Pragmatic Home-Based Exercise after Total Hip Arthroplasty - Silkeborg: Protocol for a prospective cohort study (PHETHAS-1)

Lone Ramer Mikkelsen, Merete Nørgaard Madsen, Michael Skovdal Rathleff, Kristian Thorborg, Camilla Blach Rossen, Thomas Kallemose, Thomas Bandholm, Lone Ramer Mikkelsen, Merete Nørgaard Madsen, Michael Skovdal Rathleff, Kristian Thorborg, Camilla Blach Rossen, Thomas Kallemose, Thomas Bandholm

Abstract

Introduction: Rehabilitation exercises are offered to patients after total hip arthroplasty (THA); however, the effectiveness and optimal type and dose of exercise remains unknown. The primary objective of this trial is to indicate the preliminary efficacy of home-based rehabilitation using elastic band exercise on performance-based function after THA, based on the relationship between the performed exercise dose and the change in performance-based function (gait speed) from 3 (start of intervention) to 10 weeks (end of intervention) after surgery. The secondary objective is to investigate if a dose-response relationship exists between the performed exercise dose and changes in: hip-related disability, lower-extremity functional performance, and hip muscle strength Methods: In this prospective cohort study, patients scheduled for THA will be consecutively included until 88 have completed the intervention period from 3 to 10 weeks postoperatively. Participants perform the standard rehabilitation program with elastic band exercises. Exercise dose (exposure) will be objectively quantified using a sensor attached to the elastic band. The primary outcome is gait speed measured by the 40-m fast-paced walk test. Secondary outcomes include: patient reported hip disability (Hip disability and Osteoarthritis Outcome Score (HOOS)), hip muscle strength (hand-held dynamometry) and lower extremity function (30-s chair stand test). Discussion: This trial will add knowledge concerning the relationship between performed exercise dose and post-operative outcomes after THA. The protocol paper describes the study design and methods in detail, including the statistical analysis plan. Trial registration: Pre-registered on March 27, 2017 at ClinicalTrails.gov (ID: NCT03109821).

Keywords: Dose-response; Exercise therapy; Rehabilitation; Strength training; Total Hip Arthroplasty.

Conflict of interest statement

No competing interests were disclosed.

Copyright: © 2019 Mikkelsen LR et al.

Figures

Figure 1.. Estimated participant flow.
Figure 1.. Estimated participant flow.

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Source: PubMed

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