Reliability and Validity of the Six-Spot Step Test After Total Hip Arthroplasty (SSST)

T.C. ORDU ÜNİVERSİTESİ

Status: Completed

Conditions: Rehabilitation; Total Hip Replacement; Reproducibility of Results

Treatments: Diagnostic Test: Six Spot Step Test; Diagnostic Test: Oxford Hip Score; Diagnostic Test: Berg Balance Scale

Study type: Interventional

Funder types: Other

Identifiers

NCT06704217

ODU-SBFTR-AYGUNPOLAT-003

2024/20 (Other Identifier)

Details and patient eligibility

About

This study aims to assess the SSST's validity, reliability, and ability to differentiate between high and low fall risk individuals in THA patients. Establishing the SSST as a valid and reliable tool will help manage rehabilitation and apply timely interventions for THA patients.

Full description

Total hip arthroplasty (THA) is a common surgery for patients with advanced hip osteoarthritis, aiming to reduce pain and improve function. However, THA patients often experience difficulties in mobility tasks, such as walking, stair climbing, and standing up, even years after surgery. These functional impairments increase the risk of falls, highlighting the need for effective clinical tests to assess balance and mobility. Identifying factors contributing to balance dysfunction and implementing appropriate rehabilitation are crucial for improving quality of life.

The Six-Spot Step Test (SSST), developed by Nieuwenhuis et al., is a quick and easy test that evaluates balance and mobility in daily life activities. However, its validity and reliability in THA patients have not been studied. This research aims to assess the SSST's validity, reliability, and ability to differentiate between high and low fall risk individuals in THA patients. Establishing the SSST as a valid and reliable tool will help manage rehabilitation and apply timely interventions for THA patients.

Enrollment: 61 patients

Sex: All

Ages: 55+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Underwent primary unilateral Total Hip Arthroplasty (THA)
• Surgery performed using the posterolateral approach
• At least six months of postoperative follow-up

Exclusion criteria

• Patients who underwent bilateral or revision THA
• History of additional lower limb surgery
• Body mass index (BMI) greater than 40 kg/m²
• Neurological, orthopedic, or systemic disorders that could impair gait or balance

Trial design

Primary purpose: Diagnostic

Allocation: N/A

Interventional model: Sequential Assignment

Masking: None (Open label)

---

61 participants in 1 patient group

Other

Experimental group

Description:

Patients with total hip arthroplasty (THA)

Treatment:

Diagnostic Test: Berg Balance Scale

Diagnostic Test: Oxford Hip Score

Diagnostic Test: Six Spot Step Test