Study Summary
This trial is testing whether patients recover better after hip surgery when they're given movement restrictions.
Eligible Conditions
- Hip Replacement
- Quality of Life
Treatment Effectiveness
Effectiveness Progress
Study Objectives
1 Primary · 4 Secondary · Reporting Duration: At 2 weeks after surgery
Month 6
Change in Forgotten Joint Score
Week 2
Canadian Patient Experience Survey - Inpatient Care (CPES-IC)
Month 6
Change in EQ-5D-5L
Change in Oxford Hip Score
Change in Tampa Scale for Kinesiophobia
Trial Safety
Safety Progress
Trial Design
0 Treatment Group
212 Total Participants · 0 Treatment Group
Primary Treatment: Treatment · No Placebo Group · N/A
Trial Logistics
Trial Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: at 2 weeks after surgery
Who is running the clinical trial?
Ottawa Hospital Research InstituteLead Sponsor
529 Previous Clinical Trials
2,511,764 Total Patients Enrolled
Eligibility Criteria
Age 18+ · All Participants · 3 Total Inclusion Criteria
Mark “Yes” if the following statements are true for you:References
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- Withers, Thomas M, Sarah Lister, Catherine Sackley, Allan Clark, and Toby O Smith. 2016. “Is There a Difference in Physical Activity Levels in Patients Before and up to One Year After Unilateral Total Hip Replacement? A Systematic Review and Meta-analysis”. Clinical Rehabilitation. SAGE Publications. doi:10.1177/0269215516673884.
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- Westby, Marie D., Asuko Brittain, and Catherine L. Backman. 2014. “Expert Consensus on Best Practices for Post-acute Rehabilitation After Total Hip and Knee Arthroplasty: A Canada and United States Delphi Study”. Arthritis Care & Research. Wiley. doi:10.1002/acr.22164.
- Podsiadlo, Diane, and Sandra Richardson. 1991. “The Timed “up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons”. Journal of the American Geriatrics Society. Wiley. doi:10.1111/j.1532-5415.1991.tb01616.x.
- Seagrave, Kurt G, Anders Troelsen, Henrik Malchau, Henrik Husted, and Kirill Gromov. 2016. “Acetabular Cup Position and Risk of Dislocation in Primary Total Hip Arthroplasty”. Acta Orthopaedica. Medical Journals Sweden AB. doi:10.1080/17453674.2016.1251255.
- Darlow, B., B.M. Fullen, S. Dean, D.A. Hurley, G.D. Baxter, and A. Dowell. 2012. “The Association Between Health Care Professional Attitudes and Beliefs and the Attitudes and Beliefs, Clinical Management, and Outcomes of Patients with Low Back Pain: A Systematic Review”. European Journal of Pain. Wiley. doi:10.1016/j.ejpain.2011.06.006.
- Beard, David J., Kristina Harris, Jill Dawson, Helen Doll, David W. Murray, Andrew J. Carr, and Andrew J. Price. 2015. “Meaningful Changes for the Oxford Hip and Knee Scores After Joint Replacement Surgery”. Journal of Clinical Epidemiology. Elsevier BV. doi:10.1016/j.jclinepi.2014.08.009.
- Husted, Henrik. 2012. “Fast-track Hip and Knee Arthroplasty: Clinical and Organizational Aspects”. Acta Orthopaedica. Medical Journals Sweden AB. doi:10.3109/17453674.2012.700593.
- Foglia, Emanuela, Lucrezia Ferrario, Fabrizio Schettini, M. Beatrice Pagani, Martina Dalla Bona, and Emanuele Porazzi. 2022. “COVID-19 and Hospital Management Costs: The Italian Experience”. BMC Health Services Research. Springer Science and Business Media LLC. doi:10.1186/s12913-022-08365-9.
