Pragmatic Home-Based Exercise after Total Hip Arthroplasty - Silkeborg: Protocol for a prospective cohort study (PHETHAS-1)

Abstract

Introduction: Rehabilitation exercises are offered to patients after total hip arthroplasty (THA); however, the effectiveness and optimal type and dose of exercise remains unknown. The primary objective of this trial is to indicate the preliminary efficacy of home-based rehabilitation using elastic band exercise on performance-based function after THA, based on the relationship between the performed exercise dose and the change in performance-based function (gait speed) from 3 (start of intervention) to 10 weeks (end of intervention) after surgery. The secondary objective is to investigate if a dose-response relationship exists between the performed exercise dose and changes in: hip-related disability, lower-extremity functional performance, and hip muscle strength Methods: In this prospective cohort study, patients scheduled for THA will be consecutively included until 88 have completed the intervention period from 3 to 10 weeks postoperatively. Participants perform the standard rehabilitation program with elastic band exercises. Exercise dose (exposure) will be objectively quantified using a sensor attached to the elastic band. The primary outcome is gait speed measured by the 40-m fast-paced walk test. Secondary outcomes include: patient reported hip disability (Hip disability and Osteoarthritis Outcome Score (HOOS)), hip muscle strength (hand-held dynamometry) and lower extremity function (30-s chair stand test). Discussion: This trial will add knowledge concerning the relationship between performed exercise dose and post-operative outcomes after THA. The protocol paper describes the study design and methods in detail, including the statistical analysis plan. Trial registration: Pre-registered on March 27, 2017 at ClinicalTrails.gov (ID: NCT03109821).

Patient perspectives on home-based rehabilitation exercise and general physical activity after total hip arthroplasty: A qualitative study (PHETHAS-2)

“…The PHETHAS studies were founded to support and optimize clinical pathways with patients rehabilitating at home after THA. PHETHAS-1 (ClinicalTrials.gov NCT03109821, April 12, 2017) quantitatively investigates the physical outcomes of performing a home-based rehabilitation exercise program, 12 while this study, PHETHAS-2, qualitatively investigates patient-perceived facilitators and barriers to home-based rehabilitation exercise and general physical activity after THA.…”

Patient Perspectives on Home-Based Rehabilitation Exercise and General Physical Activity after Total Hip Arthroplasty: A qualitative study (PHETHAS-2)

“…To be able to support and optimize clinical pathways with patients rehabilitating at home after THA, the PHETHAS studies were founded. PHETHAS-1 quantitatively investigates physical outcome of performing a home-based rehabilitation exercise program, while this study, PHETHAS-2, qualitatively investigates patient-perceived facilitators and barriers to home-based rehabilitation exercise and general physical activity after THA [12].…”