Functional exercise after total hip replacement (FEATHER) a randomised control trial
<p>Abstract</p> <p>Background</p> <p>Prolonged physical impairments in range of movement, postural stability and walking speed are commonly reported following total hip replacement (THR). It is unclear from the current body of evidence what kind of exercises should be p...
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| Format: | Article |
| Language: | English |
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BMC
2012-11-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://www.biomedcentral.com/1471-2474/13/237 |
| _version_ | 1818556653394460672 |
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| author | Monaghan Brenda Grant Tim Hing Wayne Cusack Tara |
| author_facet | Monaghan Brenda Grant Tim Hing Wayne Cusack Tara |
| author_sort | Monaghan Brenda |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Prolonged physical impairments in range of movement, postural stability and walking speed are commonly reported following total hip replacement (THR). It is unclear from the current body of evidence what kind of exercises should be performed to maximize patient function and quality of life.</p> <p>Methods/design</p> <p>This will be a single blind multi centre randomized control trial with two arms. Seventy subjects post primary total hip arthroplasty will be randomized into either an experimental group (n=35), or to a control group (n=35). The experimental group will attend a functional exercise class twice weekly for a six week period from week 12 to week 18 post surgery. The functional exercise group will follow a circuit based functional exercise class supervised by a chartered Physiotherapist. The control group will receive usual care. The principal investigator (BM) will perform blinded outcome assessments on all patients using validated measures for pain, stiffness, and function using the Western Ontario and Mc Master Universities Osteoarthritis index (WOMAC). This is the primary outcome measurement tool. Secondary outcome measurements include Quality of life (SF-36), 6 min walk test, Visual Analogue Scale, and the Berg Balance score. The WOMAC score will be collated on day five post surgery and repeated at week twelve and week eighteen. All other measurements will be taken at week 12 and repeated at week eighteen. In addition a blinded radiologist will measure gluteus medius cross sectional area using real time ultrasound for all subjects at week 12 and at week 18 to determine if the functional exercise programme has any effect on muscle size.</p> <p>Discussion</p> <p>This randomised controlled trial will add to the body of evidence on the relationship between muscle size, functional ability, balance, quality of life and time post surgery in patients following total hip arthroplasty. The CONSORT guidelines will be followed to throughout. Ethical approval has been gained from the Ethics committee Health Services Executive Dublin North East.</p> <p>Trial registration</p> <p>This trial is registered with ClinicalTrials.gov (a service of the United States National Institutes of Health) identifier NCT01683201</p> |
| first_indexed | 2024-12-13T23:50:02Z |
| format | Article |
| id | doaj.art-5dbab8ffaff3430796077117ac57fd5e |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-13T23:50:02Z |
| publishDate | 2012-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-5dbab8ffaff3430796077117ac57fd5e2022-12-21T23:26:48ZengBMCBMC Musculoskeletal Disorders1471-24742012-11-0113123710.1186/1471-2474-13-237Functional exercise after total hip replacement (FEATHER) a randomised control trialMonaghan BrendaGrant TimHing WayneCusack Tara<p>Abstract</p> <p>Background</p> <p>Prolonged physical impairments in range of movement, postural stability and walking speed are commonly reported following total hip replacement (THR). It is unclear from the current body of evidence what kind of exercises should be performed to maximize patient function and quality of life.</p> <p>Methods/design</p> <p>This will be a single blind multi centre randomized control trial with two arms. Seventy subjects post primary total hip arthroplasty will be randomized into either an experimental group (n=35), or to a control group (n=35). The experimental group will attend a functional exercise class twice weekly for a six week period from week 12 to week 18 post surgery. The functional exercise group will follow a circuit based functional exercise class supervised by a chartered Physiotherapist. The control group will receive usual care. The principal investigator (BM) will perform blinded outcome assessments on all patients using validated measures for pain, stiffness, and function using the Western Ontario and Mc Master Universities Osteoarthritis index (WOMAC). This is the primary outcome measurement tool. Secondary outcome measurements include Quality of life (SF-36), 6 min walk test, Visual Analogue Scale, and the Berg Balance score. The WOMAC score will be collated on day five post surgery and repeated at week twelve and week eighteen. All other measurements will be taken at week 12 and repeated at week eighteen. In addition a blinded radiologist will measure gluteus medius cross sectional area using real time ultrasound for all subjects at week 12 and at week 18 to determine if the functional exercise programme has any effect on muscle size.</p> <p>Discussion</p> <p>This randomised controlled trial will add to the body of evidence on the relationship between muscle size, functional ability, balance, quality of life and time post surgery in patients following total hip arthroplasty. The CONSORT guidelines will be followed to throughout. Ethical approval has been gained from the Ethics committee Health Services Executive Dublin North East.</p> <p>Trial registration</p> <p>This trial is registered with ClinicalTrials.gov (a service of the United States National Institutes of Health) identifier NCT01683201</p>http://www.biomedcentral.com/1471-2474/13/237Total hip replacementLate stage exerciseFunctional exercisePhysiotherapy |
| spellingShingle | Monaghan Brenda Grant Tim Hing Wayne Cusack Tara Functional exercise after total hip replacement (FEATHER) a randomised control trial BMC Musculoskeletal Disorders Total hip replacement Late stage exercise Functional exercise Physiotherapy |
| title | Functional exercise after total hip replacement (FEATHER) a randomised control trial |
| title_full | Functional exercise after total hip replacement (FEATHER) a randomised control trial |
| title_fullStr | Functional exercise after total hip replacement (FEATHER) a randomised control trial |
| title_full_unstemmed | Functional exercise after total hip replacement (FEATHER) a randomised control trial |
| title_short | Functional exercise after total hip replacement (FEATHER) a randomised control trial |
| title_sort | functional exercise after total hip replacement feather a randomised control trial |
| topic | Total hip replacement Late stage exercise Functional exercise Physiotherapy |
| url | http://www.biomedcentral.com/1471-2474/13/237 |
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