Preoperative Exercise in Patients Undergoing Total Hip or Knee Replacement
NCT ID: NCT01003756
Last Updated: 2012-02-07
Study Results
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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COMPLETED
NA
165 participants
INTERVENTIONAL
2009-11-30
2011-08-31
Brief Summary
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The overall purpose of this study is to evaluate the effects of preoperatively delivered neuromuscular exercise on self perceived physical function, pain and Quality of Life in patients undergoing total hip or knee replacement. Secondary area of interest is physical performance, muscle function, and level of physical activity.
The project will be conducted in two phases:
* A pilot project focusing on the logistics of the upcoming randomized controlled trial (RCT) and determination of test-retest reliability of specific muscle strength variables for the patients of interest
* A randomized and controlled trial where the intervention is preoperative neuromuscular exercise and the controls receive standard instructions.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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Knee Intervention
Patients undergoing Total Knee Replacement. Exercise 8-10 weeks preoperatively
Preoperative neuromuscular exercise
A neuromuscular exercise programme delivered 8-10 weeks preoperatively. The programme is developed in Lund, Sweden. A journal of this study is under peer-review
Knee Control
Patients undergoing Total Knee Replacement. Receives standard instructions
No interventions assigned to this group
Hip Intervention
Patient undergoing Total Hip Replacement. Exercise 8-10 weeks preoperatively
Preoperative neuromuscular exercise
A neuromuscular exercise programme delivered 8-10 weeks preoperatively. The programme is developed in Lund, Sweden. A journal of this study is under peer-review
Hip Control
Patients undergoing Total Hip Replacement. Receives standard instructions
No interventions assigned to this group
Interventions
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Preoperative neuromuscular exercise
A neuromuscular exercise programme delivered 8-10 weeks preoperatively. The programme is developed in Lund, Sweden. A journal of this study is under peer-review
Eligibility Criteria
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Inclusion Criteria
* Patients with osteoarthritis
* Age over 18
Exclusion Criteria
* Patients with co-morbidity diseases where a moderate level of physical exercise is contraindicated, e.g. severe heart disease and neurological deficits.
* Patients unable to attend intervention.
* Rheumatoid arthritis (RA). A history of or ongoing use of medication for RA or other inflammatory arthritis such as gold, methotrexate, plaquenil etc.
* Lack of wish to participate or unwillingness to sign an informed consent.
* Specific for hip patients: a history of severe sequelae due to congenital hip-dysplasia requiring specialized postoperative training. A history of femoral neck and trochanteric fracture.
* Patients planned to have bilateral joint replacement within same procedure.
18 Years
ALL
No
Sponsors
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Odense University Hospital
OTHER
University of Southern Denmark
OTHER
Responsible Party
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Allan Villadsen
MD
Principal Investigators
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Ewa Roos, Professor, PT, PhD
Role: STUDY_CHAIR
University of Southern Denmark
Allan Villadsen, MD
Role: PRINCIPAL_INVESTIGATOR
University of Southern Denmark
Locations
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Dept. of Orthopedics Svendborg Community Hospital
Svendborg, , Denmark
Countries
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References
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Fernandes L, Roos EM, Overgaard S, Villadsen A, Sogaard R. Supervised neuromuscular exercise prior to hip and knee replacement: 12-month clinical effect and cost-utility analysis alongside a randomised controlled trial. BMC Musculoskelet Disord. 2017 Jan 6;18(1):5. doi: 10.1186/s12891-016-1369-0.
Villadsen A, Overgaard S, Holsgaard-Larsen A, Christensen R, Roos EM. Immediate efficacy of neuromuscular exercise in patients with severe osteoarthritis of the hip or knee: a secondary analysis from a randomized controlled trial. J Rheumatol. 2014 Jul;41(7):1385-94. doi: 10.3899/jrheum.130642. Epub 2014 Jun 15.
Villadsen A, Overgaard S, Holsgaard-Larsen A, Christensen R, Roos EM. Postoperative effects of neuromuscular exercise prior to hip or knee arthroplasty: a randomised controlled trial. Ann Rheum Dis. 2014 Jun;73(6):1130-7. doi: 10.1136/annrheumdis-2012-203135. Epub 2013 May 9.
Other Identifiers
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s-20090099
Identifier Type: -
Identifier Source: org_study_id
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