Fascial Manipulation® Associated With Standard Care Versus Standard Post-surgical Care for Total Hip Arthroplasty

NCT ID: NCT02576028

Last Updated: 2015-10-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 51 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2011-10-31
• Study Completion Date: 2013-07-31

Brief Summary

Post-surgical physiotherapy programs following to total hip arthroplasty (THA) show important differences between types and numbers of treatment sessions. Objectives are to investigate effectiveness of Fascial Manipulation when associated to a standard protocol of care.

Detailed Description

Background. Post-surgical physiotherapy programs following to total hip arthroplasty (THA) show important differences between types and numbers of treatment sessions. Objectives are to investigate effectiveness of Fascial Manipulation when associated to a standard protocol of care.

Methods. Fifty-one subjects operated with THA were randomized into two groups, both followed a standard protocol of care where two sessions were replaced with Fascial Manipulation in the study group. Functional outcomes measures collected before and after treatment and at the end of the rehabilitation program included Harris Hip Score, Time Up and Go test, articular range of motion and verbal numerical scale.

Conditions

Arthritis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

standard treathment

two sessions of 45 minutes of active exercises for 10 days

Group Type: OTHER

standard active exercises

Intervention Type: OTHER

two sessions of 45 minutes of active exercises

FM associated to standard treathment

the same intervention of CG except on days 2 and 7 where one session treatment was replaced with a FM treatment.

Group Type: EXPERIMENTAL

Fascial Manipulation® (FM)

Intervention Type: OTHER

Fascial Manipulation® (FM) is a manual therapy that focus on the deep muscular fascia. This technique considers the fascia as a three-dimensional continuum. The mainstay of this manual technique lies in the identification of specific localised areas of the fascia, defined Center of Coordination (CC), where the gliding of the subcutis should be preserved to avoid biomechanical in-coordination of the surrounding muscles. The method is performed by applying a deep friction over the CCs that result more altered at the clinical palpation

standard active exercises

Intervention Type: OTHER

two sessions of 45 minutes of active exercises

Interventions

Fascial Manipulation® (FM)

Fascial Manipulation® (FM) is a manual therapy that focus on the deep muscular fascia. This technique considers the fascia as a three-dimensional continuum. The mainstay of this manual technique lies in the identification of specific localised areas of the fascia, defined Center of Coordination (CC), where the gliding of the subcutis should be preserved to avoid biomechanical in-coordination of the surrounding muscles. The method is performed by applying a deep friction over the CCs that result more altered at the clinical palpation

Intervention Type: OTHER

standard active exercises

two sessions of 45 minutes of active exercises

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• first THA surgery,
• posterior-lateral access,
• onset of pain of maximum 2 years

Exclusion Criteria

• patients with previous hip or knee prosthesis,
• congenital hip dysplasia,
• revision THA,
• elective THA secondary to trauma,
• real leg-length discrepancy (≥1.5cm),
• cognitive impairment,
• concomitant rheumatic pathology in acute phase,
• serious comorbidities including cardiac,
• respiratory and/or neuromuscular pathologies.

• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Azienda Ospedaliera Bolognini di Seriate Bergamo

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

References

Busato M, Quagliati C, Magri L, Filippi A, Sanna A, Branchini M, Marchand AM, Stecco A. Fascial Manipulation Associated With Standard Care Compared to Only Standard Postsurgical Care for Total Hip Arthroplasty: A Randomized Controlled Trial. PM R. 2016 Dec;8(12):1142-1150. doi: 10.1016/j.pmrj.2016.04.007. Epub 2016 May 19.

Reference Type: DERIVED

PMID: 27210234 (View on PubMed)

Other Identifiers

U1111-1173-0402

Identifier Type: -

Identifier Source: org_study_id