Effects Of A Home Based Exercise Program Following Total Hip Arthroplasty

NCT ID: NCT06274866

Last Updated: 2025-07-31

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 48 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-01-10
• Study Completion Date: 2024-06-30

Brief Summary

The aim of this study is to examine the effects of home-based exercise on pain-related factors, postural control and early functional parameters in individuals undergoing total hip arthroplasty. Forty-four individuals with hip osteoarthritis were included in current study. Individuals were randomized as study group (n=23) and control group (n=21) by drawing lots. Individuals in the study group were followed up with a personalized home-based exercise program for 6 weeks. Individuals in the control group were followed up with an exercise training brochure. The exercise program of the individuals in the study group was checked at two-week intervals and adjustments were made in the exercise program. All individuals were evaluated before the operation, 2 weeks after the operation, and 12 weeks after the operation, and their data were recorded. Range of motion was measured with an inclinometer, muscle strength was measured with a hand dynamometer, joint position sense was measured with a target angle test, pain was measured with a visual pain scale, leg length was measured with a tape measure, and finally, the Q angle was measured with a goniometer. In addition to these,Tampa kinesiophobia scale, Oxford hip score and international physical activity scale were used. Timed up-and-go test was used to evaluate functional performance. Foursquare step test was used to evaluate balance, and finally, tetrax posturography device was used to evaluate postural control.

Detailed Description

The aim of this study was to examine the patients who underwent Total Hip Arthroplasty surgery with the diagnosis of hip osteoarthritis.

Home-based exercise program given individually under the control of a physiotherapist is effective in reducing pain.

related factors (joint range of motion, muscle strength, kinesiophobia, physical activity), To investigate its effect on functional status, balance and postural control.

Conditions

PHYSİOTHERAPY

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Study Group

After total hip arthroplasty, participants who take supervised home based exercised program which consists especially early weight bearing hip specific mobilization and strengthening exercises.

Group Type: EXPERIMENTAL

exercise program

Intervention Type: OTHER

Study group were followed up with a personalized home-based exercise program for 6 weeks. IThe exercise program of the individuals in the study group was checked at two-week intervals and adjustments were made in the exercise program

Control group

After total hip arthroplasty, participants who take an educational booklet (about exercise program) at hospital stay

Group Type: OTHER

control group

Intervention Type: OTHER

Individuals in the control group were followed up with an exercise training brochure.

Interventions

exercise program

Study group were followed up with a personalized home-based exercise program for 6 weeks. IThe exercise program of the individuals in the study group was checked at two-week intervals and adjustments were made in the exercise program

Intervention Type: OTHER

control group

Individuals in the control group were followed up with an exercise training brochure.

Intervention Type: OTHER

Other Intervention Names

educational supervised exercises; educational booklet

Eligibility Criteria

Inclusion Criteria

• Having surgery with a diagnosis of osteoarthritis
• Cases have unilateral hip osteoarthritis
• Not having received physical therapy in the 6 months before the surgery
• Total hip arthroplasty surgery should only be performed on posterior or posterolateral done with initiative

Exclusion Criteria

• Presence of Dementia, Neurological Deficit
• Having other diseases that may affect balance (vertigo, previous CVO, neuropathy, epilepsy)
• Being on medication that may affect balance (antidepressants, antiepileptics, antipsychotics)
• Individuals who use alcohol heavily
• End stage organ failure
• Cancer patients under active treatment (except those in remission

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Halic University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Yeditepe Hospital

Istanbul, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

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Reference Type: BACKGROUND

PMID: 21889596 (View on PubMed)

Pop T, Szymczyk D, Majewska J, Bejer A, Baran J, Bielecki A, Rusek W. The Assessment of Static Balance in Patients after Total Hip Replacement in the Period of 2-3 Years after Surgery. Biomed Res Int. 2018 Jan 4;2018:3707254. doi: 10.1155/2018/3707254. eCollection 2018.

Reference Type: BACKGROUND

PMID: 29511678 (View on PubMed)

Ometti M, Brambilla L, Gatti R, Tettamanti A, La Cava T, Pironti P, Fraschini G, Salini V. Capsulectomy vs capsulotomy in total hip arthroplasty. Clinical outcomes and proprioception evaluation: Study protocol for a randomized, controlled, double blinded trial. J Orthop. 2019 Sep 12;16(6):526-533. doi: 10.1016/j.jor.2019.09.020. eCollection 2019 Nov-Dec.

Reference Type: BACKGROUND

PMID: 31680746 (View on PubMed)

Trudelle-Jackson E, Emerson R, Smith S. Outcomes of total hip arthroplasty: a study of patients one year postsurgery. J Orthop Sports Phys Ther. 2002 Jun;32(6):260-7. doi: 10.2519/jospt.2002.32.6.260.

Reference Type: RESULT

PMID: 12061707 (View on PubMed)

Other Identifiers

dsahinoglu

Identifier Type: -

Identifier Source: org_study_id