Impact of Dislocation Precautions on Fear and Function in Patients Undergoing Hip Replacement
试验速览
- 阶段
- 不适用
- 入组人数
- 212
- 试验地点
- 1
- 主要终点
- Change in Oxford Hip Score
研究概览
简要总结
This study is looking at the impact of giving patients precautions, or restrictions for movement, when undergoing a total hip replacement. Have of the participants will receive precautions, while the other half will not receive any precautions.
详细描述
Patients undergoing hip replacements are often told by health care providers to avoid specific positions and activities to decrease the risk of their hip dislocating following their surgery. This, however, results in patients becoming more fearful of moving and leads to limitations in their function and decreased quality of life. Previous research has shown that hip dislocations following surgery are most commonly attributed to poor implant position rather than the actions of the patients. Teaching precautions takes up healthcare resources and may use finances that are not necessarily required. This study aims to compare groups with half receiving precautions and half not receiving precautions, to assess the impact of precautions on the patients' quality of life.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 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
- •Receiving a primary total hip arthroplasty (THA) due to osteoarthritis or osteonecrosis
- •Willing and able to sign consent
排除标准
- •Receiving a lateral approach hip arthroplasty
- •Cannot make follow up visits
研究组 & 干预措施
Anterior Approach Precautions
This group receives precautions and have a total hip arthroplasty with a posterior approach.
干预措施: Anterior Approach Precautions (Procedure)
Posterior Approach Precautions
This group receives precautions and have a total hip arthroplasty with a posterior approach.
干预措施: Posterior Approach Precautions (Procedure)
Anterior Approach No Precautions
This group receives does not precautions and have a total hip arthroplasty with an anterior approach.
干预措施: No Precautions (Procedure)
Posterior Approach No Precautions
This group receives does not receive precautions and have a total hip arthroplasty with a posterior approach.
干预措施: No Precautions (Procedure)
结局指标
主要结局
Change in Oxford Hip Score
时间窗: Week before surgery to 6 months after surgery
Assess function of the hip
次要结局
- Canadian Patient Experience Survey - Inpatient Care (CPES-IC)(At 2 weeks after surgery)
- Change in Tampa Scale for Kinesiophobia(Week before surgery to 6 months after surgery)
- Change in Forgotten Joint Score(6 weeks after surgery to 6 months after surgery)
- Change in EQ-5D-5L(Week before surgery to 6 months after surgery)