Health TrialsbyHealthPanel

Effect of Cognitive Behavioral Therapy on Kinesiophobia and Functional Outcomes After Total Hip Arthroplasty.

ConditionsTotal Hip Arthroplasty (THA)Kinesiophobia (Fear of Movement)
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorCairo University

About this trial

The goal of this clinical trial study is to evaluate the effectiveness of cognitive behavioral therapy in reducing kinesiophobia and improving Clinical outcomes in postoperative patients following total hip arthroplasty The main question it aims to answer is:

Does the addition of cognitive behavioral therapy to standard physical therapy rehabilitation exercise reduce kinesiophobia and pain while improving functional mobility and quality of life in postoperative patients after total hip arthroplasty ? Participants will be divided into two groups to be compared: the first group (Control group) will only receive standard physical therapy rehabilitation exercises , consistent with routine post-total hip arthroplasty care, while the second group ( experimental group) will receive the same program in addition to cognitive behavioral therapy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Cognitive-behavioral therapy

    Behavioral

    Four Cognitive Behavioral Therapy sessions will be delivered over a 12-week period.

  • Exercise

    Other intervention

    The Standard rehabilitation program consisting of active exercises will be delivered over a 12-week period

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: Standard Total Hip Arthroplasty RehabilitationActive comparator 1 intervention
Group B: Cognitive Behavioral Therapy with standard THA rehabilitationExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Tampa Scale of kinesiophobia (TSK)

To assess kinesiophobia ( fear of movement/re-injury) before and after intervention ( at four time points ).This scale uses individual item scores ranging from 1 to 4, where 1 indicates strong disagreement and 4 indicates strong agreement. Four negatively worded items (4, 8, 12, 16) are reverse-scored (4 = 1, 3 = 2, 2 = 3, 1 = 4). The total score ranges from 17 to 68, with higher scores indicating greater kinesiophobia. Scores above 37 are generally considered indicative of clinically relevant kinesiophobia

Time frame
Day 1 , 6 weeks , 12 weeks, 6 months as follow up.

Secondary outcomes

1

Numerical Pain Rating Scale Score (NPRS)

To evaluate the effect of Cognitive Behavioral Therapy on pain perception. Scores range from 0 ( no pain) to 10 (worst pain)

Time frame
day 1 , 6 weeks , 12 weeks, 6 months as follow up
2

Harris Hip Score (HHS)

To assess hip function, pain, and functional mobility on day 1 , 6weeks , 12 weeks , 6 months after surgery 90-100: excellent 80-89: good 70-79: fair \<70: poor

Time frame
day 1 , 6weeks , 12 weeks , 6 months as follow up
3

Assessmeny of qulity of life by SF-36 Form

To assess overall health-related quality of life on day 1, 6weeks , 12 weeks and 6 months after surgery. Scores range from 0 ( lowest score )-100 (highest score), with : Higher scores: better health status and functioning Lower scores: worse health status and functioning

Time frame
day 1, 6weeks , 12 weeks and 6 months as follow up.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Cairo University

Lead sponsor

Source ClinicalTrials.gov
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