N/A
N=15
Functional Movement Retraining After Hip Replacement
Arthroplasty, Replacement, Hip
Bottom Line
View on ClinicalTrials.gov: NCT01878175 ↗Enrolled (actual)
15
Serious AEs
6.7%
Results posted
Feb 2017
Primary outcome: Primary: Change in Hip Disability and Osteoarthritis Outcomes Score (HOOS) - Activities of Daily Living Scale — -6.00 units on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Functional Movement Retraining (Behavioral)
- Age
- Adult, Older Adult · 19+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Sep 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Hip Disability and Osteoarthritis Outcomes Score (HOOS) - Activities of Daily Living Scale |
-6.00 | — |
| PRIMARY Change in Hip Disability and Osteoarthritis Outcomes Score (HOOS) - Pain Scale |
-2.12 | — |
| PRIMARY Change in Hip Disability and Osteoarthritis Outcomes (HOOS) Score - Sport Subscale |
-20.8 | — |
| PRIMARY Change in Hip Disability and Osteoarthritis Outcomes (HOOS) Score - Symptom Subscale |
-2.69 | — |
| PRIMARY Change Hip Disability and Osteoarthritis Outcomes (HOOS) - Quality of Life Subscale |
-9.13 | — |
| SECONDARY Change in Satisfaction With Physical Function Questionnaire |
4.14 | — |
| SECONDARY Global Assessment of Hip Symptom Change |
-5.09 | — |
| SECONDARY Change in Objective Functional Test: Timed Get Up-and-go |
1.23 | — |
| SECONDARY Change in Objective Functional Test: Sit to Stand |
-0.55 | — |
| SECONDARY Change in Objective Functional Test: Walking Speed |
0.05 | — |
| SECONDARY Change in Objective Functional Test: Stair Climbing |
3.56 | — |
| SECONDARY Change in University of California Los Angeles (UCLA) Activity Questionnaire |
-0.38 | — |
| SECONDARY Change in Harris Hip Score (HHS) |
-10.5 | — |
| SECONDARY Change in Lower Quarter Y-balance Test (YBT-LQ) |
4 | — |
Summary
Total hip arthroplasty (THA) is a common surgical procedure among Veterans. It is most often used to treat hip osteoarthritis, which is more common among Veterans than the general population. Some patients continue to experience functional limitations after THA, and studies have shown that these patients still tend to put greater loads on the opposite leg, which can increase the risk of developing osteoarthritis in that leg. One likely reason for these post-surgical limitations is that rehabilitation is very minimal following this procedure. This project will involve development and preliminary testing of a functional movement retraining program, designed to help Veterans improve their function and biomechanics after THA. The project will also develop processes for delivering this program in Veterans' homes, to increase accessibility.
Eligibility Criteria
Inclusion Criteria
- Veteran, Scheduled for hip arthroplasty at Durham, NC VA Medical Center
Exclusion Criteria
- Dementia or other significant cognitive impairment;
- movement or motor neuron disorders (e.g., Parkinson's Disease, post-stroke neurological deficiencies);
- rheumatoid arthritis,
- fibromyalgia,
- or other systemic rheumatic disease;
- hospitalization for a stroke,
- myocardial infarction,
- heart failure,
- or coronary artery revascularization in the past 3 months;
- psychosis or current, uncontrolled substance abuse disorder;
- any other health conditions determined by the study team to be contraindications to performing the exercise program (e.g., mild home exercises);
- transportation or other limitations that would prevent visits to the Durham VAMC for the retraining program.
Data sourced from ClinicalTrials.gov (NCT01878175). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.