Efficacy of a Single Preoperative Administration of Action Observation Therapy Associated With Motor Imagery in Patients Undergoing Total Hip Arthroplasty.

NCT ID: NCT05188560

Last Updated: 2022-03-04

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 80 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-03-01
• Study Completion Date: 2022-01-01

Brief Summary

Action Observation Therapy (AOT) and Motor Imagery (MI) are two rehabilitation approaches based on Mirror Neuron System (MNS). The MNS refers to a series of neurons able to activate both when one observes an action being performed or when one physically performs the action themselves. Previous studies reported that functional recovery is facilitated by asking patient observing videos with motor content (AOT) and after imagining (MI) the gestures observed. These rehabilitative apporach have been used in particular to promote functional recovery in patients with neuromotor problems, in particular in patients with stroke. To date, few studies have investigated the effectiveness of this therapeutic approach in functional recovery after orthopedic surgery and none of these applied AOT and MI in a single pre-operative session. The objective of the study is to verify whether a single administration consisting of two pre-operative sessions of AOT associated with MI can lead to an improvement of functional recovery in hip arthroplasty patients.

Conditions

Hip Osteoarthritis; Orthopedic Disorder

Study Design

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

Study Groups

AOT+MI

participants who, in addiction to standard rehabilitation program after surgery, underwent a single pre-operative training session of action observation therapy associated with motor imagery.

Group Type: EXPERIMENTAL

Action observation therapy

Intervention Type: OTHER

Subject is asked to observe videos with motor contents

motor imagery

Intervention Type: OTHER

mental simulation of a motor task

Control group

Participants who was not subjected to any pre-operative activity. They received standard rehabilitation program after surgery too.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Action observation therapy

Subject is asked to observe videos with motor contents

Intervention Type: OTHER

motor imagery

mental simulation of a motor task

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Total hip arthroplasty (THA) monolateral, first implant
• Locomotor autonomy with or without aids before surgery
• BMI (regular, overweight, Grade I obesity)
• No complications in surgery
• Orthopaedic prescription of tolerance load on the limb
• Autonomy with aids within the third post-operative day

Exclusion Criteria

• Previous total hip replacement on contralateral hip
• Dementia or other conditions affecting patient's collaboration
• Unresolved clinical complications in the first two post-operative days
• Neurological, musculoskeletal or other disorders able to impact on functional recovery
• Visual or auditory deficits
• Total or partial revisions of THA
• Patients assigned to different groups hospitalized in the same room

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Istituto Clinico Humanitas

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Istituto Clinico Humanitas

Rozzano, Milano, Italy

Countries

Italy

Other Identifiers

750

Identifier Type: -

Identifier Source: org_study_id