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Developmental Dysplasia of the HipNCT05238935

Do All Patients With Congenital Hip Dysplasia Corrected Operatively Need Physiotherapy

A study testing prescribed physiotherapy course in people with Developmental Dysplasia of the Hip, run by Ministry of Health, Kuwait at 1 site in Kuwait.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Developmental Dysplasia of the Hip (DDH) is a common condition among young children that could range in severity. in most sever cases, surgical intervention is the best choice to correct the hip abnormality with the aim of restoring optimal functional ability. Read more about this study

Who is it for?
Ages 18 months to 5 years
Conditions the study is for
Developmental Dysplasia of the Hip
What is being tested?
prescribed physiotherapy course
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteKuwait
Study dates
23 Feb 2022to 1 Feb 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 months to 5 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Patient diagnosed with DDH Tonnis grade 1-4 operated for open reduction, osteotomy with/without femoral shortening.
  • patient is able to walk preoperatively
  • aged between 1.5-5

Who cannot join

  • Operated for DDH correction previously
  • patient with neurological involvement
  • patient with other congenital deformity
  • patient with cognitive problems

Trial locations and contacts

1 site in 1 country.

Hadeel H Alsaleh, PhD contact

0096565064141

golden_land85@hotmail.com

maryam alsaffar, master contact

0096599944540

Kuwait1 site, 1 recruiting
  • Dr. Hadeel Alsaleh

    Kuwait City

    Hadeel H Alsaleh, PhD, 0096565064141, golden_land85@hotmail.com

    maryam Alsaffar, master, 0096599944540

    Recruiting

Other trials in Kuwait

About this study

Official title: Do All Patients With Congenital Hip Dysplasia Corrected Operativell Need Physiotherapy

Developmental Dysplasia of the Hip (DDH) is a common condition among young children that could range in severity. in most sever cases, surgical intervention is the best choice to correct the hip abnormality with the aim of restoring optimal functional ability. Referring patient for physiotherapy treatment post operative is not a common practice and surgeons relay on children natural developmental milestone in their recovery. however, prescribed physiotherapy treatment could promote maximum functional recovery and wellness. the aim of this research is (1) to evaluate the functional deference between patients who had conventional physiotherapy treatment program and patients who had home program prescribed by the orthopedic surgeon (2) to investigate what might be the underlying risk factors that could enhance or prohibit satisfactory functional level post operatively.

all individuals diagnosed with DDH and operated by Dr. Saleh Alsaifi (an orthopedic surgeon at alrazi orthopedic hospital) will be invited to participate in this study. The study will look at the children development in fictional ability postoperatively. not being referred to physiotherapy is a common practice, so the patients in the intervention group will benefit from having regular physiotherapy treatment with no risk at all. the study run from Alrazi orthopedic hospital in kuwait. the research is a collaboration between an orthopedic surgeon (Dr. Saleh Alsaifi) and physiotherapy team and it is expected to recruit all of the eligible patients through 12 months period (approximately 50 patients) then, the data will be sorted for analysis and reporting. the study is not funded with no personal interest.

Read the detailed description

The population of the study: individuals diagnosed with DDH and operated by the orthopedic surgeon. Surgical procedures will include: open reduction, pelvic osteotomy (DEGA osteotomy) with/without femoral shortening. Individuals with operated DDH will be divided into two groups as conventional physiotherapy group and home program group. It will be ensured that the distribution of the individuals in the groups in a randomized manner, with the disease grades and operative procedures of the two treatment groups being the same and the clinical characteristics are similar.

The study will consist of children aged 1.5-5 who's guardian voluntarily agreed to participate in the study. It is planned to involve up to 50 children. Individuals who meet the inclusion criteria and had their guardian agreed to volunteer will be included in the study by signing the Informed Voluntary Consent Form. The participants will be examined by the responsible examiner in physiotherapy clinic (blinded to the allocated group). Patients in the control group will be given a home program by the orthopedic surgeon (common practice). Patients in the intervention group will be treated with conventional physiotherapy 3 times a week for 6 weeks (4 times evaluation and 18 times treatment).

As an outcome measure, the examiner will evaluate patient's hip function (using modified outcome evaluation standard for congenital dislocation of the hip by Zhou and Ji) and pediatric balance scale. patient will have a baseline data preoperatively. Then, patient will have the first postoperative evaluation10 weeks post-operatively (time of the removal of spica cast). After the first post-operative evaluation, individuals will be treated 3 times a week for 3 weeks and then the first evaluations will be done again then the same process will be repeated. Thus, Patient will be evaluated four times by the same examiner (before the operation, after 10 weeks [removal of spica cast], after 3 weeks of treatment [13 weeks postoperatively] and after 6 weeks of treatment [16 weeks postoperatively]). The data obtained before and after treatment and the data between the two groups will be compared.

Primary outcome measure modified outcome evaluation standard for congenital dislocation of the hip by Zhou will be used to evaluate child's functional level and Ji and pediatric balance scale will be used to evaluate child's balance. both outcome measures will be through physical examination of hip joint range of motion and some physical examination. the tests will be obtained 4 times (preoperative, postoperative base line (after the removal of the spica cast), 3 weeks post operative, 6 weeks postoperative)

Being tested
prescribed physiotherapy course
Keywords
DDH, physiotherapy, rehabilitation, home program
Medical subject headings
Developmental Dysplasia of the Hip

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • prescribed physiotherapy courseOther

    provide full assessment and treatment program as postoperative rehabilitation management

Study groups in NCT05238935
Study groupRoleWhat they receive
control groupNo interventionthis group will be treated as per the common practice postoperatively and will have the home program prescribed by the orthopedic surgeon
intervention (treatment) groupExperimentalPatients in the intervention group will be treated with conventional physiotherapy 3 times a week for 6 weeks (18 times treatment).
Receives: Other: prescribed physiotherapy course

