Evaluation of Functional Rehabilitation in Patients Undergoing Physiotherapy After Total Hip Arthroplasty (Artrhosis)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Carolina Sant'Anna Umpierres, Hospital de Clinicas de Porto Alegre
ClinicalTrials.gov Identifier:
NCT01491048
First received: October 30, 2011
Last updated: December 9, 2011
Last verified: December 2011
  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

Resource links provided by NLM:


Further study details as provided by Hospital de Clinicas de Porto Alegre:

Primary Outcome Measures:
  • 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.


Secondary Outcome Measures:
  • 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:
  • Physiotherapy
  • THA
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:
  • Physiotherapy
  • THA

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
Criteria

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
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01491048

Locations
Brazil
Hospital de Clinicas de Porto Alegre
Porto Alegre, RS, Brazil, 90035-903
Sponsors and Collaborators
Hospital de Clinicas de Porto Alegre
Investigators
Principal Investigator: Carolina S Umpierres, Bachelor Hospital de Clinicas de Porto Alegre
  More Information

Publications:
Walker RL, Fromm PO. Metabolism of iron by normal and iron deficient rainbow trout. Comp Biochem Physiol A Comp Physiol. 1976;55(4A):311-8. No abstract available.

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 July 23, 2014