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Walking Skill Training Program Effects in Patients With Total Hip Arthroplasty

This study has been completed.
Information provided by (Responsible Party):
Kristi E Heiberg, PhD, University of Oslo Identifier:
First received: December 12, 2008
Last updated: January 8, 2015
Last verified: January 2015

Rehabilitation plays an important part after total hip arthroplasty. In this common practice few studies have been performed on this issue.

The aims of this study were:

  1. to examine the immediate effects of a walking skill training program on walking, stair climbing, balance, self-reported physical functioning physical functioning, pain and self-efficacy compared to a control group without supervised physiotherapy
  2. to examine whether the effects persisted 12 months after surgery

Condition Intervention
Arthroplasty, Replacement, Hip
Exercise Therapy
Other: Walking skill training program

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Effect of a Walking Skill Training Program in Patients Who Have Undergone Total Hip Arthroplasty: Followup One Year After Surgery

Further study details as provided by Kristi E Heiberg, PhD, University of Oslo:

Primary Outcome Measures:
  • 6 Minutes Walk Test (6MWT) [ Time Frame: 5 months and 12 months ]
    Participants walked in a 40 meter hospital corridor for 6 minutes.

Secondary Outcome Measures:
  • Hip Dysfunction and Osteoarthritis Outcome Score (HOOS) [ Time Frame: 5 months and 12 months ]
    Self-reported symptoms, pain, physical function, function in sport and recreation, quality of life. 0 (worse) - 100 (best)

  • Harris Hip Score (HHS) [ Time Frame: 5 months and 12 months ]
    Pain and physical function. 0 (worse) - 100 (best)

  • Self-efficacy [ Time Frame: 5 months and 12 months ]
    Self-reported self-efficacy in activities. 0 (worse) - 100 (best).

  • Stair Climbing Test (ST) [ Time Frame: 5 months and 12 months ]
    Ascend and descend 8 steps with a step hight of 16 cm as fast as they could without running. Few seconds (best) - many seconds (worse)

  • ROM Extension [ Time Frame: 5 months and 12 months ]
    Active range of motion (ROM) in hip extension test. Degrees is registered. 0 degrees indicates zero position of the hip, minus digrees indicates flexion contracture.

  • Index of Muscle Function (IMF) [ Time Frame: 5 months and 12 months ]
    Tests of general mobility, muscle strength, balance/coordination, and endurance. 40 (worse) - 0 (best)

  • Figure-of-eight Test [ Time Frame: 5 months and 12 months ]
    Test of dynamic balance. Number of steps on and outside the line is registered. 0 (best)

Enrollment: 68
Study Start Date: October 2008
Study Completion Date: April 2011
Primary Completion Date: April 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Walking skill training group
Participation in the supervised walking skill training program.
Other: Walking skill training program
12 individualized training sessions containing functional exercises like walking, stair climbing, balance training and with supervision and guidance from a physiotherapist.
No Intervention: Control group
No participation in the supervised walking skill training program


Ages Eligible for Study:   45 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Primary cox arthrosis
  • Good written and oral Norwegian language

Exclusion Criteria:

  • Severe hip arthrosis in the other hip or severe gon arthrosis that restricted walking
  • Neurological disorders
  • Rheumatoid arthritis
  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 identifier: NCT00808483

Department of health science, University of Oslo
Oslo, Oslo 0317, Norway, 1089 Blindern
Sponsors and Collaborators
University of Oslo
Principal Investigator: Kristi E Heiberg, PhD University of Oslo
Principal Investigator: Kristi E Heiberg, PhD Bærum Hospital Vestre Viken
  More Information

Responsible Party: Kristi E Heiberg, PhD, Registrered physiotherapist, PhD, University of Oslo Identifier: NCT00808483     History of Changes
Other Study ID Numbers: 2008/2325
Study First Received: December 12, 2008
Results First Received: December 9, 2014
Last Updated: January 8, 2015

Keywords provided by Kristi E Heiberg, PhD, University of Oslo:
total hip arthroplasty
physical functioning
training program
exercise therapy
walking processed this record on May 25, 2017