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Effectiveness of Exercise Programs Following Total Hip and Knee Joint Arthroplasty

Primary Purpose

Hip and Knee Joint Osteoarthritis, Hip and Knee Joint Arthroplasty

Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Typical range of motion and muscle strengthening exercises, and balance exercises
Typical group
Sponsored by
Lawson Health Research Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hip and Knee Joint Osteoarthritis focused on measuring total hip arthroplasty, total knee arthroplasty, balance exercises, force plate, berg balance scale, timed up and go test

Eligibility Criteria

55 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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.

Sites / Locations

  • School of Physical Therapy, University of Western Ontario

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Other

Arm Label

Balance group

Typical group

Arm Description

Typical plus balance exercises

Typical exercises

Outcomes

Primary Outcome Measures

Berg balance scale

Secondary Outcome Measures

Timed Up and go test
Western Ontario McMaster Universities Osteoarthritis Index
Activity-specific Balance Confidence Scale
Force platform

Full Information

First Posted
January 16, 2012
Last Updated
March 14, 2012
Sponsor
Lawson Health Research Institute
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1. Study Identification

Unique Protocol Identification Number
NCT01555307
Brief Title
Effectiveness of Exercise Programs Following Total Hip and Knee Joint Arthroplasty
Official Title
Effectiveness of Exercise Programs Following Total Hip and Knee Joint Arthroplasty
Study Type
Interventional

2. Study Status

Record Verification Date
January 2012
Overall Recruitment Status
Completed
Study Start Date
June 2007 (undefined)
Primary Completion Date
May 2009 (Actual)
Study Completion Date
April 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Lawson Health Research Institute

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
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
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hip and Knee Joint Osteoarthritis, Hip and Knee Joint Arthroplasty
Keywords
total hip arthroplasty, total knee arthroplasty, balance exercises, force plate, berg balance scale, timed up and go test

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
82 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Balance group
Arm Type
Experimental
Arm Description
Typical plus balance exercises
Arm Title
Typical group
Arm Type
Other
Arm Description
Typical exercises
Intervention Type
Other
Intervention Name(s)
Typical range of motion and muscle strengthening exercises, and balance exercises
Intervention Description
Seven typical exercises, and three balance exercises, 10 times each, 3 times a day.
Intervention Type
Other
Intervention Name(s)
Typical group
Intervention Description
Seven typical exercises, 10 times each, 3 times a day
Primary Outcome Measure Information:
Title
Berg balance scale
Time Frame
Day 0 and Week 5
Secondary Outcome Measure Information:
Title
Timed Up and go test
Time Frame
Day 0 and Week 5
Title
Western Ontario McMaster Universities Osteoarthritis Index
Time Frame
Day 0 and Week 5
Title
Activity-specific Balance Confidence Scale
Time Frame
Day 0 and Week 5
Title
Force platform
Time Frame
Week 5

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility 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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Kramer, PhD
Organizational Affiliation
Western University, Canada
Official's Role
Principal Investigator
Facility Information:
Facility Name
School of Physical Therapy, University of Western Ontario
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 5C1
Country
Canada

12. IPD Sharing Statement

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Effectiveness of Exercise Programs Following Total Hip and Knee Joint Arthroplasty

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