Effectiveness of Therapeutic Exercises on Spinopelvic Mobility
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 53
- 主要终点
- Spinopelvic radiographic measurements
研究概览
简要总结
The purpose of this study is to examine the extent to which spinopelvic exercises may affect either sagittal spinal deformity or spinopelvic mobility and identifying patients at risk for hip instability following a total hip replacement.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged 18-90 scheduled for total hip arthroplasty
- •Patients with primary hip osteoarthritis
- •Patients with or without history of prior spinal injections
排除标准
- •Patients undergoing revision total hip arthroplasty.
- •Patients with spinal fusion.
- •Patients who exercised prior to radiographic analysis.
- •Patients unable to complete imaging at the designated time of day.
- •Symptomatic contralateral hip osteoarthritis.
- •Patients unwilling or unable to perform therapeutic exercise program as instructed. This includes patients requiring use of assistive devices or who would be deemed unsafe to perform the exercises without a 1- or 2-person assist.
研究组 & 干预措施
Spinopelvic Exercise
Participants will complete a 15-20 min session of therapeutic exercises performed by patients with assistance of a pre-recorded video.
干预措施: Spinopelvic mobility exercise (Other)
结局指标
主要结局
Spinopelvic radiographic measurements
时间窗: Change from baseline to up to 1 hour after spinopelvic exercises same day.
Spinopelvic parameter measurements on pre- and post-exercise radiographs including pelvic incidence, pelvic tilt, sacral slope and lumbar lordosis. All measurements are angles calculated in degrees.
Lumbar mobility
时间窗: Change from baseline to up to 1 hour after spinopelvic exercises same day
Calculated as the change in angle of lumbar lordosis between neutral standing and flexed-forward seated radiographs.
Spinopelvic mobility
时间窗: Change from baseline to up to 1 hour after spinopelvic exercises same day
Calculated as the change in angle of pelvic tilt between neutral standing and flexed-forward seated radiographs.
Patient risk classification for THA instability
时间窗: Change from baseline to up to 1 hour after spinopelvic exercises same day
Risk classification based on previously published risk factors for THA instability (lumbar stiffness, abnormal pelvic mobility, standing pelvic tilt greater than 13, sagittal spinal deformity)
次要结局
- Oswestry Disability Index score(Baseline)
- Hip Society Score(Baseline)
- Hip disability and Osteoarthritis Outcome Score for Joint Replacement (HOOS, JR)(Baseline)
- The Veterans Rand 12-Item Health Survey scores (VR-12)(Baseline)
- Use of medication for hip/back pain(Baseline)
- Severity of hip arthritis(Baseline)
- Adverse events(Day 1)
研究者
Jason Jennings
Orthopedic Surgeon
Colorado Joint Replacement