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IRCT20260223068925N1 IRCT 2026-07-01 Shahid Beheshti University of Medical Sciences The effect of core stability training following hip arthroplasty on balance, physical function, and quality of life in patients with unilateral development dysplasia of the hip. The effect of core stability training following hip arthroplasty on balance, physical function, and quality of life in patients with unilateral development dysplasia of the hip. 2026-06-27 anticipated 40 Recruiting https://irct.ir/trial/89245 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Few studies have examined the effects of core stability strengthening exercises after total hip arthroplasty, particularly in individuals with developmental hip dislocation. In this study, we aim to investigate the effects of core stability strengthening exercises on balance, functional ability, and quality of life in individuals with developmental hip dislocation following total hip replacement surgery, Randomization description: Randomization will be performed using Random Allocation Software. In the software settings, the number of groups will be set to two (Group A: intervention group; Group B: control group), with a 1:1 allocation ratio. A block size of 4 and a total sample size of 40 participants will be specified. The software will then generate a random allocation sequence. Whenever an eligible participant is enrolled in the study, they will be assigned to the next available allocation in the randomization sequence and allocated to either Group A or Group B. The assigned group (A or B) will be written on a sealed envelope and provided for implementation of the intervention. Participants will remain unaware of their group assignment, whereas the treating physiotherapist will know the allocation in order to deliver the appropriate intervention, Blinding description: The assessor will be blinded to the group allocation of the participants. The participants will also be unaware of whether they are assigned to the treatment group or the control group. N/A "Physiotherapy after Hip Joint Replacement in Individuals with Congenital Hip Dislocation". Intervention 1: Intervention group: The patient will attend the physiotherapy center 24 hours after surgery and will continue treatment for 6 weeks. During this period, the patient will attend the physiotherapy center three times per week. The treatment program will include 15 minutes of Transcutaneous Electrical Nerve Stimulation (TENS), 15 minutes of Interferential Therapy (IFT), hip strengthening exercises, range of motion exercises, gait training, and functional exercises (2 sets of 10 repetitions). If the patient develops lower-limb muscle spasms, dry needling or the Graston technique will be used as appropriate.Six weeks after surgery, a core stability exercise program will be initiated. The patient will attend the physiotherapy center twice weekly for 6 weeks. The core stability program will consist of 15 minutes of exercises designed to strengthen the abdominal, back, and gluteal muscles. Intervention 2: Control group: The patient will attend the physiotherapy center 24 hours after surgery and will continue treatment for 6 weeks. During this period, the patient will attend the physiotherapy center three times per week. The treatment program will include 15 minutes of Transcutaneous Electrical Nerve Stimulation (TENS), 15 minutes of Interferential Therapy (IFT), hip strengthening exercises, range of motion exercises, gait training, and functional exercises (2 sets of 10 repetitions). If the patient experiences lower-limb muscle spasms, dry needling or the Graston technique will be applied as appropriate.After the initial 6-week period, the patient will attend the physiotherapy center twice weekly for an additional 6 weeks and will continue performing the same exercise program described above. Yes - There is a plan to make this available What will be shared: The results of the treatment will be published without mentioning the names of the participants. When: It is expected that the data will be published approximately 6 months after sampling and treatment. To whom: All individuals who need it. Conditions: The data will be used to evaluate the effect of the intervention performed. Where to obtain: Project contact person / Project coordinator How to obtain: Via phone call and email. Comments: none
public Fatemeh Mallaei
"Unit 1 (West), No. 9, Tolou 3 St., Kouhak Blvd., Chitgar, Tehran, Iran"
Tehran Iran (Islamic Republic of) 1485713616 +98 21 4608 9765 yaghobsalmani1357@gmail.com Shahid Beheshti University of Medical Sciences scientific Dr. Mohsen Abedi
Tehran, Imam Hossein Square, Damavand Street (Tehran Pars area), opposite , School of Rehabilitation Sciences, .
