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| ID | Type | Description | Link |
|---|---|---|---|
| 2024/20 | Other Identifier | Ordu University Ethics Committee |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Other | Experimental | Patients with total hip arthroplasty (THA) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Six Spot Step Test | Diagnostic Test | The Six-Spot Step Test (SSST), which evaluates balance and functional ambulation, will be performed in an area 5 meters long and 1 meter wide. Five wooden cylinders will be arranged in a zig-zag pattern within this space, with the last cylinder positioned at the centerline. The participant will be asked to strike the wooden cylinders with the medial or lateral side of the same foot and push them outward. The test will be repeated twice with the dominant foot and twice with the non-dominant foot. A trial will be conducted before the test to familiarize participants with the procedure. A two-minute rest period between the test and trials will be provided to minimize fatigue effects. The test's inter-rater reliability will be assessed by two physiotherapists with more than 5 years of clinical experience, who will administer the test twice at 5-minute intervals. |
| Measure | Description | Time Frame |
|---|---|---|
| Six Spot Step Test-1 | The SSST wil be measured by the first investigator | Day 1 |
| Six Spot Step Test-2 | The SSST wil be measured by the second investigator | Day 1 |
| Six Spot Step Test-3 | The SSST wil be measured by the first investigator | 7-10 days after |
| Six Spot Step Test-4 | The SSST wil be measured by the second investigator | 7-10 days after |
| Timed Up and Go test | A timed up and go test test will be measured for validity analysis. | Day 1 |
| Four Square Step Test | A four square step test will be measured for validity analysis. | Day 1 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Elif AYGUN POLAT, PhD | Ordu University | Study Director |
| Yusuf POLAT, Assoc. Prof. | Ordu University | Principal Investigator |
| Sevim ACAROZ, Assoc. Prof. | Ordu University | Principal Investigator |
| Yunus Emre OZBILEN, MD | Ordu University | Principal Investigator |
| Alper ÇIRAKLI, Prof. | Ordu University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ordu University | Ordu | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41289866 | Derived | Aygun-Polat E, Polat Y, Ozbilen YE, Altun A, Acaroz S, Cirakli A. Reliability and validity of the Six-Spot Step Test in patients with total hip arthroplasty. Physiotherapy. 2026 Mar;130:101848. doi: 10.1016/j.physio.2025.101848. Epub 2025 Sep 15. |
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There is not a plan to make IPD available.
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| Oxford Hip Score | Diagnostic Test | The Oxford Hip Score will be used for functional level assessment. |
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| Berg Balance Scale | Diagnostic Test | The Berg Balance Scale (BBS) will be used to assess dynamic balance, which is reliable and commonly used within the orthopedic setting. |
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