Wide-pulse-width, high-frequency neuromuscular stimulation: implications for functional electrical stimulation.
Evan R L Baldwin, Piotr M Klakowicz, David F Collins
https://pubmed.ncbi.nlm.nih.gov/16627680Actively Recruiting
Phase Not Applicable
Age: 50Years - 75Years
All Genders
ID07550647
Effect of Early Rehabilitation Combined With Neuromuscular Electrical Stimulation and Telerehabilitation on Functional Recovery After Total Hip Arthroplasty: A Randomized Controlled Trial
Led by Muğla Sıtkı Koçman University · Updated on 2026-04-24
52
Participants Needed
1
Research Sites
13 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the effects of an early rehabilitation program combined with neuromuscular electrical stimulation (NMES) and telerehabilitation on functional recovery in patients undergoing total hip arthroplasty (THA). After this surgery, patients often face muscle weakness, difficulty walking, and limited function, which can slow recovery. This prospective, randomized controlled trial aims to determine whether adding NMES and telerehabilitation to early rehabilitation improves recovery outcomes compared to standard care. Participants will be randomly assigned to one of two groups. The intervention group will receive a structured physiotherapy program starting on the first day after surgery and continuing daily during their 5-day hospital stay. This includes NMES targeting the gluteus medius muscle. After discharge, they will continue a 3-week home exercise program supported by supervised telerehabilitation sessions three times per week. The control group will receive routine postoperative care with wound monitoring and a home exercise brochure without supervised rehabilitation or telerehabilitation. Participants will be assessed before surgery, at discharge (day 6), and four weeks after surgery. Evaluations include functional tests such as the Timed Up and Go Test, 10-Meter Walk Test, Stair Climb Test, and 6-Minute Walk Test. Muscle strength, joint range of motion, pain levels, gait parameters, quality of life, and muscle changes will also be measured. Assessments will be conducted by blinded physiotherapists. The study will last from before surgery through four weeks postoperatively, with safety and recovery closely monitored throughout.
CONDITIONS
Brief Title
Early Rehabilitation After Total Hip Arthroplasty
Who Can Participate
Age: 50Years - 75Years
All Genders
Eligibility Criteria
You may qualify if you...
- 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
You will not qualify if you...
- 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 such as lower extremity fractures, severe hip/knee deformities, lumbar or sacroiliac dysfunction
- Body mass index greater than 35
- Occurrence of postoperative complications like prosthetic infection, thromboembolic events, or conditions requiring reoperation
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Treatment
Duration - Approximately 5 days in hospital plus 3 weeks at home
Participants undergo early postoperative rehabilitation starting on the first day after surgery. This includes daily physiotherapy and neuromuscular electrical stimulation during hospitalization (5 days). After discharge, participants in the intervention group continue a 3-week home-based exercise program supported by synchronous telerehabilitation sessions three times per week, while the control group receives standard postoperative care without supervised rehabilitation.
Daily visits during hospitalization and telerehabilitation sessions three times per week for 3 weeks after discharge
Follow-up
Duration - Up to 4 weeks after surgery
Participants are evaluated at discharge (postoperative day 6) and at postoperative week 4 to assess functional recovery and other health outcomes.
2 in-person visits (discharge and week 4 follow-up)
Trial Site Locations
Total: 1 location
1
Niğde Ömer Halisdemir University, Education and Research Hospital
Niğde, Merkez, Turkey (Türkiye), 51200
Actively Recruiting
Loading map...
Research Team
C
Cansu Dal, Specialist Physiotherapist
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
Similar Trials
Frequently Asked Questions
Have more questions? Get in touch with our team for quick support
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here
Published Research Related To This Trial
Accelerated rehabilitation versus conventional rehabilitation in total hip arthroplasty (ARTHA): a randomized double blinded clinical trial.
Angela Elizabeth Marchisio, Tiango Aguiar Ribeiro, Carolina Sant Anna Umpierres...
https://pubmed.ncbi.nlm.nih.gov/32844909PROGRESSIVE REHABILITATION AFTER TOTAL HIP ARTHROPLASTY: A PILOT AND FEASIBILITY STUDY.
Kathleen C Madara, Adam Marmon, Moiyad Aljehani...
https://pubmed.ncbi.nlm.nih.gov/31440408Functional exercise after total hip replacement (FEATHER): a randomised control trial.
Brenda Monaghan, Tim Grant, Wayne Hing...
https://pubmed.ncbi.nlm.nih.gov/23190932