Muscle Function in Elderly Postoperative Patients

NCT ID: NCT00559780

Last Updated: 2007-11-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-05-31

Study Completion Date

2003-12-31

Brief Summary

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During the last decades there has been an increase in the relative proportion and life expectancy of elderly people in the industrialised countries. Consequently the amount of elderly with diseases and disabilities related to aging has increased. It therefore appears paramount to gain a better understanding of how disuse and immobilisation affects neuromuscular properties in the elderly, as well as to identify training regimes that ensures an effective rehabilitation.The population of interest in the present study was elderly individuals with long term hip-osteoarthritis undergoing a hip-replacement operation. The study was divided in two parts, a cross-sectional study and an intervention study.

The cross-sectional study investigated muscle size, maximal muscle strength, specific force, neural drive and explosive muscle force characteristics in elderly individuals who were affected by unilateral prolonged disuse due to hip-osteoarthritis. The data clearly indicated that the side with hip-osteoarthritis was affected by a marked decrease in muscle mass, maximal muscle strength, neural drive and explosive muscle force characteristics compared to the unaffected side.

The intervention study investigated if elderly patients that undergo hip-replacement surgery could benefit from additional training in the early postoperative phase. The data clearly demonstrated that resistance training was an effective and safe way to increase muscle mass, maximal muscle strength, neuromuscular activity, functional performance and decrease the hospitalisation period compared to regimes of conventional rehabilitation regimen or electrical muscle stimulation. Additionally the intervention study demonstrated that resistance training effectively induced marked increases in explosive muscle force characteristics in elderly subjects compared to rehabilitation regimes using electrical muscle stimulation or conventional rehabilitation. Furthermore, the gains in maximal muscle strength and explosive muscle force characteristics were accompanied by significant increases in EMG amplitudes. Furthermore, the demonstration that explosive muscle force capacity of the neuromuscular system remains trainable in elderly recovering from prolonged limb disuse and major surgery may have important implications for future rehabilitation programs, especially when considering the importance of rapid muscle force capacity on postural balance, maximal walking speed and other tasks of daily life actions.

Detailed Description

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Conditions

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Rehabilitation Strategies for Elderly Post-Operative Patients

Keywords

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Resistance training Aging hip-surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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1

12 weeks of resistance training

Group Type EXPERIMENTAL

Resistance training

Intervention Type BEHAVIORAL

12 weeks of resistance training (3/week)

2

12 weeks of neuromuscular electrical stimulation

Group Type EXPERIMENTAL

Neuromuscular electrical stimulation of the quadriceps muscle

Intervention Type BEHAVIORAL

12 weeks of neuromuscular electrical stimulation of the quadriceps muscle (1h/day)

3

12 weeks of standard rehabilitation

Group Type OTHER

Standard rehabilitation

Intervention Type BEHAVIORAL

12 weeks of standard physiotherapy exercises (1h/day)

Interventions

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Resistance training

12 weeks of resistance training (3/week)

Intervention Type BEHAVIORAL

Neuromuscular electrical stimulation of the quadriceps muscle

12 weeks of neuromuscular electrical stimulation of the quadriceps muscle (1h/day)

Intervention Type BEHAVIORAL

Standard rehabilitation

12 weeks of standard physiotherapy exercises (1h/day)

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Age over 60 years
* Unilateral primary hip replacement due to hip osteoarthritis in patients

Exclusion Criteria

* Cardiopulmonary, neurological or cognitive problems
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bispebjerg Hospital

OTHER

Sponsor Role lead

Principal Investigators

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Charlotte Suetta, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Institute of Sports Medicine copenhagen, Bispebjerg Hospital

Locations

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Institute of Sports Medicine, Bispebjerg Hospital

Copenhagen, , Denmark

Site Status

Countries

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Denmark

Other Identifiers

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HKF:01058/00

Identifier Type: -

Identifier Source: secondary_id

HKF:01058/00

Identifier Type: -

Identifier Source: org_study_id