Impact on Muscle Strength, Quality of Life and Functionality in Individuals Submitted to Hip Arthroplasty: a Prospective Study.

NCT ID: NCT03079479

Last Updated: 2019-02-27

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

Total Enrollment

65 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-07-01

Study Completion Date

2018-01-04

Brief Summary

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Introduction: Total hip arthroplasty has been increasingly used as a means of treating the various pathologies of this joint. However, this surgical reconstruction initially brings important deficits in subjects submitted, such as: inhibition of muscle strength, limitation of range of motion and functional deficit. Therefore, an immediate physiotherapeutic treatment is necessary in the short and long term, taking into account both biomechanical issues and the quality of life of these individuals.

Objective: To evaluate the clinical evolution of individuals submitted to total hip arthroplasty in the ten year period.

Method: Twenty individuals submitted to unilateral total hip arthroplasty will be evaluated by the medical group of hip surgeries of the Brotherhood of Santa Casa de Misericórdia of São Paulo, during a period of ten years. These individuals will undergo a primary clinical evaluation and after signing the consent form, will be evaluated functionally with the HARRIS HIP SCORE and WHOQOL-bref questionnaires and physically with the analysis of muscular strength through manual dynamometry to measure the strength level of the Muscles involved in the bilateral coxo-femoral joint, such as abductors, adductors, flexors, extensors, internal rotators, external rotators, knee joint, such as extensors and flexors, and ankle, plantar flexors. Finally, they will be referred to the kinematic gait analysis, to identify the functional characteristics of these individuals, through reflexive markers at specific anatomical points, where they will walk for 5 minutes on a treadmill at a speed of 1.5km per hour.

Detailed Description

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Conditions

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Arthroplasty Complications Arthropathy of Hip

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Two Years Group

Muscle Strenght assesment

Intervention Type DIAGNOSTIC_TEST

Muscle Strenght assesment of the hip muscles

2D Kinematics Analysis

Intervention Type DIAGNOSTIC_TEST

2D Kinematics Analysis of the gait

Five Years Group

Muscle Strenght assesment

Intervention Type DIAGNOSTIC_TEST

Muscle Strenght assesment of the hip muscles

2D Kinematics Analysis

Intervention Type DIAGNOSTIC_TEST

2D Kinematics Analysis of the gait

Ten Years Group

Muscle Strenght assesment

Intervention Type DIAGNOSTIC_TEST

Muscle Strenght assesment of the hip muscles

2D Kinematics Analysis

Intervention Type DIAGNOSTIC_TEST

2D Kinematics Analysis of the gait

Control Group

Muscle Strenght assesment

Intervention Type DIAGNOSTIC_TEST

Muscle Strenght assesment of the hip muscles

2D Kinematics Analysis

Intervention Type DIAGNOSTIC_TEST

2D Kinematics Analysis of the gait

Interventions

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Muscle Strenght assesment

Muscle Strenght assesment of the hip muscles

Intervention Type DIAGNOSTIC_TEST

2D Kinematics Analysis

2D Kinematics Analysis of the gait

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

Inclusion Criteria:

* The inclusion criteria in the study will be: patients submitted to total hip arthroplasty between 2 years (24 months - 35 months), 5 years (60 months - 71 months) and 10 years (120 months - 131 months), age between 50 and 80 years and sign the terms of free and informed consent

Exclusion Criteria:

* The exclusion criteria will be: patients with a history of prosthesis dislocations or revision of the arthroplasty, pain in the hip or lower limb region, asymmetry of the lower limbs greater than 2 centimeters, previous surgeries in the lower limbs, limitation of range of motion in the joint (Impossible to perform muscle strength tests), use of antidepressive drugs or analgesics of continuous use, chronic diseases not controlled (Hypertension, rheumatoid arthritis and diabetes) and the presence of neuromuscular pathologies
Minimum Eligible Age

56 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Faculdade de Ciências Médicas da Santa Casa de São Paulo

OTHER

Sponsor Role lead

Responsible Party

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Claudio Cazarini Junior

IMPACT ON MUSCLE STRENGTH, QUALITY OF LIFE AND FUNCTIONALITY IN INDIVIDUALS SUBMITTED TO HIP ARTHROPLASTY: A PROSPECTIVE STUDY

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Claudio Cazarini Júnior

São Paulo, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Giannotti S, Bottai V, Dell'Osso G, De Paola G, Bugelli G, Guido G. The hip prosthesis in lateral femur fracture: current concepts and surgical technique. Clin Cases Miner Bone Metab. 2014 Sep;11(3):196-200.

Reference Type BACKGROUND
PMID: 25568653 (View on PubMed)

Liu XW, Zi Y, Xiang LB, Wang Y. Total hip arthroplasty: areview of advances, advantages and limitations. Int J Clin Exp Med. 2015 Jan 15;8(1):27-36. eCollection 2015.

Reference Type RESULT
PMID: 25784971 (View on PubMed)

Other Identifiers

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ccazarini

Identifier Type: -

Identifier Source: org_study_id

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