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NCT Number: NCT07354542

Effects of Different Relaxation Therapies on Pain and Sleep in Hip and Knee Arthroplasty Patients

Hip and knee replacement surgery is commonly performed in older adults. After surgery, many patients experience pain, limited movement, and sleep problems. These difficulties can make daily activities such as walking or climbing stairs more challenging and may reduce quality of life during recovery.

Relaxation exercises are often used to help reduce pain and improve sleep after surgery. Virtual reality (VR) is a technology that provides a multisensory experience and may help people relax by shifting their attention away from pain and discomfort.

This study is designed to compare two different relaxation approaches used after hip and knee replacement surgery. One group of patients will perform relaxation exercises using virtual reality, while another group will perform traditional relaxation exercises. The study will examine pain levels and sleep quality in both groups.

The results of this study may help to better understand whether virtual reality-based relaxation can be used as an alternative or supportive method for managing pain and sleep problems after joint replacement surgery.

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Key information

Conditions

Osteoarthritis (OA) of the Hip Arthritis Dyssomnias Joint Diseases Mental Disorders Musculoskeletal Diseases Nervous System Diseases Neurologic Manifestations Osteoarthritis Osteoarthritis (OA) of the Knee Pain Pain, Postoperative Pathologic Processes Pathological Conditions, Signs and Symptoms Postoperative Complications Rheumatic Diseases Signs and Symptoms Sleep Disorders, Intrinsic Sleep Initiation and Maintenance Disorders Sleep Wake Disorders

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Bartın State Hospital

Bartın, Center, 74100, Turkey (Türkiye)

Location status: Recruiting

Location contact

Mesut Çimen, Supervizor

CONTACT

[email protected]

+90 543 776 00 67

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Those who volunteered to participate in the research,
  • 18 years and older,
  • No diagnosed mental or sleep problems, epilepsy, or depression,
  • No vision, hearing, or speech problems,
  • Those who speak Turkish,
  • Knee and hip replacement surgery ,
  • No active nausea or vomiting prior to the virtual reality application,
  • According to the Numerical Rating Scale, the patient reports pain.
  • Those receiving analgesia treatment according to clinical protocol,
  • Anyone who owns a mobile phone or tablet capable of playing videos, using any brand of internet provider,
  • Patients who had not previously practiced breathing exercises were included .

Exclusion criteria

  • Having a problem that prevents communication,
  • Being admitted to the ward where the surgery and study were performed at another center,

. Complications develop after knee and hip replacement surgery,

  • Nausea and vomiting may occur during the procedure.
  • Wanting to withdraw from the research,
  • Experiencing chronic pain.

Treatment and study plan

Virtual Reality-Based Relaxation

Behavioral

Relaxation exercises delivered through virtual reality technology during the postoperative period following hip and knee replacement surgery.

Traditional Relaxation Therapy

Behavioral

Standard relaxation exercises performed without virtual reality during the postoperative period following hip and knee replacement surgery.

Primary outcomes

  1. Postoperative Pain Intensity

    Time frame: Postoperative three days period

    Pain intensity will be assessed using Numerical Rating Scale (0-10 points) in patients undergoing hip and knee replacement surgery. 0 represents no pain and 10 represents the most severe pain.

Secondary outcomes

  1. Sleep Quality

    Time frame: Postoperative three days period

    Sleep quality will be evaluated using Richards Campbell Sleep Questionnaire (0-100 points) during the postoperative period.The scale uses a score range of "0-25" to indicate very poor sleep and a score range of "76-100" to indicate very good sleep. The total score is evaluated based on 5 items; item 6, which assesses the noise level in the environment, is excluded from the total score evaluation. As the score obtained from the questionnaire increases, it is interpreted that the patients' sleep quality has improved.

Study contacts

Contact information is provided by the study sponsor or research team.

Meltem Soydan, Nurse

CONTACT

[email protected]

+90 545 890 12 99

Sponsors and collaborators

Lead sponsor

Bartın Unıversity

Other

Registry information

Official study title

Comparison of the Effects of Virtual Reality-based and Traditional Relaxation Therapy on Postoperative Pain and Sleep Quality in Patients Undergoing Hip and Knee Replacement Surgery

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Jan 21, 2026
Registry last updated
Jan 23, 2026

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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