Effectiveness of Exercise Programs Following Total Hip and Knee Joint Arthroplasty

March 14, 2012 updated by: Lawson Health Research Institute
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

Study Overview

Status

Completed

Conditions

Intervention / Treatment

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.

Study Type

Interventional

Enrollment (Actual)

82

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Canada
    • Ontario
      • London, Ontario, Canada, N6A 5C1
        • School of Physical Therapy, University of Western Ontario

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

55 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

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.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
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.
Other: Typical group
Typical exercises
Other: Typical group
Seven typical exercises, 10 times each, 3 times a day

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Berg balance scale
Time Frame: Day 0 and Week 5
Day 0 and Week 5

Secondary Outcome Measures

Outcome Measure
Time Frame
Timed Up and go test
Time Frame: Day 0 and Week 5
Day 0 and Week 5
Western Ontario McMaster Universities Osteoarthritis Index
Time Frame: Day 0 and Week 5
Day 0 and Week 5
Activity-specific Balance Confidence Scale
Time Frame: Day 0 and Week 5
Day 0 and Week 5
Force platform
Time Frame: Week 5
Week 5

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Lawson Health Research Institute

Investigators

  • Principal Investigator: John Kramer, PhD, Western University, Canada

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

June 1, 2007

Primary Completion (Actual)

May 1, 2009

Study Completion (Actual)

April 1, 2010

Study Registration Dates

First Submitted

January 16, 2012

First Submitted That Met QC Criteria

March 14, 2012

First Posted (Estimate)

March 15, 2012

Study Record Updates

Last Update Posted (Estimate)

March 15, 2012

Last Update Submitted That Met QC Criteria

March 14, 2012

Last Verified

January 1, 2012

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • R-06-461
  • 12697E (Other Identifier: REB)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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