Early Rehabilitation After Total Hip Replacement

NCT ID: NCT01214954

Last Updated: 2013-11-25

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

73 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2013-11-30

Brief Summary

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The purpose of this study is to determine whether supervised progressive resistance training is effective in the early phase after Total Hip Replacement. The investigators hypothesise that 10 weeks of supervised, progressive resistance training immediately after discharge will lead to increased functional performance, muscle strength and muscle power compared to standard rehabilitation consisting of home-based exercise.

Detailed Description

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After total hip replacement (THR) surgery there is a documented deficit in muscle strength and functional performance. There is a lack of evidence concerning the effectiveness of postoperative physiotherapy and training, however a few small studies have shown promising effect of resistance training.

The present study will provide new and important knowledge concerning the effect of different rehabilitation strategies after THR. This might lead to a change in the rehabilitation regimes and faster and better recovery after THR surgery.

Conditions

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Osteoarthritis, Hip

Keywords

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Total Hip Replacement Rehabilitation Resistance training

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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Control group

Standard rehabilitation

Group Type ACTIVE_COMPARATOR

Control group

Intervention Type OTHER

Standard rehabilitation consisting of home-based exercises with 2 postoperative instructions by a physiotherapist.

Resistance training

10 weeks of supervised progressive resistance training initiated within the first week after total hip replacement.

Group Type EXPERIMENTAL

Supervised progressive resistance training

Intervention Type OTHER

Resistance training 2 times/week initiated within the first week after total hip replacement. The training is supervised by physiotherapists and individually progressed.

Interventions

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Supervised progressive resistance training

Resistance training 2 times/week initiated within the first week after total hip replacement. The training is supervised by physiotherapists and individually progressed.

Intervention Type OTHER

Control group

Standard rehabilitation consisting of home-based exercises with 2 postoperative instructions by a physiotherapist.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Total hip replacement for osteoarthrosis
* Living within 30 km from the hospital
* Motivated to attend training 2 times/week in 10 weeks
* Reduced functional ability measured as: HOOS score \< 67
* written informed consent

Exclusion Criteria

* Comorbidities such as cancer, neuromuscular diseases, heart diseases etc.
* Cognitive impairment
* Body mass index \> 35
* Resurfacing prosthesis
* Scheduled additional prosthetic surgery in lower extremity within 6 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regionshospitalet Silkeborg

OTHER

Sponsor Role collaborator

University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lone R Mikkelsen, MSc.

Role: PRINCIPAL_INVESTIGATOR

University of Aarhus

Locations

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Silkeborg Regional Hospital

Silkeborg, , Denmark

Site Status

Countries

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Denmark

References

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Mikkelsen LR, Petersen AK, Mechlenburg I, Mikkelsen S, Soballe K, Bandholm T. Description of load progression and pain response during progressive resistance training early after total hip arthroplasty: secondary analyses from a randomized controlled trial. Clin Rehabil. 2017 Jan;31(1):11-22. doi: 10.1177/0269215516628305. Epub 2016 Jul 10.

Reference Type DERIVED
PMID: 26851251 (View on PubMed)

Mikkelsen LR, Mechlenburg I, Soballe K, Jorgensen LB, Mikkelsen S, Bandholm T, Petersen AK. Effect of early supervised progressive resistance training compared to unsupervised home-based exercise after fast-track total hip replacement applied to patients with preoperative functional limitations. A single-blinded randomised controlled trial. Osteoarthritis Cartilage. 2014 Dec;22(12):2051-8. doi: 10.1016/j.joca.2014.09.025. Epub 2014 Oct 22.

Reference Type DERIVED
PMID: 25305374 (View on PubMed)

Other Identifiers

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M-20090231

Identifier Type: -

Identifier Source: org_study_id