- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04433962
Investigation of the Effects of Balance Training on Balance and Functional Status Patients With Total Hip Arthroplasty
June 15, 2020 updated by: Nuray Elibol, Ege University
The purpose of this study is to investigate the effects of balance training in patients with THA until 26 weeks postoperatively.
Thirty-two patients with hip osteoarthritis who were candidates for THA were recruited to the study.
Sixteen patients with THA completed the study protocol and the patients were randomized into 2 groups: conventional rehabilitation (CR, n=8) or conventional rehabilitation plus balance training (CR + BT, n=8) groups.
The patients were evaluated by hand-held dynamometer, single leg stance test (SLST), Tetrax balance system, Harris hip score, lower extremity function scale, 5 times sit-to-stand test and 50 foot timed walk test preoperatively and in the 8th, 14th and 26th weeks postoperatively.
Study Overview
Status
Completed
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
32
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
-
-
Bornova
-
Izmir, Bornova, Turkey, 35340
- Dokuz Eylul University
-
-
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
18 years to 75 years (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Total hip arthroplasty due to osteoarthritis
- First time hip surgery/prothesis
- no involvement in any exercise program in the past 12 months
Exclusion Criteria:
- THA due to hip fracture,
- revision hip prothesis,
- arthritis in other joints limited function
- neurologic problems that limited function and balance,
- body mass index greater than 40 kg/m2.
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
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: conventional rehabilitation group
the conventional rehabilitation group completed hip joint range of motion and muscle strengthening exercises
|
Other Names:
|
EXPERIMENTAL: conventional rehabilitation + balance training group
The conventional rehabilitation + balance training group completed hip joint range of motion and muscle strengthening exercises and 12 balance exercises.
|
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
single leg test
Time Frame: Pre-op to post-op 26. week
|
Patients were tested first with eyes opened and then with eyes closed; they were asked to stand on either their left or right leg and tried to keep their legs from touching and to maintain single-leg stance for as long as possible.
The test and time began once the foot was lifted off the floor, and ended when placing the lifted foot on the floor or with arm movements.
The test was terminated following a maximum of 45 s, and each leg was tested three times with eyes opened and eyes closed and the best of the three trials were recorded
|
Pre-op to post-op 26. week
|
Tetrax Balance Assessment
Time Frame: Pre-op to post-op 26. week
|
Tetrax Balance Assessment System (Sunlight Medical Ltd.Ramat Gan, Israel); is a valid, reliable and objective method to evaluate balance and fall risk.
The system obtains data by using 4 different platforms which measure vertical pressure fluctuations arising from two heels and two fingertips.
Patients were instructed an immobile posture for 32 s for each of the eight sensory conditions.The fall risks of the patients were calculated as percentage (%) by a posturographic program considering the oscillation rates.
A value between 0% and 36% is judged as mild risk; a value between 37% and 58%, as moderate risk; and between 59% and 100%, as high risk.
The higher score is showed the greater falling risk
|
Pre-op to post-op 26. week
|
Sit to stand test
Time Frame: Pre-op to post-op 26. week
|
STS; is an objective functional measure of strength correlating with ambulatory independence.
Sit-to-stand (such as the 5 STS) activities are recommended as the minimal core set of performance-based outcome measures in OA research and clinical practice [21].
Patients sit on a height adjustable chair such that a 90⁰ angle is formed when the femur is horizontal and tibia vertical with their feet shoulder width apart and their arms crossed against their chest.
Patients are timed as they 5 times stand up from chair and sit down again without using their hand, time was recorded as second
|
Pre-op to post-op 26. week
|
50 feet walk test
Time Frame: Pre-op to post-op 26. week
|
50 FWT; is a reliable measurement method and commonly used in studies of exercise based OA.
All patients are asked to walk as quickly as possible in 50 feet length distance.
The physiotherapist counted number of steps and as soon as the patient finished to walking 50 feet length distance and the time was recorded as seconds
|
Pre-op to post-op 26. week
|
Harris hip score
Time Frame: Pre-op to post-op 26. week
|
Many different hip scoring scales are used in assessment of THA's results [23].
HHS is a joint specific outcome measurements and the most frequently used in assessment of THA patients.
It has been used in a number of studies over the years and has been shown to have high validity and reliability [23,24].
HHS was recorded, a score commonly used in this context, which contains questions about pain, function, absence of deformity, and range-of-motion.
The best possible score is 100 points
|
Pre-op to post-op 26. week
|
Lower extremity function scale
Time Frame: Pre-op to post-op 26. week
|
is a region specific measure, was conceived to assess the lower extremity functional status of patients and the reliability estimates have been high when investigated in the THA and TKA population.
The LEFS is composed of 20 items each scored on a 5 point adjectival scale with '0' extreme difficulty or unable to perform the activity and '4' no difficulty.
The items are summed to produce a total LEFS score, which can vary from 0 to 80.
|
Pre-op to post-op 26. week
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain assessment
Time Frame: Pre-op to post-op 26. week
|
Visual analog scale was used to determine to degree of pain.
The patient was asked to choose a number 0 and 10 on a chart.
0 indicates "no pain" and 10 indicates "very severe pain".
|
Pre-op to post-op 26. week
|
Range of motion
Time Frame: Pre-op to post-op 26. week
|
Hip extension, hipflexion, hip abduction and hip adduction was measured with goniometer.
|
Pre-op to post-op 26. week
|
Muscle strength
Time Frame: Pre-op to post-op 26. week
|
Maximal isometric muscle strength was measured with a handheld dynamometer (HHD) (Lafayette Instrument Company).
|
Pre-op to post-op 26. week
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Nuray Elibol, PhD, Ege University
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 (ACTUAL)
September 1, 2014
Primary Completion (ACTUAL)
October 20, 2015
Study Completion (ACTUAL)
December 25, 2016
Study Registration Dates
First Submitted
June 10, 2020
First Submitted That Met QC Criteria
June 15, 2020
First Posted (ACTUAL)
June 16, 2020
Study Record Updates
Last Update Posted (ACTUAL)
June 16, 2020
Last Update Submitted That Met QC Criteria
June 15, 2020
Last Verified
June 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2012/22-01
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
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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