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Completed

NCT Number: NCT02933632

Accelerated Rehabilitation in Hip Arthroplasty

Accelerated rehabilitation protocol in Total Hip Arthroplasty (THA-AR).

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Key information

Conditions

Osteoarthritis Arthritis Joint Diseases Musculoskeletal Diseases Rheumatic Diseases

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Federal University Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

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About this study

The accelerated rehabilitation protocol in Total Hip Arthroplasty (THA-AR) was designed to improve the functionality and optimize early discharge of patients undergoing THA surgery. This study compared physical therapy protocol in Total Hip Arthroplasty (THA-PT) already deployed in Porto Alegre Clinical Hospital with THA-AR.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients of the Public Health System of our Country that were admitted with hip osteoarthritis diagnose and submitted to a total hip arthroplasty surgery in the Hospital de Clínicas de Porto Alegre (HCPA).

Exclusion criteria

  • Patients who refused to participate in this study;
  • Patients lived in another city;
  • Patients undergoing surgery for total hip arthroplasty due to hip fracture;
  • Patients with cognitive disorders or diseases that adversely affect its cognitive function (Alzheimer's disease, senile dementia).

Treatment and study plan

Physical Therapy-SAP

Other
  • Day 1) Patients started approach after discharged anesthesia. Patients received verbal orientation and demonstration of the physiotherapy exercises that would strengthen muscles (gluteal and thigh). They were oriented to the decubitus changes and how to leave bed. They practiced 3 repetitions of 12 complete movements for each exercise;
  • Day 2) Patients repeated the exercises learned from day 1. Following the proposed activities patients received verbal instructions on gait training and then starting gait training. Patients started gait training on this second day only if they felt safe and claimed that their pain was controlled. Otherwise, training was postponed to the next day;
  • Day 3) Patients repeated the day 2. And the patient who had not started gait training in the day 2, began it on the day 3;
  • Day 4 and other days) Patients repeated the gait training until the discharge date.

Physical Therapy-ARP

Other
  • Day 1-1°approach) Patients started after discharged anesthesia. Received verbal orientation and demonstration of the physiotherapy exercises that would strengthen muscles (gluteal and thigh). They were oriented to the decubitus changes and how to leave bed. They practiced 3 repetitions of 12 complete movements for each exercise;
  • Day 1-2°approach) Patients repeated the exercises learned from day 1-1°approach. Following patients received verbal instructions on gait training and then starting gait training. Patients started gait training on this Day 1-2°approach only if they felt safe and claimed that their pain was controlled. Otherwise, training was postponed to next approach;
  • Day 1-3°approach) Patients repeat the day 1-2°approach. And the patient, who had not started gait training in the day 1 - second approach, began it in this third approach;
  • Day 2) Patients repeated three times the day 1-3°approach;
  • Day 3) Patients repeated three times the day 1-3°approach.

Primary outcomes

  1. Merle D'Aubigné and Postel score

    Time frame: From the moment of hospitalization until the day of hospital discharge, assessed up to four days.

Secondary outcomes

  1. Length of hospital stay

    Time frame: From the moment of hospitalization until the day of hospital discharge, assessed up to four days.

  2. Muscle strength force

    Time frame: From the moment of hospitalization until the day of hospital discharge, assessed up to four days.

    Measured based on Kendall's criteria. Measured in the operated hip.

  3. Goniometry

    Time frame: From the moment of hospitalization until the day of hospital discharge, assessed up to four days.

    Evaluate the range of motion in flexion, extension, adduction, abduction, and internal and external rotation in the operated hip.

  4. Time to beginning the gait.

    Time frame: From the date of hospitalization until the day that began gait, assessed up to four days.

Sponsors and collaborators

Lead sponsor

Federal University of Rio Grande do Sul

Other

Registry information

Official study title

Accelerated Rehabilitation Versus Conventional Rehabilitation in Total Hip Arthroplasty: A Randomized Double Blinded Clinical Trial

Acronym: ARTHA

Important dates

Study start
2013
Primary completion
2014
Study completion
2014
First posted
Oct 14, 2016
Registry last updated
Oct 6, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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