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Background/Objectives: Total hip arthroplasty is one of the most common orthopedic procedures. When the surgery is successful and followed by high-quality physiotherapy, patients' quality of life usually improves and they return to their daily activities more qui-ckly.. Rehabilitation methods and medical devices are constantly evolving, to accelerate functional improvement. The aim of the study is to investigate the impact of the antigra-vity treadmill on the functional outcomes after total hip arthroplasty. Methods: A single centre, randomised, controlled, open label trial was conduct in Hospital for Medical Re-habilitation of the Heart and Lung Diseases and Rheumatism Thalassotherapia Opatija. 34 subjects were randomly divided into two groups: experimental (18) and control (16). The outcome measures included strength of the abductor muscles, range of motion, visual analogue scale, and Timed Up and Go test and 40-meter Fast Paced Walk test.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| experimental group (EG) | Experimental | Each session included 25 minutes of individualized therapeutic exercises focused on bre-athing, mobility, strength, and balance. In addition, participants received 25 minutes of electrical stimulation of the quadriceps femoris muscle and 25 minutes of hydrotherapy in a swimming pool, for a total of 75 minutes of therapy per session. The experimental group (EG) also completed 20 minutes of daily exercise on an antigravity treadmill (ALTERG VIA, Lifeward CA, Inc., Milmont Drive, Fremont, CA, USA), supervised by a physiothera-pist |
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| control group (CG) | No Intervention | Each session inclu-ded 25 minutes of individualized therapeutic exercises focused on breathing, mobility, strength, and balance. In addition, participants received 25 minutes of electrical stimula-tion of the quadriceps femoris muscle and 25 minutes of hydrotherapy in a swimming pool, for a total of 75 minutes of therapy per session. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| antigravity treadmill (ALTERG VIA, Lifeward CA, Inc., Milmont Drive, Fremont, CA, U-SA) | Device | Antigravity treadmill training in the experimental group (EG) involved walking in a straight line at a self-selected, com-fortable pace-without running, shortness of breath, or pain. The treadmill's chamber was set to reduce the participant's effective body weight to 20% of their actual body weight (slight unloading was applied to reduce the need for handrail support and to prevent the use of compensatory mechanisms). |
| Measure | Description | Time Frame |
|---|---|---|
| hip abductor muscle strength | The effects of the antigravity treadmill on hip abductor muscle strength was the primary outcome. | From enrollment to the end of treatment was 3 weeks. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Thalassotherapia Opatija | Rijeka | 51000 | Croatia |
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| ID | Term |
|---|---|
| D015207 | Osteoarthritis, Hip |
| D010146 | Pain |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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Patients were randomly assigned to one of two groups: the experimental group (EG) (n = 18) received antigravity treadmill therapy in combination with a standard rehabilita-tion protocol and the control group (CG) (n = 16) followed only the conventional rehabili-tation protocol.
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Masking was not possible.
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| D012216 |
| Rheumatic Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |