Kinematics and Muscle Strength in Two, Five or 10 Years Afther Total Hip Arthroplasty: Comparison With Healthy Individuales Controlled Cross Sectional Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- kinematic analysis of hip movements for extension
研究概览
简要总结
Introduction: Femoral and acetabular replacement is characterized as total hip arthroplasty (THA). It has been used as treatment of various pathologies of this joint. In the postoperative period, some studies have shown that strength, function, range of motion and lower limb mechanics remains altered for more than One year after THA in relation to the non-operated side. However, studies that have correlated kinematics and hip muscle strength in individuals who underwent THA for long time, do not exist in literature. Objective: to evaluate lower limb muscle strength and 2D kinematics during stair ascending and descending in patients undergoing total hip arthroplasty. Methods: Third individuals who underwent total hip arthroplasty (THA) will be recruited at two, five and 10 year postoperative periods. They were allocated in three groups: Group 1 (10n), subjects submitted to THA for two years, Group 2 (10n) subjects submitted to THA for five years, Group 3 (10n) subjects submitted to THA for 10 years and Group 4 (10n) subjects without orthopaedic afections, all will be evaluated for dynamometric isometric muscle strength and kinematic analysis of stair ascending and descending by a "blinded" physical Therapist.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 60 Years 至 80 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The investigators will recruit 40 individuals who underwent total hip arthroplasty (THA) by the hospital hip surgery group in the periods of two, five and 10 years postoperatively
- •Control group without orthopaedic afections. Inclusion criteria: patients submitted to total hip arthroplasty between two years (24 months - 35 months), five years (60 months - 71 months) and 10 years (120 months - 131 months), aged between 50 and 80 years and sign the terms of free and informed consent
排除标准
- •patients with a history of prosthesis dislocations or revision of arthroplasty
- •hip or lower limb pain
- •asymmetry of the lower limbs greater than two centimeters
- •previous surgeries in the lower limbs
- •limited range of motion in the hip joint
- •use of antidepressive drugs or analgesics for continuous use
- •Presence of neuromuscular pathologies and functional incapacity to perform the activities proposed in the Kinematics analysis.
结局指标
主要结局
kinematic analysis of hip movements for extension
时间窗: evaluated at 10 years after hip arthroplasty
Analysis of the movements of the hip - range of motion for extension
kinematic analysis of hip movements for flexion
时间窗: evaluated at 10 years after hip arthroplasty
Analysis of the movements of the hip - range of motion for flexion
kinematic analysis of hip movements external rotation
时间窗: evaluated at 10 years after hip arthroplasty
Analysis of the movements of the hip - range of motion for external rotation
kinematic analysis of hip movements for internal rotation
时间窗: evaluated at 10 years after hip arthroplasty
Analysis of the movements of the hip - range of motion for internal rotation
次要结局
未报告次要终点
研究者
Vera Lucia dos Santos Alves
Head of Physical Therapy and Professor
Faculdade de Ciências Médicas da Santa Casa de São Paulo
