Studying Cognitive Behavioral Therapy to Reduce Fear of Movement and Improve Recovery After Total Hip Replacement Surgery

What this Trial Is About

Researchers are evaluating whether adding cognitive behavioral therapy CBT to standard physical therapy exercises can reduce fear of movement and improve clinical outcomes in patients after total hip arthroplasty surgery. This randomized controlled trial compares two groups one receiving only standard rehabilitation exercises and another receiving the same exercises plus CBT. The study focuses on improving pain, function, and quality of life post-surgery. Participants in the control group will follow a routine rehabilitation program that includes active exercises to restore mobility, strength, and daily activity performance over 12 weeks. The experimental group will receive four CBT sessions during the same 12-week period, which address unhelpful thoughts about pain and movement, teach coping skills, and use techniques like cognitive restructuring and relaxation to reduce fear and support recovery. Participants will be assessed for fear of movement using the Tampa Scale at the start, 6 weeks, 12 weeks, and 6 months after surgery. Additional measures include pain ratings, hip function scores, and quality of life questionnaires at the same time points. The study includes a six-month follow-up period to monitor ongoing progress and safety, with all evaluations designed to track the impact of adding CBT to standard care.

Effect of Cognitive Behavioral Therapy on Kinesiophobia and Functional Outcomes After Total Hip Arthroplasty.