Tehran Iran (Islamic Republic of) 1616913111 00982177561721-242 mohsenabedi110@sbmu.ac.ir Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) unilateral total hip arthroplasty due to developmental hip dislocation. age range between 18 and 60 years. cementless total hip replacement using the subtrochanteric shortening osteotomy (digastric technique). absence of postoperative complications (such as infection, fracture, nerve injury, etc.). no history of other underlying conditions (e.g., discopathy, multiple sclerosis, advanced osteoarthritis of other joints, etc.). primary (first-time) total hip arthroplasty. 18 years 60 years Both total hip replacement due to other causes (such as advanced hip osteoarthritis, avascular necrosis of the femoral head, etc.). partial joint replacement. cemented or other surgical techniques. presence of surgical complications. presence of other underlying medical conditions. revision surgery (second or subsequent joint replacement). Rehabilitation Rehabilitation Intervention group: The patient will attend the physiotherapy center 24 hours after surgery and will continue treatment for 6 weeks. During this period, the patient will attend the physiotherapy center three times per week. The treatment program will include 15 minutes of Transcutaneous Electrical Nerve Stimulation (TENS), 15 minutes of Interferential Therapy (IFT), hip strengthening exercises, range of motion exercises, gait training, and functional exercises (2 sets of 10 repetitions). If the patient develops lower-limb muscle spasms, dry needling or the Graston technique will be used as appropriate.Six weeks after surgery, a core stability exercise program will be initiated. The patient will attend the physiotherapy center twice weekly for 6 weeks. The core stability program will consist of 15 minutes of exercises designed to strengthen the abdominal, back, and gluteal muscles. Control group: The patient will attend the physiotherapy center 24 hours after surgery and will continue treatment for 6 weeks. During this period, the patient will attend the physiotherapy center three times per week. The treatment program will include 15 minutes of Transcutaneous Electrical Nerve Stimulation (TENS), 15 minutes of Interferential Therapy (IFT), hip strengthening exercises, range of motion exercises, gait training, and functional exercises (2 sets of 10 repetitions). If the patient experiences lower-limb muscle spasms, dry needling or the Graston technique will be applied as appropriate.After the initial 6-week period, the patient will attend the physiotherapy center twice weekly for an additional 6 weeks and will continue performing the same exercise program described above. Quality of life. Timepoint: Individuals before starting core stability exercises (6 weeks after surgery), 6 weeks after starting core stability exercises (12 weeks after surgery), and 6 months after surgery. Method of measurement: HOOS questionnaire. Physical function. Timepoint: Individuals before starting core stability exercises (6 weeks after surgery), 6 weeks after starting core stability exercises (12 weeks after surgery), and 6 months after surgery. Method of measurement: TUG test. Core stability. Timepoint: Individuals before starting core stability exercises (6 weeks after surgery), 6 weeks after starting core stability exercises (12 weeks after surgery), and 6 months after surgery. Method of measurement: Force plate. Number of sit-to-stand tests. Timepoint: Individuals before starting core stability exercises (6 weeks after surgery), 6 weeks after starting core stability exercises (12 weeks after surgery), and 6 months after surgery. Method of measurement: sit-to-stand tests. Duration of standing on the operated leg. Timepoint: Individuals before starting core stability exercises (6 weeks after surgery), 6 weeks after starting core stability exercises (12 weeks after surgery), and 6 months after surgery. Method of measurement: single leg stand test. Center of pressure (COP) velocity. Timepoint: Individuals before starting core stability exercises (6 weeks after surgery), 6 weeks after starting core stability exercises (12 weeks after surgery), and 6 months after surgery. Method of measurement: Force plate. Center of pressure (COP) displacement. Timepoint: Individuals before starting core stability exercises (6 weeks after surgery), 6 weeks after starting core stability exercises (12 weeks after surgery), and 6 months after surgery. Method of measurement: Force plate. Side effects. Timepoint: Individuals before starting core stability exercises (6 weeks after surgery), 6 weeks after starting core stability exercises (12 weeks after surgery), and 6 months after surgery. Method of measurement: The participant will be interviewed using a structured questionnaire. none Approved 2025-08-17 "Deputy of Research and Technology, Shahid Beheshti University of Medical Sciences (Research Ethics "Unit 1 (West), No. 9, Tolou 3 St., Kouhak Blvd., Chitgar, Tehran, Iran" tehran Tehran Iran (Islamic Republic of)