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Effectiveness of Exercise Programs Following Total Hip and Knee Joint Arthroplasty

This study has been completed.
Sponsor:
Information provided by:
Lawson Health Research Institute
ClinicalTrials.gov Identifier:
NCT01555307
First received: January 16, 2012
Last updated: March 14, 2012
Last verified: January 2012
History of Changes
  Purpose

The purpose of the study was to evaluate the effectiveness of balance exercises added to typical joint range of motion and muscle strengthening exercises on balance in patients following total hip or knee joint arthroplasty


Condition Intervention
Hip and Knee Joint Osteoarthritis
Hip and Knee Joint Arthroplasty
 Other: Typical range of motion and muscle strengthening exercises, and balance exercises
Other: Typical group

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Effectiveness of Exercise Programs Following Total Hip and Knee Joint Arthroplasty

Resource links provided by NLM:

U.S. FDA Resources

Further study details as provided by Lawson Health Research Institute:

Primary Outcome Measures:
  • Berg balance scale [ Time Frame: Day 0 and Week 5 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Timed Up and go test [ Time Frame: Day 0 and Week 5 ] [ Designated as safety issue: No ]
  • Western Ontario McMaster Universities Osteoarthritis Index [ Time Frame: Day 0 and Week 5 ] [ Designated as safety issue: No ]
  • Activity-specific Balance Confidence Scale [ Time Frame: Day 0 and Week 5 ] [ Designated as safety issue: No ]
  • Force platform [ Time Frame: Week 5 ] [ Designated as safety issue: No ]

Enrollment: 82
Study Start Date: June 2007
Study Completion Date: April 2010
Primary Completion Date: May 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Balance group
Typical plus balance exercises
 Other: Typical range of motion and muscle strengthening exercises, and balance exercises
Seven typical exercises, and three balance exercises, 10 times each, 3 times a day.
Typical group
Typical exercises
 Other: Typical group
Seven typical exercises, 10 times each, 3 times a day

Detailed Description:

Rehabilitation program following total hip and knee joint arthroplasty typically focus on joint range of motion and muscle strengthening exercises. Although the balance ability of these patients tends to be reduced, leading to limitations in mobility and activities of daily living, clinicians often assume that strength and joint range of motion exercises will ultimately lead to improvement in balance, making the typical exercise programs appropriate. However, the feasibility and effectiveness of introducing balance specific exercises during the post-operative period is unclear.

  Eligibility

Ages Eligible for Study:   55 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients with primary unilateral total hip or knee joint arthroplasty.
  • Patients who had been advised to weight bear as tolerated following surgery.

Exclusion Criteria:

  • Patients who had been advised by their surgeon to remain non-weight bearing or partial weight bearing on the operated leg or unoperated leg.
  • Patients with neurological conditions such as hemiplegia, peripheral neuropathy, Parkinsons disease, multiple sclerosis, or spinal cord compression that might affect balance.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01555307

Locations
Canada, Ontario
School of Physical Therapy, University of Western Ontario
London, Ontario, Canada, N6A 5C1
Sponsors and Collaborators
Lawson Health Research Institute
Investigators
Principal Investigator: John Kramer, PhD University of Western Ontario, Canada
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT01555307     History of Changes
Other Study ID Numbers: R-06-461, 12697E
Study First Received: January 16, 2012
Last Updated: March 14, 2012
Health Authority: Canada: Ethics Review Committee

Keywords provided by Lawson Health Research Institute:
total hip arthroplasty
total knee arthroplasty
balance exercises
 force plate
berg balance scale
timed up and go test

Additional relevant MeSH terms:
Osteoarthritis
Arthritis
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases

ClinicalTrials.gov processed this record on May 19, 2013