Health TrialsbyHealthPanel

Effectiveness of Therapeutic Exercises on Spinopelvic Mobility

ConditionOsteoarthritis (OA) of the Hip
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-90
SponsorColorado Joint Replacement

About this trial

The purpose of this study is to examine the extent to which spinopelvic exercises may affect either sagittal spinal deformity or spinopelvic mobility and identifying patients at risk for hip instability following a total hip replacement.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients aged 18-90 scheduled for total hip arthroplasty

Patients with primary hip osteoarthritis

Patients with or without history of prior spinal injections

Disqualifiers

Patients undergoing revision total hip arthroplasty.

Patients with spinal fusion.

Patients who exercised prior to radiographic analysis.

Patients unable to complete imaging at the designated time of day.

Trial design

Design model

Single group

Treatments tested in this trial

  • Spinopelvic mobility exercise

    Other intervention

    Participants will complete a 15-20 min session of therapeutic exercises performed by patients with assistance of a pre-recorded video. The exercise regimen has been developed by the investigators of this study to incorporate exercises to increase a patient's spinopelvic mobility. Study staff that has been properly trained will be present to guide the patient through the exercise regimen and ensure the exercises are being performed accurately.

Treatment groups

53 Participants
are divided into 1 treatment group
Group A: Spinopelvic ExerciseExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Spinopelvic radiographic measurements

Spinopelvic parameter measurements on pre- and post-exercise radiographs including pelvic incidence, pelvic tilt, sacral slope and lumbar lordosis. All measurements are angles calculated in degrees.

Time frame
Change from baseline to up to 1 hour after spinopelvic exercises same day.
2

Lumbar mobility

Calculated as the change in angle of lumbar lordosis between neutral standing and flexed-forward seated radiographs.

Time frame
Change from baseline to up to 1 hour after spinopelvic exercises same day
3

Spinopelvic mobility

Calculated as the change in angle of pelvic tilt between neutral standing and flexed-forward seated radiographs.

Time frame
Change from baseline to up to 1 hour after spinopelvic exercises same day
4

Patient risk classification for THA instability

Risk classification based on previously published risk factors for THA instability (lumbar stiffness, abnormal pelvic mobility, standing pelvic tilt greater than 13, sagittal spinal deformity)

Time frame
Change from baseline to up to 1 hour after spinopelvic exercises same day

Secondary outcomes

1

Oswestry Disability Index score

Patient reported outcome for pre-existing back pain and disability. The questionnaire is comprised of 10 sections, where each section is scored on a scale from 0 to 5 and summed. Higher score totals indicates worse disability.

Time frame
Baseline
2

Hip Society Score

Patient reported outcome, scored from 0 to 100. Higher scores indicate better outcomes.

Time frame
Baseline
3

Hip disability and Osteoarthritis Outcome Score for Joint Replacement (HOOS, JR)

Patient reported outcome, scored from 0 to 100. Higher scores indicate better outcomes.

Time frame
Baseline
4

The Veterans Rand 12-Item Health Survey scores (VR-12)

Patient reported outcome. Scores are reported as a Z-score that is based on the United States population average of 50. Higher scores indicate better outcomes.

Time frame
Baseline

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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

Colorado Joint Replacement

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: