Early Rehabilitation After Total Hip Replacement

Early Rehabilitation After Toal Hip Replacement. -Effect of Supervised Progressive Resistance Training

The purpose of this study is to determine whether supervised progressive resistance training is effective in the early phase after Total Hip Replacement. The investigators hypothesise that 10 weeks of supervised, progressive resistance training immediately after discharge will lead to increased functional performance, muscle strength and muscle power compared to standard rehabilitation consisting of home-based exercise.

After total hip replacement (THR) surgery there is a documented deficit in muscle strength and functional performance. There is a lack of evidence concerning the effectiveness of postoperative physiotherapy and training, however a few small studies have shown promising effect of resistance training.

The present study will provide new and important knowledge concerning the effect of different rehabilitation strategies after THR. This might lead to a change in the rehabilitation regimes and faster and better recovery after THR surgery.

Inclusion Criteria:

• Total hip replacement for osteoarthrosis
• Living within 30 km from the hospital
• Motivated to attend training 2 times/week in 10 weeks
• Reduced functional ability measured as: HOOS score < 67
• written informed consent

Exclusion Criteria:

• Comorbidities such as cancer, neuromuscular diseases, heart diseases etc.
• Cognitive impairment
• Body mass index > 35
• Resurfacing prosthesis
• Scheduled additional prosthetic surgery in lower extremity within 6 months