Evaluation of Functional Rehabilitation in Patients Undergoing Physiotherapy After Total Hip Arthroplasty (Artrhosis)
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Purpose
This study aims to objectively evaluate the implications of physiotherapeutic rehabilitation in the Assistance Protocol of Total Hip Arthroplasty (THA), by assessing the motor performance and testing the quality of life of patients undergoing THA surgery, to improve rehabilitation strategies for this population.
| Condition | Intervention |
|---|---|
|
Osteoarthritis, Hip |
Procedure: THA Physiotherapy Procedure: No physiotherapy after THA |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Evaluation of Functional Rehabilitation Therapy in Patients Undergoing Physiotherapy After Total Hip Arthroplasty |
- Physiotherapeutic Rehabilitation after THA. [ Time Frame: 15 days after discharge ] [ Designated as safety issue: No ]Patients hospitalized in the HCPA for THA surgery, are submitted to an assessment and are randomized. Soon after, the treatment group receives the physiotherapy protocol while the control group receives guidance together with the THA Assistance Protocol. Fifteen days later the patients return to hospital where they are reassessed.
- Physiotherapeutic Rehabilitation after THA. [ Time Frame: 15 days after discharge. ] [ Designated as safety issue: No ]Patients will be evaluated through tests of strength, range of motion, limb discrepancy, hip functionality and quality of life before and after discharge.
| Enrollment: | 104 |
| Study Start Date: | July 2009 |
| Study Completion Date: | October 2011 |
| Primary Completion Date: | October 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: THA Physiotherapy
Physiotherapy care during the period of hospitalization after THA.
|
Procedure: THA Physiotherapy
Patients will be randomized into two groups. The control group will receive care from the team of the THA Assistance Protocol already used by the HSG of HCPA without the intervention of physiotherapy. During hospitalization, the group of cases will be submitted to physical therapy associated with the intervention of the team of the THA Assistance Protocol.
Other Name: osteoarthrosis, hip, physiotherapy.
Procedure: No physiotherapy after THA
No physiotherapy after THA
Other Names:
|
|
Active Comparator: No physiotherapy after THA
No Physiotherapy care during the period of hospitalization after THA.
|
Procedure: No physiotherapy after THA
No physiotherapy after THA
Other Names:
|
Detailed Description:
The Total Hip Arthroplasty (THA) is a surgical procedure which has been used for more than half a century in the treatment of hip joint diseases.
The Physiotherapy is an important component in the care of patients undergoing THA.
In order to reduce the length of hospitalization after THA, to promote functional independence and to monitor clinical events during hospitalization and up to the 30th postoperative day, the Hip Surgery Group (HSG) of the Department of Orthopedics and Traumatology Department of Orthopedics and Traumatology of Hospital de Clinicas de Porto Alegre (HCPA) has developed a global, multidisciplinary Assistance Protocol of the HSG with outpatient consultations and scheduled home visits for patients that have undergone THA at HCPA.
The team which developed the Assistance Protocol of the HSG consists of orthopedic doctors and anesthesiologists, nurses and social workers.
The insertion of the Physiotherapist in the THA Assistance Protocol is of great importance owing to the professional skills of that professional in the areas of prevention and rehabilitation, working with the multidisciplinary team in functional evaluation and in physical therapy of patients that underwent THA.
The monitoring of the physiotherapist is essential to establish a functional diagnosis, aiming pain relief, promoting the early functional rehabilitation, the reintegration of the patients in their daily activities and offering a better quality of life through reintegration into social life.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Patients with indication for THA.
Exclusion Criteria:
- Patients who refuse to participate in this study.
- Patients who live outside the city of Porto Alegre, due to difficulties for visits and the protocol monitoring.
- Patients with femoral neck fracture, due to the impossibility of evaluation.
Contacts and Locations| Brazil | |
| Hospital de Clinicas de Porto Alegre | |
| Porto Alegre, RS, Brazil, 90035-903 | |
| Principal Investigator: | Carolina S Umpierres, Bachelor | Hospital de Clinicas de Porto Alegre |
More Information
Publications:
| Responsible Party: | Carolina Sant'Anna Umpierres, Doctor Carolina Sant´Anna Umpierres, Hospital de Clinicas de Porto Alegre |
| ClinicalTrials.gov Identifier: | NCT01491048 History of Changes |
| Other Study ID Numbers: | 09242 |
| Study First Received: | October 30, 2011 |
| Last Updated: | December 9, 2011 |
| Health Authority: | Brazil: Ministry of Health |
Keywords provided by Hospital de Clinicas de Porto Alegre:
|
Hip osteoarthritis Physiotherapy THA |
Additional relevant MeSH terms:
|
Osteoarthritis Osteoarthritis, Hip Arthritis Joint Diseases Musculoskeletal Diseases Rheumatic Diseases Tacrine Cholinesterase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
Pharmacologic Actions Cholinergic Agents Neurotransmitter Agents Physiological Effects of Drugs Parasympathomimetics Autonomic Agents Peripheral Nervous System Agents Nootropic Agents Central Nervous System Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on June 18, 2013