- Zhang, W., R.W. Moskowitz, G. Nuki, S. Abramson, R.D. Altman, N. Arden, S. Bierma-Zeinstra, et al.. 2007. “OARSI Recommendations for the Management of Hip and Knee Osteoarthritis, Part I: Critical Appraisal of Existing Treatment Guidelines and Systematic Review of Current Research Evidence”. Osteoarthritis and Cartilage. Elsevier BV. doi:10.1016/j.joca.2007.06.014.
- Jones, C. Allyson, Ruben San Martin, Marie D. Westby, and Lauren A. Beaupre. 2016. “Total Joint Arthroplasty: Practice Variation of Physiotherapy Across the Continuum of Care in Alberta”. BMC Health Services Research. Springer Science and Business Media LLC. doi:10.1186/s12913-016-1873-9.
- Zhang W, Moskowitz RW, Nuki G, Abramson S, Altman RD, Arden N, Bierma-Zeinstra S, Brandt KD, Croft P, Doherty M, Dougados M, Hochberg M, Hunter DJ, Kwoh K, Lohmander LS, Tugwell P. OARSI recommendations for the management of hip and knee osteoarthritis, part I: critical appraisal of existing treatment guidelines and systematic review of current research evidence. Osteoarthritis Cartilage. 2007 Sep;15(9):981-1000. doi: 10.1016/j.joca.2007.06.014. Epub 2007 Aug 27.
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- Smith TO, Jepson P, Beswick A, Sands G, Drummond A, Davis ET, Sackley CM. Assistive devices, hip precautions, environmental modifications and training to prevent dislocation and improve function after hip arthroplasty. Cochrane Database Syst Rev. 2016 Jul 4;7(7):CD010815. doi: 10.1002/14651858.CD010815.pub2.
- Husted H. Fast-track hip and knee arthroplasty: clinical and organizational aspects. Acta Orthop Suppl. 2012 Oct;83(346):1-39. doi: 10.3109/17453674.2012.700593.
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- van der Weegen W, Kornuijt A, Das D. Do lifestyle restrictions and precautions prevent dislocation after total hip arthroplasty? A systematic review and meta-analysis of the literature. Clin Rehabil. 2016 Apr;30(4):329-39. doi: 10.1177/0269215515579421. Epub 2015 Mar 31.
- Swinkels-Meewisse EJ, Swinkels RA, Verbeek AL, Vlaeyen JW, Oostendorp RA. Psychometric properties of the Tampa Scale for kinesiophobia and the fear-avoidance beliefs questionnaire in acute low back pain. Man Ther. 2003 Feb;8(1):29-36. doi: 10.1054/math.2002.0484.
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- Seagrave KG, Troelsen A, Malchau H, Husted H, Gromov K. Acetabular cup position and risk of dislocation in primary total hip arthroplasty. Acta Orthop. 2017 Feb;88(1):10-17. doi: 10.1080/17453674.2016.1251255. Epub 2016 Nov 23.
- Withers TM, Lister S, Sackley C, Clark A, Smith TO. Is there a difference in physical activity levels in patients before and up to one year after unilateral total hip replacement? A systematic review and meta-analysis. Clin Rehabil. 2017 May;31(5):639-650. doi: 10.1177/0269215516673884. Epub 2016 Oct 23.
- Jones CA, Martin RS, Westby MD, Beaupre LA. Total joint arthroplasty: practice variation of physiotherapy across the continuum of care in Alberta. BMC Health Serv Res. 2016 Nov 4;16(1):627. doi: 10.1186/s12913-016-1873-9.
- Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991 Feb;39(2):142-8. doi: 10.1111/j.1532-5415.1991.tb01616.x.
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- Pincus T, Vogel S, Burton AK, Santos R, Field AP. Fear avoidance and prognosis in back pain: a systematic review and synthesis of current evidence. Arthritis Rheum. 2006 Dec;54(12):3999-4010. doi: 10.1002/art.22273.
- 2019. "Dislocation Precautions". ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT03806114.
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