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CompletedNCT02933632ARTHAUpdated Oct 6, 2020

Accelerated Rehabilitation in Hip Arthroplasty

An interventional study of Physical Therapy-SAP and Physical Therapy-ARP in Osteoarthritis, sponsored by Federal University of Rio Grande do Sul. Completed at 2 sites in Brazil. Per ClinicalTrials.gov, last updated 2020-10-06.

Sponsored by Federal University of Rio Grande do Sul · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
48
Allocation
Randomized
Sex
All
01

Study summary

Accelerated rehabilitation protocol in Total Hip Arthroplasty (THA-AR).

Read the detailed description

The accelerated rehabilitation protocol in Total Hip Arthroplasty (THA-AR) was designed to improve the functionality and optimize early discharge of patients undergoing THA surgery. This study compared physical therapy protocol in Total Hip Arthroplasty (THA-PT) already deployed in Porto Alegre Clinical Hospital with THA-AR.

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Conditions studied

  • Osteoarthritis

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Keywords

  • Osteoarthritis
  • Physiotherapy
  • Rehabilitation
  • Clinical Trials
  • Accelerated rehabilitation
  • Hip Replacement Arthroplasty
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In context

Osteoarthritis

4,398 studies on the registry are indexed under Osteoarthritis; 582 are open to participants now.

This study's enrollment of 48 is below the median of 70 across 3,440 interventional studies indexed under Osteoarthritis.

Browse Osteoarthritis studies →

Lead sponsor

Federal University of Rio Grande do Sul is the lead sponsor of 118 studies on the registry; 20 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients of the Public Health System of our Country that were admitted with hip osteoarthritis diagnose and submitted to a total hip arthroplasty surgery in the Hospital de Clínicas de Porto Alegre (HCPA).

Exclusion criteria

Exclusion Criteria:

  • Patients who refused to participate in this study;
  • Patients lived in another city;
  • Patients undergoing surgery for total hip arthroplasty due to hip fracture;
  • Patients with cognitive disorders or diseases that adversely affect its cognitive function (Alzheimer's disease, senile dementia).
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
48 participants (actual)

Study arms

  • Active comparator
    Standard Assistance Protocol-SAP

    Patients underwent physical therapy once a day. Patients receive intervention by Physical Therapy-SAP.

    Other: Physical Therapy-SAP

  • Active comparator
    Accelerated Rehabilitation Protocol-ARP

    Patients underwent physical therapy three times a day. Patients receive intervention by Physical Therapy-ARP.

    Other: Physical Therapy-ARP

Interventions

  • OtherPhysical Therapy-SAP

    * Day 1) Patients started approach after discharged anesthesia. Patients received verbal orientation and demonstration of the physiotherapy exercises that would strengthen muscles (gluteal and thigh). They were oriented to the decubitus changes and how to leave bed. They practiced 3 repetitions of 12 complete movements for each exercise; * Day 2) Patients repeated the exercises learned from day 1. Following the proposed activities patients received verbal instructions on gait training and then starting gait training. Patients started gait training on this second day only if they felt safe and claimed that their pain was controlled. Otherwise, training was postponed to the next day; * Day 3) Patients repeated the day 2. And the patient who had not started gait training in the day 2, began it on the day 3; * Day 4 and other days) Patients repeated the gait training until the discharge date.

  • OtherPhysical Therapy-ARP

    * Day 1-1°approach) Patients started after discharged anesthesia. Received verbal orientation and demonstration of the physiotherapy exercises that would strengthen muscles (gluteal and thigh). They were oriented to the decubitus changes and how to leave bed. They practiced 3 repetitions of 12 complete movements for each exercise; * Day 1-2°approach) Patients repeated the exercises learned from day 1-1°approach. Following patients received verbal instructions on gait training and then starting gait training. Patients started gait training on this Day 1-2°approach only if they felt safe and claimed that their pain was controlled. Otherwise, training was postponed to next approach; * Day 1-3°approach) Patients repeat the day 1-2°approach. And the patient, who had not started gait training in the day 1 - second approach, began it in this third approach; * Day 2) Patients repeated three times the day 1-3°approach; * Day 3) Patients repeated three times the day 1-3°approach.

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What researchers measure

Primary outcomes

  1. Merle D'Aubigné and Postel score

    Time frame: From the moment of hospitalization until the day of hospital discharge, assessed up to four days.

Secondary outcomes

  1. Length of hospital stay

    Time frame: From the moment of hospitalization until the day of hospital discharge, assessed up to four days.

  2. Muscle strength force

    Measured based on Kendall's criteria. Measured in the operated hip.

    Time frame: From the moment of hospitalization until the day of hospital discharge, assessed up to four days.

  3. Goniometry

    Evaluate the range of motion in flexion, extension, adduction, abduction, and internal and external rotation in the operated hip.

    Time frame: From the moment of hospitalization until the day of hospital discharge, assessed up to four days.

  4. Time to beginning the gait.

    Time frame: From the date of hospitalization until the day that began gait, assessed up to four days.

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Study locations

2 sites
  • Hospital de Clínicas de Porto Alegre
    Porto Alegre, Rio Grande Do Sul 55, Brazil
  • Federal University Rio Grande do Sul
    Porto Alegre, Rio Grande Do Sul 90040-060, Brazil
08

References and documents

Publications

  • Marchisio AE, Ribeiro TA, Umpierres CSA, GalvAo L, Rosito R, Macedo CAS, Galia CR. Accelerated rehabilitation versus conventional rehabilitation in total hip arthroplasty (ARTHA): a randomized double blinded clinical trial. Rev Col Bras Cir. 2020;47:e20202548. doi: 10.1590/0100-6991e-20202548. Epub 2020 Aug 12. English, Portuguese. PubMed 32844909 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 6, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02933632
Lead sponsor
Federal University of Rio Grande do Sul
Responsible party
Angela Elizabeth Marchisio (Master Degree, Federal University of Rio Grande do Sul) — Principal investigator
First posted
Oct 14, 2016
Start date
Aug 2013
Primary completion
Nov 2014
Completion
Nov 2014
Last update
Oct 6, 2020

Study contacts

Carlos R Galia, Doctor
principal investigator · Federal University Rio Grande do Sul

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2020. You cannot join it, but the record below documents what was studied.

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