Strength and Function Following Total Hip Arthroplasty
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 68
- 试验地点
- 2
- 主要终点
- Stair Climbing Time
研究概览
简要总结
To determine if patients who receive an 8 week, comprehensive, multi-component rehabilitation program (CMC) have better strength and functional performance compared to a control group (CON).
The investigators hypothesize that functional performance and strength in the muscles surrounding the hip and the knee will be greater in the multi-component rehabilitation group compared to the control group.
详细描述
The participants will be enrolled and following surgery, randomized into one of two treatment groups (CMC or CON). Prior to randomization, both groups will participate in two weeks of home rehabilitation consisting mobility training and activities of daily living. After randomization, the CMC group will receive physical therapy 2x/ week for 8 weeks from a licensed physical therapist and member of the investigative team starting 2 weeks after Total Hip Arthroplasty (THA). The CON group will continue activities provided by their home rehabilitation therapist for 8 weeks. The CON group will then participate in the CMC intervention beginning 10 weeks after THA. These patients will complete pre-operative and post-operative testing as described above.
The CMC group will receive a multi-component program focused on rehabilitation of the abdominal and core musculature, neuromuscular re-education through therapeutic exercise as well as hip and knee muscle strengthening beginning 2 weeks after THA. The CON group will participate in physical therapist recommended activities based on their home rehabilitation and then will complete the same multi-component rehabilitation intervention beginning 10 weeks after THA.
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
- 50 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •receiving a total hip replacement secondary to MD diagnosed end-state osteoarthritis only
- •cognitive status that allows patients to consistently comprehend and repeat back directions regarding the details of the study.
排除标准
- •HbA1c levels greater than 7% based on medical records
- •neurological, vascular or cardiac problems that limit function
- •moderate or severe osteoarthritis or other orthopaedic conditions in the non-operated lower extremity
- •lower back pain which interferes with activities of daily living
- •diagnosed disease which affects muscle function (Parkinson's, Fibromyalgia, Multiple Sclerosis)
- •history of vestibular dysfunction
- •body mass index greater than 40
- •alcoholism or drug abuse
结局指标
主要结局
Stair Climbing Time
时间窗: preoperatively and post operatively at 6, 10, 18 and 28 weeks
Time to ascend and descend 12 stairs.
次要结局
- Functional Performance Tests(preoperatively and post operatively at 6, 10, 18 and 28 weeks)
- Isometric Muscle Strength(preoperatively and post operatively at 6, 10, 18 and 28 weeks)