Comparative Effects of Weight Bearing and Non-weight Bearing Exercises in Patients With Total Hip Replacement

NCT ID: NCT05375565

Last Updated: 2022-12-20

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

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-01

Study Completion Date

2022-07-31

Brief Summary

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to compare the effects of weight bearing and non-weight bearing exercises on pain, range of motion and disability in patients with total hip replacement

Detailed Description

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Conditions

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Total Hip Replacement

Keywords

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weight bearing exercise hip pain replacement arthroplasty range of motion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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weight bearing exercises

weight bearing exercises

Group Type EXPERIMENTAL

weight bearing exercises

Intervention Type OTHER

* Standing knee raise 10 rep x 2sets
* Standing knee bend 10 rep x 2sets
* Standing hip extension 10 rep x 2sets
* Shallow squats 5 rep x 2 sets After 4 week gradually restricting the use of assistive device when patient become able to walk and stand for 10 mins then add stair climbing and descending with a step height not higher than 7 inch.

The session will be around 45 to 60 minutes on each patient with 2 sessions per week on alternate days to observe the long term effects.

non weight bearing exercises

non weight bearing exercises

Group Type EXPERIMENTAL

non weight bearing exercises

Intervention Type OTHER

* Seated knee flexion 10 rep x 2sets
* Seated knee extension 10 rep x2sets
* Use of stationary bicycle 10 mins
* Side lying leg lift 10 rep x2sets
* Straight leg raise 10 rep x 2sets The session will be around 45 to 60 minutes on each patient with 2 sessions per week on alternate days to observe the long term effects.

Interventions

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weight bearing exercises

* Standing knee raise 10 rep x 2sets
* Standing knee bend 10 rep x 2sets
* Standing hip extension 10 rep x 2sets
* Shallow squats 5 rep x 2 sets After 4 week gradually restricting the use of assistive device when patient become able to walk and stand for 10 mins then add stair climbing and descending with a step height not higher than 7 inch.

The session will be around 45 to 60 minutes on each patient with 2 sessions per week on alternate days to observe the long term effects.

Intervention Type OTHER

non weight bearing exercises

* Seated knee flexion 10 rep x 2sets
* Seated knee extension 10 rep x2sets
* Use of stationary bicycle 10 mins
* Side lying leg lift 10 rep x2sets
* Straight leg raise 10 rep x 2sets The session will be around 45 to 60 minutes on each patient with 2 sessions per week on alternate days to observe the long term effects.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* unilateral total hip arthroplasty
* posterolateral approach of hip replacement
* patients that were willing to participate
* patients with 2 weeks post-operative history of total hip replacement

Exclusion Criteria

* History of any systemic pathology
* Individual suffering from congenital hip disease.
* Bilateral total hip arthroplasty
* Evidence of CNS involvement and any other neurological involvement
* Any red flag (malignancies or any kind of tumor
* History of lower extremity fracture.
* Patient having any local or systemic infection of hip joint
Minimum Eligible Age

35 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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hina gul, t-DPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Lahore General hospital

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Wijnen A, Bouma SE, Seeber GH, van der Woude LHV, Bulstra SK, Lazovic D, Stevens M, van den Akker-Scheek I. The therapeutic validity and effectiveness of physiotherapeutic exercise following total hip arthroplasty for osteoarthritis: A systematic review. PLoS One. 2018 Mar 16;13(3):e0194517. doi: 10.1371/journal.pone.0194517. eCollection 2018.

Reference Type BACKGROUND
PMID: 29547670 (View on PubMed)

Pozzi F, Madara K, Zeni JA Jr. A SIX-WEEK SUPERVISED EXERCISE AND EDUCATIONAL INTERVENTION AFTER TOTAL HIP ARTHROPLASTY: A CASE SERIES. Int J Sports Phys Ther. 2017 Apr;12(2):259-272.

Reference Type BACKGROUND
PMID: 28515981 (View on PubMed)

Mikkelsen LR, Madsen MN, Rathleff MS, Thorborg K, Rossen CB, Kallemose T, Bandholm T. Pragmatic Home-Based Exercise after Total Hip Arthroplasty - Silkeborg: Protocol for a prospective cohort study (PHETHAS-1). F1000Res. 2019 Jun 25;8:965. doi: 10.12688/f1000research.19570.2. eCollection 2019.

Reference Type BACKGROUND
PMID: 31448107 (View on PubMed)

Wu JQ, Mao LB, Wu J. Efficacy of exercise for improving functional outcomes for patients undergoing total hip arthroplasty: A meta-analysis. Medicine (Baltimore). 2019 Mar;98(10):e14591. doi: 10.1097/MD.0000000000014591.

Reference Type BACKGROUND
PMID: 30855443 (View on PubMed)

Monaghan B, Cunningham P, Harrington P, Hing W, Blake C, O' Dohertya D, Cusack T. Randomised controlled trial to evaluate a physiotherapy-led functional exercise programme after total hip replacement. Physiotherapy. 2017 Sep;103(3):283-288. doi: 10.1016/j.physio.2016.01.003. Epub 2016 Feb 15.

Reference Type BACKGROUND
PMID: 27126617 (View on PubMed)

Goh SL, Persson MSM, Stocks J, Hou Y, Welton NJ, Lin J, Hall MC, Doherty M, Zhang W. Relative Efficacy of Different Exercises for Pain, Function, Performance and Quality of Life in Knee and Hip Osteoarthritis: Systematic Review and Network Meta-Analysis. Sports Med. 2019 May;49(5):743-761. doi: 10.1007/s40279-019-01082-0.

Reference Type BACKGROUND
PMID: 30830561 (View on PubMed)

Bandholm T, Wainwright TW, Kehlet H. Rehabilitation strategies for optimisation of functional recovery after major joint replacement. J Exp Orthop. 2018 Oct 11;5(1):44. doi: 10.1186/s40634-018-0156-2.

Reference Type BACKGROUND
PMID: 30306337 (View on PubMed)

Ackerman IN, Bohensky MA, Zomer E, Tacey M, Gorelik A, Brand CA, de Steiger R. The projected burden of primary total knee and hip replacement for osteoarthritis in Australia to the year 2030. BMC Musculoskelet Disord. 2019 Feb 23;20(1):90. doi: 10.1186/s12891-019-2411-9.

Reference Type BACKGROUND
PMID: 30797228 (View on PubMed)

Patel S, Bhanushali Y, Gadhavi B. Effect of Following Physiotherapy on Strength and Range of Motion in Patients with Total Hip Arthroplasty: A Case Series. International Journal of Health Sciences and Research. 2021;11(4):122-32.

Reference Type BACKGROUND

Other Identifiers

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REC/Lhr/22/0140 Habiba

Identifier Type: -

Identifier Source: org_study_id