Antigravity Treadmill After Joint Arthroplasty
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Antigravity Treadmill Training, Body Weight-Supported Treadmill Training, Conventional rehabilitation.
- Кому может быть актуально
- Состояния в реестре: Arthropathy, Osteoarthritis. Базовые параметры: 60 лет — 75 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Польша
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Antigravity Treadmill Rehabilitation After Lower Limb Arthroplasty in Older Adults
Обзор
The study aims to evaluate the efficacy of antigravity treadmill training and body weight-supported treadmill training in the rehabilitation of elderly patients (60-75 years) following hip or knee arthroplasty.
Подробное описание
This randomized controlled trial will recruit 60 patients aged 60-75 years, within 3 months after total hip or knee arthroplasty, admitted to the Rehabilitation Unit of St. Jadwiga Hospital in Trzebnica. Participants will be randomly assigned to one of three groups: (i) body weight-supported treadmill group (n=20), (ii) antigravity treadmill group (n=20), or (iii) control group receiving conventional gait training (n=20). All patients will receive comprehensive daily therapy for 6 weeks, including kinesitherapy, ergotherapy, and physical therapy procedures under professional supervision.
Вмешательства
- Поведенческое Antigravity Treadmill Training
Antigravity treadmill training uses air pressure to reduce effective body weight during walking, minimizing joint load while preserving gait mechanics. The 6-week intervention includes five sessions per week within a 120-minute daily kinesitherapy program. Treadmill speed is individualized at baseline and increased by 0.5 km/h every two weeks. Unloading is progressively reduced: 60% support in weeks 1-2, 40% in weeks 3-4, and 20% in weeks 5-6, allowing gradual adaptation to full weight-bearing. - Поведенческое Body Weight-Supported Treadmill Training
Body weight-supported treadmill training uses a harness-based system to partially offload body weight, promoting safe ambulation and gait normalization in early postoperative rehabilitation. The 6-week intervention includes five sessions per week within the 120-minute daily kinesitherapy program. Treadmill speed is individualized at baseline and increased by 0.5 km/h every two weeks, depending on tolerance. The unloading level remains constant and is individually adjusted to ensure safety. - Поведенческое Conventional rehabilitation
Conventional rehabilitation follows standard postoperative protocols after hip or knee arthroplasty. The 6-week program includes five weekly sessions. Gait training is conducted in hospital corridors under physiotherapist supervision, using assistive devices as needed (crutches, walkers). Daily therapy includes 120 minutes of kinesiotherapy (general exercises and gait training), 30 minutes of ergotherapy to improve functional independence, and three individualized physical therapy procedures (la
Первичные конечные точки
- Western Ontario and McMaster Universities Osteoarthritis Index [Срок оценки: Baseline and after 6 weeks of intervention]
Вторичные конечные точки (9)
- Berg Balance Scale [Срок оценки: Baseline and after 6 weeks of intervention]
- Patient Health Questionnaire [Срок оценки: Baseline and after 6 weeks of intervention]
- Perceived Stress Scale [Срок оценки: Baseline and after 6 weeks of intervention]
- Falls Efficacy Scale-International [Срок оценки: Baseline and after 6 weeks of intervention]
- Step Length [Срок оценки: Baseline and after 6 weeks of intervention]
- Step Time [Срок оценки: Baseline and after 6 weeks of intervention]
- Stance Phase Duration [Срок оценки: Baseline and after 6 weeks of intervention]
- Swing Phase Duration [Срок оценки: Baseline and after 6 weeks of intervention]
- Vertical Load [Срок оценки: Baseline and after 6 weeks of intervention]
Критерии участия
Критерии включения
- individuals who have recently undergone hip or knee joint arthroplasty surgeries aged 60 years and above.
Критерии исключения
- cognitive impairments that prevent independent completion of research questionnaires
- history of consciousness disturbances, psychotic disorders, bipolar disorder, or other severe psychiatric illnesses
- functional status preventing independent ambulation (wheelchair-bound or bedridden patients; orthopedic devices such as crutches or walker allowed)
- refusal to participate in the study at any stage
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Простое слепое
- Основная цель
- Лечение
Центры проведения
Польша · 1 центр
- St. Hedwig of Silesia Hospital in Trzebnica — Trzebnica
Идентификаторы
NCT: NCT07040878 · KE-U/74/2025