Reliability of Modified Harris Hip Score as a tool for outcome evaluation of Total Hip Replacements in Indian population.
Prasoon Kumar, Ramesh Sen, Sameer Aggarwal...
https://pubmed.ncbi.nlm.nih.gov/30705547Actively Recruiting
Phase Not Applicable
Age: 18Years - 80Years
All Genders
ID07427758
Effect of Cognitive Behavioral Therapy on Kinesiophobia and Clinical Outcomes After Total Hip Arthroplasty: A Randomized Controlled Trial
Led by Cairo University · Updated on 2026-02-23
100
Participants Needed
1
Research Sites
4 weeks
Total Duration
On this page
AI-Summary
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.
CONDITIONS
Brief Title
Effect of Cognitive Behavioral Therapy on Kinesiophobia and Functional Outcomes After Total Hip Arthroplasty.
Who Can Participate
Age: 18Years - 80Years
All Genders
Eligibility Criteria
You may qualify if you...
- Postoperative unilateral total hip arthroplasty for the first time
- At least primary education level
- Age 18 years or older
- Voluntary participation and cooperation with the care plan
- Agreement to continue intervention and six-month follow-up after discharge
- High level of kinesiophobia on Tampa Scale of Kinesiophobia
- Medically stable and cleared by orthopedic surgeon
You will not qualify if you...
- Revision surgery
- Severe osteoarthritis in the opposite hip
- Severe acute metabolic, neuromuscular, or cardiovascular disease
- Body mass index above 40
- Presence of malignancy or other orthopedic or neurologic problems affecting treatment
- Conditions interfering with communication
- Lack of cooperation during the study
- Cognitive disorder
- Psychological disease or disorder
- Previous participation in a cognitive behavioral therapy intervention
- Pregnancy
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.
1 visit (in-person)
Treatment
Duration - 12 weeks
Participants receive either standard total hip arthroplasty rehabilitation exercises or cognitive behavioral therapy sessions in addition to standard exercises to improve kinesiophobia and functional outcomes after surgery.
4 cognitive behavioral therapy sessions over 12 weeks; standard rehabilitation exercises throughout
Follow-up
Duration - Up to 6 months after treatment
Participants are monitored for clinical outcomes including kinesiophobia, pain, hip function, and quality of life after completing treatment.
Visits at 6 weeks, 12 weeks, and 6 months after surgery
Trial Site Locations
Total: 1 location
1
Cairo University Hospitals
Giza, Giza Governorate, Egypt, 2356
Actively Recruiting
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Research Team
A
Ahmad El Melhat, Phd
S
Sara Ahmad Manasfi, BSc
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
The Tampa Scale of Kinesiophobia: A Systematic Review of Its Psychometric Properties in People With Musculoskeletal Pain.
Frederique Dupuis, Amira Cherif, Charles Batcho...
https://pubmed.ncbi.nlm.nih.gov/36917768Validating the SF-36 health survey questionnaire: new outcome measure for primary care.
J E Brazier, R Harper, N M Jones...
https://pubmed.ncbi.nlm.nih.gov/1285753Functional exercise after total hip replacement (FEATHER): a randomised control trial.
Brenda Monaghan, Tim Grant, Wayne Hing...
https://pubmed.ncbi.nlm.nih.gov/23190932Kinesiophobia and its association with functional outcome and quality of life 6-8 years after total hip arthroplasty.
Bariq Al-Amiry, Andreas Rahim, Björn Knutsson...
https://pubmed.ncbi.nlm.nih.gov/35968616Effect of Kinesiophobia and Social Support on Quality of Life After Total Hip Arthoplasty.
Panagio Marmouta, Lemonia Marmouta, Andreas Tsounis...
https://pubmed.ncbi.nlm.nih.gov/40565392