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CompletedNCT06883591Updated Jun 23, 2026

Triaxial Accelerometry Study

An observational study in Total Hip Arthroplasty (THA), Accelerometers and Resurfacing Hip Arthroplasty, sponsored by Rijnstate Hospital. Completed at 2 sites in 2 countries. Per ClinicalTrials.gov, last updated 2026-06-23.

Sponsored by Rijnstate Hospital · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
32
Sex
All
01

Study summary

This study looks at how physical activity levels are in the long term after hip surgery. Arthritis can make everyday movement difficult, and hip replacement surgeries-such as total hip arthroplasty (THA) and hip resurfacing-help reduce pain and improve function. However, it is not clear how these surgeries affect long-term physical activity.

To learn more, researchers are following up with patients who had one of these surgeries 15 years ago. Participants will wear two small activity-tracking devices (accelerometers): one on their wrist for 10 days and one on their thigh for 48 hours. These devices will measure how much and how intensely they move. Participants will also complete short physical activity questionnaires.

By comparing activity levels between the two types of hip surgery, the study aims to understand their long-term effects on mobility and health. The results could help doctors improve treatment and recovery plans for future patients. All data will be kept private, and participation is voluntary.

Read the detailed description

Arthritis significantly impacts patients' quality of life, leading to pain, fatigue, and reduced mobility. Treatment strategies include medication, lifestyle changes, and surgical interventions such as total hip arthroplasty (THA) and hip resurfacing. While these procedures improve function and alleviate pain, their long-term effects on physical activity levels remain unclear. Given the importance of physical activity in maintaining health and reducing mortality risks, understanding post-surgical activity levels is crucial.

Wearable technology has revolutionized the measurement of physical activity, providing objective, large-scale data collection. This study utilizes accelerometers to evaluate physical activity in patients who underwent hip resurfacing or THA 15 years ago. By comparing these groups, researchers aim to understand the long-term impact of different surgical interventions on mobility and activity levels.

The primary objective of the study is to compare the volume and intensity of physical activity in patients who underwent hip resurfacing versus those who had a total hip replacement. We will also explore associations between physical activity levels and functional outcome scores.

This is a cross-sectional observational study involving a follow-up of patients who participated in a randomized controlled trial 15 years ago. Participants will be asked to complete questionnaires and wear two different accelerometers to monitor their physical activity. They will wear a GENEActiv triaxial accelerometer on the non-dominant wrist for 10 days and nights. They will also wear an Axivity AX3 Logging triaxial accelerometer on the surgical thigh for 48 hours. Both will measure physical activity energy expenditure (PAEE), intensity distribution of PAEE, and step count.

All participants will receive an information letter and provide informed consent before participation. Data privacy will be maintained through coded identifiers, and no personally identifiable information will be stored with the accelerometry data.

This study will provide valuable insights into the long-term mobility outcomes of patients who have undergone hip resurfacing or total hip arthroplasty. The findings will help clinicians understand the implications of surgical choices on patients' activity levels and overall health, potentially influencing future treatment recommendations and rehabilitation strategies.

02

Conditions studied

  • Total Hip Arthroplasty (THA)
  • Accelerometers
  • Resurfacing Hip Arthroplasty

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Keywords

  • Total Hip Arthroplasty
  • Observation
  • Accelerometry
  • Physical Activity
03

In context

Motor Activity

2,426 studies on the registry are indexed under Motor Activity; 1,161 are open to participants now.

This study's enrollment of 32 is below the median of 100 across 292 observational studies indexed under Motor Activity.

Browse Motor Activity studies →

Lead sponsor

Rijnstate Hospital is the lead sponsor of 127 studies on the registry; 14 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients that have previously participated in a randomised controlled trial during which they received either hip resurfacing or total hip arthroplasty.

Inclusion criteria

  • Patient must have participated in a previous randomised controlled trial that was conducted in Rijnstate hospital between 2007-2008.

