Early Rehabilitation After Total Hip Arthroplasty
ConditionTotal Hip Arthroplasty (THA)
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age50-75
SponsorMuğla Sıtkı Koçman University
About this trial
This study aims to investigate the effects of an early postoperative rehabilitation program combined with neuromuscular electrical stimulation (NMES) and telerehabilitation on functional recovery in patients undergoing total hip arthroplasty (THA).
In the early postoperative period, patients commonly experience muscle weakness, impaired gait, and functional limitations that may delay recovery. Early rehabilitation has been shown to improve functional outcomes, while NMES may enhance muscle activation, particularly in hip abductor muscles. Additionally, telerehabilitation may support continuity of care following discharge by enabling supervised home-based exercise.
In this prospective study, participants will be assigned to either an intervention group receiving early physiotherapy combined with NMES and telerehabilitation, or a control group receiving standard postoperative care. Functional outcomes, gait parameters, quality of life, and muscle-related changes will be evaluated at predefined time points.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients scheduled for unilateral total hip arthroplasty due to osteoarthritis or developmental dysplasia of the hip (DDH)
Aged between 50 and 75 years
Willing and able to participate in all follow-up assessments
Able to comply with assessment procedures
Disqualifiers
Previous history of total hip arthroplasty on either side
Planned revision total hip arthroplasty
Severe osteoarthritis in the contralateral hip
Presence of severe acute metabolic, neuromuscular, or cardiovascular disease
Trial design
Design model
Parallel
Treatments tested in this trial
Early Postoperative Physiotherapy
Other interventionA structured physiotherapy program including mobilization and therapeutic exercises initiated on postoperative day 1 and continued daily until discharge (5 days).
Neuromuscular Electrical Stimulation (NMES)
DeviceNMES applied to the gluteus medius muscle starting on postoperative day 1, administered daily for 5 days using standard stimulation parameters to enhance muscle activation.
Telerehabilitation
Other interventionA 3-week home-based exercise program supported by synchronous video-based telerehabilitation sessions conducted three times per week after discharge.
Standard Postoperative Care
Other interventionRoutine postoperative care including wound monitoring and general medical follow-up during hospitalization. At discharge, patients receive a home exercise brochure without supervised rehabilitation or telerehabilitation.
Treatment groups
52 Participants
are divided into 2 treatment groupsGroup A: Experimental Group (Early Physiotherapy + NMES + Telerehabilitation)Experimental treatment 3 interventions
Group B: Control Group (Standard Care)Active comparator 1 intervention
Trial outcomes
Primary outcomes
1
Timed Up and Go (TUG) Test
Functional mobility will be assessed using the Timed Up and Go (TUG) test. The time required to stand up from a chair, walk 3 meters, turn, return, and sit down will be recorded in seconds.
Time frame
Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 4.2
10-Meter Walk Test (10MWT)
Gait speed will be assessed using the 10-Meter Walk Test. Walking speed will be recorded in meters per second (m/s).
Time frame
Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 43
Stair Climb Test
Functional lower extremity performance will be assessed using the Stair Climb Test. The time required to ascend and descend a standardized flight of stairs will be recorded in seconds.
Time frame
Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 4Secondary outcomes
1
6-Minute Walk Test (6MWT)
Functional exercise capacity will be assessed using the 6-Minute Walk Test. The total walking distance covered in 6 minutes will be recorded in meters.
Time frame
Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 42
Hip Muscle Strength (Manual Muscle Testing)
Hip muscle strength (flexion, extension, and abduction) will be evaluated using Manual Muscle Testing, graded on a scale from 0 to 5, where 0 indicates no muscle contraction and 5 indicates normal muscle strength. Higher scores indicate better muscle strength.
Time frame
Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 43
Range of Motion (ROM)
Hip joint range of motion (flexion, extension, and abduction) will be measured using a goniometer and recorded in degrees. Higher values indicate greater joint mobility.
Time frame
Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 44
Pain Intensity (Visual Analog Scale - VAS)
Pain intensity during movement will be assessed using the Visual Analog Scale (VAS), a 10-centimeter scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate worse pain.
Time frame
Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 4Sponsors and contacts
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Source ClinicalTrials.gov