risk in patients with hip osteoarthritis. The objective was to investigate the effectiveness of physical therapy in postoperative rehabilitation and identify fall risk factors to guide fall prevention strategies after THA.

Methods: A non-randomized, interventional clinical trial was conducted with 30 patients scheduled for THA. Functional outcomes were evaluated using the Harris Hip Score (HHS), 40-meter fast-paced walk test (40mFPWT), 30-Second Chair Test, and Western Ontario McMaster Universities Osteoarthritis Index (WOMAC). Balance and fall risk were assessed using the Single-Leg Standing Test and a posturography device (TETRAX). The Nottingham Health Profile (NHP) was used to measure subjective health status and quality of life. Assessments were performed preoperatively, at 6 weeks postoperatively, and at 3 months postoperatively.

Detailed Description

Not available

Study Timeline

• Study Start: 2015-07-15
• Primary Completion: 2016-06-05
• Study Completion: 2016-07-22
• Study First Submitted: 2023-09-25
• Status Verified: 2023-10
• Study First Submitted QC: 2023-10-04
• Last Update Submitted: 2023-10-04
• Study First Posted: 2023-10-11
• Last Update Posted: 2023-10-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Clinical and radiographic evidence of unilateral hip osteoarthritis
• Volunteering to participate in the study

Exclusion Criteria

• History of neurologic disorders affecting postural control (e.g., Parkinson disease)
• Have other problems that affect balance, such as vertigo
• Undergoing revision hip surgery
• Osteoarthritis in the other lower extremity joints

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
experimental group	postoperative rehabilitation	30 patients who underwent total hip arthroplasty surgery took part in the experimental group.

Primary Outcome Measures

Name	Time	Method
Harris Hip Score (HHS)	preoperative, postoperative 6 weeks and 3 months	min-max (0-100) Results can be interpreted with the following: \<70 = poor result; 70-80 = fair, 80-90 = good, and 90-100 = excellent.
40-meter fast-paced walk test	preoperative, postoperative 6 weeks and 3 months
Static balance and fall risk	preoperative, postoperative 6 weeks and 3 months	It was assessed with Posturography device (TETRAX)
Western Ontario McMaster Universities Osteoarthritis Index (WOMAC)	preoperative, postoperative 6 weeks and 3 months	It is a self-administered questionnaire consisting of 24 items divided into 3 subscales: Pain, Stiffness, Physical Function. Higher scores on the WOMAC indicate worse pain, stiffness, and functional limitations.
Single-Leg Standing Test	preoperative, postoperative 6 weeks and 3 months
30-Second Chair Test	preoperative, postoperative 6 weeks and 3 months

Secondary Outcome Measures

Name	Time	Method
The Nottingham Health Profile (NHP)	preoperative, postoperative 6 weeks and 3 months	The NHP is composed of 38 items divided into six domains: 1. Sleep; 2. Mobility; 3. Energy; 4. Pain; 5. Emotional reactions; 6. Social isolation Items use a Yes/No answer format. Each item is weighted. NHP scores are calculated by averaging domain scores. Total scores range from 0 (no perceived distress) to 100 (maximum perceived distress).