Does Symmetrical Lower Limb Loads Distribution Effects Balance and Risk of Fall After Total Hip Arthroplasty?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 主要终点
- Single-Leg Standing Test
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 55 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Clinical and radiographic evidence of unilateral hip osteoarthritis
- •Volunteering to participate in the study
排除标准
- •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
研究组 & 干预措施
experimental group
30 patients who underwent total hip arthroplasty surgery took part in the experimental group.
干预措施: postoperative rehabilitation (Other)
结局指标
主要结局
Single-Leg Standing Test
时间窗: preoperative, postoperative 6 weeks and 3 months
40-meter fast-paced walk test
时间窗: preoperative, postoperative 6 weeks and 3 months
Static balance and fall risk
时间窗: preoperative, postoperative 6 weeks and 3 months
It was assessed with Posturography device (TETRAX)
Harris Hip Score (HHS)
时间窗: 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.
Western Ontario McMaster Universities Osteoarthritis Index (WOMAC)
时间窗: 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.
30-Second Chair Test
时间窗: preoperative, postoperative 6 weeks and 3 months
次要结局
- The Nottingham Health Profile (NHP)(preoperative, postoperative 6 weeks and 3 months)
研究者
Burcu Özdemir Kocabey
PhD
Bahçeşehir University