Kinematics and Muscle Strength in Two, Five or 10 Years Afther Total Hip Arthroplasty (Arthroplasty)

Kinematics and Muscle Strength in Two, Five or 10 Years Afther Total Hip Arthroplasty: Comparison With Healthy Individuales Controlled Cross Sectional Study

Introduction: Femoral and acetabular replacement is characterized as total hip arthroplasty (THA). It has been used as treatment of various pathologies of this joint. In the postoperative period, some studies have shown that strength, function, range of motion and lower limb mechanics remains altered for more than One year after THA in relation to the non-operated side. However, studies that have correlated kinematics and hip muscle strength in individuals who underwent THA for long time, do not exist in literature. Objective: to evaluate lower limb muscle strength and 2D kinematics during stair ascending and descending in patients undergoing total hip arthroplasty. Methods: Third individuals who underwent total hip arthroplasty (THA) will be recruited at two, five and 10 year postoperative periods. They were allocated in three groups: Group 1 (10n), subjects submitted to THA for two years, Group 2 (10n) subjects submitted to THA for five years, Group 3 (10n) subjects submitted to THA for 10 years and Group 4 (10n) subjects without orthopaedic afections, all will be evaluated for dynamometric isometric muscle strength and kinematic analysis of stair ascending and descending by a "blinded" physical Therapist.

Study Overview

• Status: Completed
• Conditions: Hip Osteoarthritis
• Intervention / Treatment: Diagnostic test: Gait and muscle strength will be assessed

• Study Type: Observational
• Enrollment (Actual): 40

Contacts and Locations

Study Locations

• Brazil
  • São Paulo, Brazil, 04660000
    • João Barboza

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 60 years to 80 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

40 individuals who underwent total hip arthroplasty (THA) by the hospital hip surgery group

Description

Inclusion Criteria:

• The investigators will recruit 40 individuals who underwent total hip arthroplasty (THA) by the hospital hip surgery group in the periods of two, five and 10 years postoperatively
• Control group without orthopaedic afections. Inclusion criteria: patients submitted to total hip arthroplasty between two years (24 months - 35 months), five years (60 months - 71 months) and 10 years (120 months - 131 months), aged between 50 and 80 years and sign the terms of free and informed consent

Exclusion Criteria:

• patients with a history of prosthesis dislocations or revision of arthroplasty
• hip or lower limb pain
• asymmetry of the lower limbs greater than two centimeters
• previous surgeries in the lower limbs
• limited range of motion in the hip joint
• use of antidepressive drugs or analgesics for continuous use
• Presence of neuromuscular pathologies and functional incapacity to perform the activities proposed in the Kinematics analysis.

Study Plan

How is the study designed?

Design Details

• Observational Models: Other
• Time Perspectives: Prospective

Number of groups / cohorts

4

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
group 2 years; The group underwent total hip arthroplasty at 2 years	Diagnostic test: Gait and muscle strength will be assessed; The extensor moment of the hip during gait and evaluation of the muscular strength of the hip will be evaluated
group 5 years; The group underwent total hip arthroplasty at 5 years	Diagnostic test: Gait and muscle strength will be assessed; The extensor moment of the hip during gait and evaluation of the muscular strength of the hip will be evaluated
group 10 years; The group underwent total hip arthroplasty at 10 years	Diagnostic test: Gait and muscle strength will be assessed; The extensor moment of the hip during gait and evaluation of the muscular strength of the hip will be evaluated
group control; healthy patients	Diagnostic test: Gait and muscle strength will be assessed; The extensor moment of the hip during gait and evaluation of the muscular strength of the hip will be evaluated

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
kinematic analysis of hip movements for flexion	Analysis of the movements of the hip - range of motion for flexion	evaluated at 10 years after hip arthroplasty
kinematic analysis of hip movements for extension	Analysis of the movements of the hip - range of motion for extension	evaluated at 10 years after hip arthroplasty
kinematic analysis of hip movements for internal rotation	Analysis of the movements of the hip - range of motion for internal rotation	evaluated at 10 years after hip arthroplasty
kinematic analysis of hip movements external rotation	Analysis of the movements of the hip - range of motion for external rotation	evaluated at 10 years after hip arthroplasty

Collaborators and Investigators

• Sponsor: Faculdade de Ciências Médicas da Santa Casa de São Paulo
• Investigators: Study Director: Vera Lucia Santos Alves, Dr, Faculdade de Ciências Médicas da Santa Casa de São Paulo

Publications and helpful links

General Publications

• Foucher KC, Cinnamon CC, Ryan CA, Chmell SJ, Dapiton K. Hip abductor strength and fatigue are associated with activity levels more than 1 year after total hip replacement. J Orthop Res. 2018 May;36(5):1519-1525. doi: 10.1002/jor.23783. Epub 2017 Nov 28.

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2017
• Primary Completion (Actual): September 1, 2017
• Study Completion (Actual): February 1, 2019

Study Registration Dates

• First Submitted: January 3, 2018
• First Submitted That Met QC Criteria: December 30, 2019
• First Posted (Actual): January 2, 2020

Study Record Updates

• Last Update Posted (Actual): September 9, 2020
• Last Update Submitted That Met QC Criteria: September 4, 2020
• Last Verified: September 1, 2020

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Arthritis; Osteoarthritis; Osteoarthritis, Hip
• Other Study ID Numbers: Joao B

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No