Exclusion criteria

Exclusion Criteria:

  • None.
05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
32 participants (actual)
Patient registry
No

Groups and cohorts

  • Resurfacing Hip Arthroplasty

    Patients 15 years after hip resurfacing surgery

  • Total Hip Arthroplasty

    Patients 15 years after Total Hip Arthroplasty

06

What researchers measure

Primary outcomes

  1. Objective physical activity

    Physical activity energy expenditure (PAEE) and physical activity intensity distribution as measured by two accelerometers

    Time frame: Physical activity measured continuously for a duration of 10 days

Secondary outcomes

  1. Self-reported physical activity

    Self-reported physical activity using a Dutch version of the International Physical Activity Questionnaire - Short Form (IPAQ-SF).

    Time frame: Seven days prior to the first day of accelerometer use

  2. Self-reported physical activity

    Self-reported physical activity using a Dutch version of the Short Questionnaire to Assess health-enhancing physical activity (SQUASH).

    Time frame: Seven days prior to the first day of accelerometer use

Other outcomes

  1. Step count

    The participants' daily number of steps taken as measured by two accelerometers

    Time frame: Daily steps taken over a period of 10 days

07

Study locations

2 sites
  • Rijnstate Hospital
    Arnhem, Gelderland 6815 AB, Netherlands
  • Imperial College London
    London, W12 0BZ, United Kingdom
08

