Early Rehabilitation Program with Electrical Stimulation and Telerehabilitation to Improve Recovery After Total Hip Replacement Surgery

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.

Early Rehabilitation After Total Hip Arthroplasty