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Introduction: Femoral and acetabular replacement is characterized as total hip arthroplasty (THA). It has been used as treatment of various pathologies of this joint. In the postoperative period, some studies have shown that strength, function, range of motion and lower limb mechanics remains altered for more than One year after THA in relation to the non-operated side. However, studies that have correlated kinematics and hip muscle strength in individuals who underwent THA for long time, do not exist in literature. Objective: to evaluate lower limb muscle strength and 2D kinematics during stair ascending and descending in patients undergoing total hip arthroplasty. Methods: Third individuals who underwent total hip arthroplasty (THA) will be recruited at two, five and 10 year postoperative periods. They were allocated in three groups: Group 1 (10n), subjects submitted to THA for two years, Group 2 (10n) subjects submitted to THA for five years, Group 3 (10n) subjects submitted to THA for 10 years and Group 4 (10n) subjects without orthopaedic afections, all will be evaluated for dynamometric isometric muscle strength and kinematic analysis of stair ascending and descending by a "blinded" physical Therapist.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group 2 years | The group underwent total hip arthroplasty at 2 years |
| |
| group 5 years | The group underwent total hip arthroplasty at 5 years |
| |
| group 10 years | The group underwent total hip arthroplasty at 10 years |
| |
| group control | healthy patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gait and muscle strength will be assessed | Diagnostic Test | The extensor moment of the hip during gait and evaluation of the muscular strength of the hip will be evaluated |
|
| Measure | Description | Time Frame |
|---|---|---|
| kinematic analysis of hip movements for flexion | Analysis of the movements of the hip - range of motion for flexion | evaluated at 10 years after hip arthroplasty |
| kinematic analysis of hip movements for extension | Analysis of the movements of the hip - range of motion for extension | evaluated at 10 years after hip arthroplasty |
| kinematic analysis of hip movements for internal rotation | Analysis of the movements of the hip - range of motion for internal rotation | evaluated at 10 years after hip arthroplasty |
| kinematic analysis of hip movements external rotation | Analysis of the movements of the hip - range of motion for external rotation | evaluated at 10 years after hip arthroplasty |
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Inclusion Criteria:
Exclusion Criteria:
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40 individuals who underwent total hip arthroplasty (THA) by the hospital hip surgery group
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| Name | Affiliation | Role |
|---|---|---|
| Vera Lucia Santos Alves, Dr | Faculdade de Ciências Médicas da Santa Casa de São Paulo | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| João Barboza | São Paulo | 04660000 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29077218 | Result | Foucher KC, Cinnamon CC, Ryan CA, Chmell SJ, Dapiton K. Hip abductor strength and fatigue are associated with activity levels more than 1 year after total hip replacement. J Orthop Res. 2018 May;36(5):1519-1525. doi: 10.1002/jor.23783. Epub 2017 Nov 28. |
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| ID | Term |
|---|---|
| D015207 | Osteoarthritis, Hip |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D005684 | Gait |
| ID | Term |
|---|---|
| D010808 | Physical Examination |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D016138 | Walking |
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| D012216 |
| Rheumatic Diseases |
| D008124 |
| Locomotion |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |