RecruitingNot ApplicableNCT07550647

Early Rehabilitation After Total Hip Arthroplasty

Effect of Early Rehabilitation on Functional Recovery After Total Hip Arthroplasty: A Randomized Controlled Trial

Sponsor

Muğla Sıtkı Koçman University

Enrollment

52 participants

Start Date

Apr 1, 2026

Study Type

INTERVENTIONAL

Conditions

Total Hip Arthroplasty (THA)

Summary

This study aims to investigate the effects of an early postoperative rehabilitation program combined with neuromuscular electrical stimulation (NMES) and telerehabilitation on functional recovery in patients undergoing total hip arthroplasty (THA). In the early postoperative period, patients commonly experience muscle weakness, impaired gait, and functional limitations that may delay recovery. Early rehabilitation has been shown to improve functional outcomes, while NMES may enhance muscle activation, particularly in hip abductor muscles. Additionally, telerehabilitation may support continuity of care following discharge by enabling supervised home-based exercise. In this prospective study, participants will be assigned to either an intervention group receiving early physiotherapy combined with NMES and telerehabilitation, or a control group receiving standard postoperative care. Functional outcomes, gait parameters, quality of life, and muscle-related changes will be evaluated at predefined time points.

Eligibility

Min Age: 50 YearsMax Age: 75 Years

Inclusion Criteria6

Patients scheduled for unilateral total hip arthroplasty due to osteoarthritis or developmental dysplasia of the hip (DDH)
Aged between 50 and 75 years
Willing and able to participate in all follow-up assessments
Able to comply with assessment procedures
Able to meet the requirements of telerehabilitation
Undergoing surgery with a standardized surgical protocol

Exclusion Criteria9

Previous history of total hip arthroplasty on either side
Planned revision total hip arthroplasty
Severe osteoarthritis in the contralateral hip
Presence of severe acute metabolic, neuromuscular, or cardiovascular disease
History of active malignancy
Presence of respiratory infection
Concomitant orthopedic conditions (e.g., lower extremity fractures, severe hip/knee deformities, lumbar or sacroiliac dysfunction)
Body mass index >35
Occurrence of postoperative complications (e.g., prosthetic infection, thromboembolic events, or conditions requiring reoperation)

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Interventions

OTHEREarly Postoperative Physiotherapy

A structured physiotherapy program including mobilization and therapeutic exercises initiated on postoperative day 1 and continued daily until discharge (5 days).

DEVICENeuromuscular Electrical Stimulation (NMES)

NMES applied to the gluteus medius muscle starting on postoperative day 1, administered daily for 5 days using standard stimulation parameters to enhance muscle activation.

OTHERTelerehabilitation

A 3-week home-based exercise program supported by synchronous video-based telerehabilitation sessions conducted three times per week after discharge.

OTHERStandard Postoperative Care

Routine postoperative care including wound monitoring and general medical follow-up during hospitalization. At discharge, patients receive a home exercise brochure without supervised rehabilitation or telerehabilitation.