Backwards Walking Programme Following Hip and Knee Arthroplasty

  • STATUS
    Recruiting
  • participants needed
    40
  • sponsor
    Oxford University Hospitals NHS Trust
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Updated on 16 February 2024
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osteoarthritis
total knee replacement
joint replacement

Summary

Backwards walking has been shown to improve balance and walking in patients who have knee Osteoarthritis. It is not known if these benefits may also be seen after surgery in patients who have had a hip or knee replacement because of Osteoarthritis. This study will look to see if it is possible to conduct a bigger study into how effective backwards walking may be after joint replacement. Patients who come to the Nuffield Orthopaedic Centre in Oxford for a hip or knee replacement will be invited. They will be placed into one of two groups at random: a group where they have a course of physiotherapy plus a backwards walking programme or a group where they have a course of physiotherapy. The physiotherapy will last for 12 weeks and those who take part will have two study assessments. The first will be before any treatment and patients will complete five measures and also be issued with a simple tick box diary to complete over the 12 weeks. The second assessment will be after the treatment and will involve the same five measures and the diaries will be collected in. Participants at this assessment will also be asked if they would like to take part in an interview for the study. This is to see what the patients thought of the study. During the study the researcher will record things such as how many patients say 'yes' to the study and how many participants drop out of the treatment, to understand if a bigger study could take place.

Details
Condition Osteoarthritis of hip, Repair of knee joint, Osteoarthritis of knee, Osteoarthritis, Osteoarthritis, Hip Arthroplasty
Age 65years - 100years
Treatment Usual care, Backwards Walking (BW) programme
Clinical Study IdentifierNCT04247802
SponsorOxford University Hospitals NHS Trust
Last Modified on16 February 2024

Eligibility

 Yes No Not Sure

Inclusion Criteria

Men and women aged 65 or older
Participant is willing and able to give informed consent for participation in the study
Participants who have received a primary unilateral hip or knee arthroplasty due to osteoarthritis

Exclusion Criteria

Post-operative weight bearing restrictions
Post-operative complications such as infection, a deep vein thrombosis or pulmonary embolism, or failure of the wound to heal
Inability to undertake a backwards walking programme due to conditions such as severe cardiovascular or pulmonary disease (New York Heart Association III-IV)
Severe dementia or communication difficulties that would prevent completion of study assessments
Any neurological condition
Further planned treatment on the same or contralateral hip or knee within the next 6 months
Registered as visually impaired
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