References and documents

Publications

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  • Gerhardt DMJM, Mors TGT, Hannink G, Van Susante JLC. Resurfacing hip arthroplasty better preserves a normal gait pattern at increasing walking speeds compared to total hip arthroplasty. Acta Orthop. 2019 Jun;90(3):231-236. doi: 10.1080/17453674.2019.1594096. Epub 2019 Apr 1. PubMed 30931667 ↗
  • Maillot C, Auvinet E, Harman C, Cobb J, Riviere C. Hip resurfacing generates a more physiological gait than total hip replacement: A case-control study. Orthop Traumatol Surg Res. 2020 May;106(3):527-534. doi: 10.1016/j.otsr.2019.12.020. Epub 2020 Apr 4. PubMed 32265178 ↗
  • Garner AJ, Dandridge OW, van Arkel RJ, Cobb JP. Medial bicompartmental arthroplasty patients display more normal gait and improved satisfaction, compared to matched total knee arthroplasty patients. Knee Surg Sports Traumatol Arthrosc. 2023 Mar;31(3):830-838. doi: 10.1007/s00167-021-06773-8. Epub 2021 Oct 23. PubMed 34689224 ↗
  • Garner AJ, Dandridge OW, van Arkel RJ, Cobb JP. The compartmental approach to revision of partial knee arthroplasty results in nearer-normal gait and improved patient reported outcomes compared to total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2023 Mar;31(3):1143-1152. doi: 10.1007/s00167-021-06691-9. Epub 2021 Aug 20. PubMed 34415369 ↗
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  • Grimes L, Outtrim JG, Griffin SJ, Ercole A. Accelerometery as a measure of modifiable physical activity in high-risk elderly preoperative patients: a prospective observational pilot study. BMJ Open. 2019 Nov 3;9(11):e032346. doi: 10.1136/bmjopen-2019-032346. PubMed 31685513 ↗
  • Doherty A, Jackson D, Hammerla N, Plotz T, Olivier P, Granat MH, White T, van Hees VT, Trenell MI, Owen CG, Preece SJ, Gillions R, Sheard S, Peakman T, Brage S, Wareham NJ. Large Scale Population Assessment of Physical Activity Using Wrist Worn Accelerometers: The UK Biobank Study. PLoS One. 2017 Feb 1;12(2):e0169649. doi: 10.1371/journal.pone.0169649. eCollection 2017. PubMed 28146576 ↗
  • Dumuid D, Lewis LK, Olds TS, Maher C, Bondarenko C, Norton L. Relationships between older adults' use of time and cardio-respiratory fitness, obesity and cardio-metabolic risk: A compositional isotemporal substitution analysis. Maturitas. 2018 Apr;110:104-110. doi: 10.1016/j.maturitas.2018.02.003. Epub 2018 Feb 7. PubMed 29563028 ↗
  • Chastin S, McGregor D, Palarea-Albaladejo J, Diaz KM, Hagstromer M, Hallal PC, van Hees VT, Hooker S, Howard VJ, Lee IM, von Rosen P, Sabia S, Shiroma EJ, Yerramalla MS, Dall P. Joint association between accelerometry-measured daily combination of time spent in physical activity, sedentary behaviour and sleep and all-cause mortality: a pooled analysis of six prospective cohorts using compositional analysis. Br J Sports Med. 2021 Nov;55(22):1277-1285. doi: 10.1136/bjsports-2020-102345. Epub 2021 May 18. PubMed 34006506 ↗
  • Rodriguez-Gomez I, Manas A, Losa-Reyna J, Rodriguez-Manas L, Chastin SFM, Alegre LM, Garcia-Garcia FJ, Ara I. Associations between sedentary time, physical activity and bone health among older people using compositional data analysis. PLoS One. 2018 Oct 22;13(10):e0206013. doi: 10.1371/journal.pone.0206013. eCollection 2018. PubMed 30346973 ↗
  • Berkemeyer K, Wijndaele K, White T, Cooper AJ, Luben R, Westgate K, Griffin SJ, Khaw KT, Wareham NJ, Brage S. The descriptive epidemiology of accelerometer-measured physical activity in older adults. Int J Behav Nutr Phys Act. 2016 Jan 7;13:2. doi: 10.1186/s12966-015-0316-z. PubMed 26739758 ↗
  • Micklesfield LK, Westgate K, Smith A, Kufe CN, Mendham AE, Lindsay T, Wijndaele K, Goedecke JH, Brage S. Physical Activity Behaviors of a Middle-Age South African Cohort as Determined by Integrated Hip and Thigh Accelerometry. Med Sci Sports Exerc. 2022 Sep 1;54(9):1493-1505. doi: 10.1249/MSS.0000000000002940. Epub 2022 Apr 22. PubMed 35658390 ↗
  • White T, Westgate K, Wareham NJ, Brage S. Estimation of Physical Activity Energy Expenditure during Free-Living from Wrist Accelerometry in UK Adults. PLoS One. 2016 Dec 9;11(12):e0167472. doi: 10.1371/journal.pone.0167472. eCollection 2016. PubMed 27936024 ↗
  • Dugas LR, Harders R, Merrill S, Ebersole K, Shoham DA, Rush EC, Assah FK, Forrester T, Durazo-Arvizu RA, Luke A. Energy expenditure in adults living in developing compared with industrialized countries: a meta-analysis of doubly labeled water studies. Am J Clin Nutr. 2011 Feb;93(2):427-41. doi: 10.3945/ajcn.110.007278. Epub 2010 Dec 15. PubMed 21159791 ↗
  • Dowd KP, Szeklicki R, Minetto MA, Murphy MH, Polito A, Ghigo E, van der Ploeg H, Ekelund U, Maciaszek J, Stemplewski R, Tomczak M, Donnelly AE. A systematic literature review of reviews on techniques for physical activity measurement in adults: a DEDIPAC study. Int J Behav Nutr Phys Act. 2018 Feb 8;15(1):15. doi: 10.1186/s12966-017-0636-2. PubMed 29422051 ↗
  • Schoeller DA. Measurement of energy expenditure in free-living humans by using doubly labeled water. J Nutr. 1988 Nov;118(11):1278-89. doi: 10.1093/jn/118.11.1278. PubMed 3142975 ↗
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  • Helmerhorst HJ, Brage S, Warren J, Besson H, Ekelund U. A systematic review of reliability and objective criterion-related validity of physical activity questionnaires. Int J Behav Nutr Phys Act. 2012 Aug 31;9:103. doi: 10.1186/1479-5868-9-103. PubMed 22938557 ↗
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  • Dempsey PC, Aadland E, Strain T, Kvalheim OM, Westgate K, Lindsay T, Khaw KT, Wareham NJ, Brage S, Wijndaele K. Physical activity intensity profiles associated with cardiometabolic risk in middle-aged to older men and women. Prev Med. 2022 Mar;156:106977. doi: 10.1016/j.ypmed.2022.106977. Epub 2022 Feb 4. PubMed 35131206 ↗
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Study documents

  • Protocol, analysis plan and consent form · Feb 11, 2025

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06883591
Lead sponsor
Rijnstate Hospital
Collaborators
Imperial College London
Responsible party
Sponsor
First posted
Mar 19, 2025
Start date
Nov 22, 2025
Primary completion
Apr 1, 2026
Completion
Jun 1, 2026
Last update
Jun 23, 2026

Study contacts

Job LC Susante, MD, PhD
principal investigator · Stichting Rijnstate Ziekenhuis

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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