Neurocognitive Rehabilitation After Hip Replacement

University of Roma La Sapienza

Status: Terminated

Conditions: Hip Osteoarthritis

Treatments: Other: Neurocognitive Rehabilitation; Other: Traditional Rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT02231567

3298/2014

Details and patient eligibility

About

The purpose of the study is to evaluate the effectiveness of an approach based on neurocognitive rehabilitation exercises in the form of sensory-motor problems, whose solution involves the use of higher cognitive functions (attention, memory, language), not required in a traditional approach proprioceptive, in order to obtain a more complete and long-lasting recovery.

Enrollment: 54 patients

Sex: All

Ages: 50 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Presence of symptomatic unilateral primary hip osteoarthritis treated with surgical replacement with a posterior-lateral approach and the use of a non-cemented prosthesis (press-fit). All the implants are composed of a stem Symax (Stryker-Howmedica) and a ceramic head with coupling ceramic-ceramic and are implanted by the same surgeon.

Exclusion criteria

• Different diagnosis from hip osteoarthritis (eg. Fracture)
• Concomitant osteoarthrosis of the hip or knee with gait restrictions
• Lameness for more than six months
• Central nervous system or Peripheral nervous system disorders
• Systemic inflammatory disorders (eg. Rheumatoid Arthritis)
• Systemic infectious disorders
• Cognitive impairment
• Neoplastic disorders
• Surgical revisions
• Intraoperative complications
• Suspected hip replacement infection
• Hip replacement with endoprosthesis.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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54 participants in 2 patient groups

Neurocognitive Rehabilitation

Experimental group

Description:

Rehabilitative approach based on exercises proposed as sensory-motor problems, whose solution involves the use of higher cognitive functions (attention, memory, language).

Treatment:

Other: Neurocognitive Rehabilitation

Traditional Rehabilitation

Active Comparator group

Description:

It is a rehabilitative approach based on exercises for the recovery of hip's range of motion, muscle strengthening exercises, stretching exercises of the hamstring muscles, adductor and iliopsoas and proprioceptive exercises.

Treatment:

Other: Traditional Rehabilitation