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. modified outcome evaluation standard for congenital dislocation of the hip by Zhou and Ji will be used to evaluate child's functional level

    evaluate the hip functional ability will start by measuring the hip range of motion in degrees and then graded from 0-5 where 5 is patient is able to do 100% of normal range of motion and 0 is less than 60% of normal ROM. this assessment will evaluate the hip flexion (normal ROM is 130-140),Hip abduction in extension position (normal ROM is 70),Hip abduction in flexion position (normal ROM is30-45), hip abduction (normal ROM is 20-30),Hip internal rotation (normal ROM is 40-50),Hip external rotation (normal ROM is 30-40). further more, the assessment tool will evaluate the pain ( in the scale of no, occasional, frequently), squat (normal, mildly, difficult), limping (none, mild, sever),Trendelenburg (negative, mild, positive), and shortening (none, mild<2cm, sever>2cm).

    Measured: Patient will be evaluated before the operation (baseline)

  2. modified outcome evaluation standard for congenital dislocation of the hip by Zhou and Ji will be used to evaluate child's functional level

    evaluate the hip functional ability will start by measuring the hip range of motion in degrees and then graded from 0-5 where 5 is patient is able to do 100% of normal range of motion and 0 is less than 60% of normal ROM. this assessment will evaluate the hip flexion (normal ROM is 130-140),Hip abduction in extension position (normal ROM is 70),Hip abduction in flexion position (normal ROM is30-45), hip abduction (normal ROM is 20-30),Hip internal rotation (normal ROM is 40-50),Hip external rotation (normal ROM is 30-40). further more, the assessment tool will evaluate the pain ( in the scale of no, occasional, frequently), squat (normal, mildly, difficult), limping (none, mild, sever),Trendelenburg (negative, mild, positive), and shortening (none, mild<2cm, sever>2cm).

    Measured: Patient will be evaluated after 10 weeks (removal of spica cast)

  3. modified outcome evaluation standard for congenital dislocation of the hip by Zhou and Ji will be used to evaluate child's functional level

    evaluate the hip functional ability will start by measuring the hip range of motion in degrees and then graded from 0-5 where 5 is patient is able to do 100% of normal range of motion and 0 is less than 60% of normal ROM. this assessment will evaluate the hip flexion (normal ROM is 130-140),Hip abduction in extension position (normal ROM is 70),Hip abduction in flexion position (normal ROM is30-45), hip abduction (normal ROM is 20-30),Hip internal rotation (normal ROM is 40-50),Hip external rotation (normal ROM is 30-40). further more, the assessment tool will evaluate the pain ( in the scale of no, occasional, frequently), squat (normal, mildly, difficult), limping (none, mild, sever),Trendelenburg (negative, mild, positive), and shortening (none, mild<2cm, sever>2cm).

    Measured: Patient will be evaluated after 3 weeks of treatment (13 weeks postoperatively)

  4. modified outcome evaluation standard for congenital dislocation of the hip by Zhou and Ji will be used to evaluate child's functional level

    evaluate the hip functional ability will start by measuring the hip range of motion in degrees and then graded from 0-5 where 5 is patient is able to do 100% of normal range of motion and 0 is less than 60% of normal ROM. this assessment will evaluate the hip flexion (normal ROM is 130-140),Hip abduction in extension position (normal ROM is 70),Hip abduction in flexion position (normal ROM is30-45), hip abduction (normal ROM is 20-30),Hip internal rotation (normal ROM is 40-50),Hip external rotation (normal ROM is 30-40). further more, the assessment tool will evaluate the pain ( in the scale of no, occasional, frequently), squat (normal, mildly, difficult), limping (none, mild, sever),Trendelenburg (negative, mild, positive), and shortening (none, mild<2cm, sever>2cm).

    Measured: Patient will be evaluated after 6 weeks of treatment (16 weeks postoperatively)

  5. pediatric balance scale

    the pediatric balance scale will evaluate the child's balance through asking the child to do 14 different tasks that include

    1. sitting to standing
    2. standing to sitting
    3. transfers.
    4. standing unsupported
    5. sitting unsupported
    6. standing with eyes closed
    7. standing with feet together.
    8. standing one foot in front
    9. standing on one foot
    10. turning 360 degrees
    11. turning to look behind
    12. retrieving object from the floor
    13. placing alternate foot on a stool
    14. reaching forward with outstretched arm. each task will be scored utilizing the 0-4 scale. the child's performance should be scored based upon the lowest criteria which describe the child best performance (each task has its own criteria of performance description scored from 0-4 that will be used to guide scoring procedure).

    Measured: Patient will be evaluated before the operation (baseline)

  6. pediatric balance scale

    the pediatric balance scale will evaluate the child's balance through asking the child to do 14 different tasks that include

    1. sitting to standing
    2. standing to sitting
    3. transfers.
    4. standing unsupported
    5. sitting unsupported
    6. standing with eyes closed
    7. standing with feet together.
    8. standing one foot in front
    9. standing on one foot
    10. turning 360 degrees
    11. turning to look behind
    12. retrieving object from the floor
    13. placing alternate foot on a stool
    14. reaching forward with outstretched arm. each task will be scored utilizing the 0-4 scale. the child's performance should be scored based upon the lowest criteria which describe the child best performance (each task has its own criteria of performance description scored from 0-4 that will be used to guide scoring procedure).

    Measured: Patient will be evaluated after 10 weeks (removal of spica cast)

  7. pediatric balance scale

    the pediatric balance scale will evaluate the child's balance through asking the child to do 14 different tasks that include

    1. sitting to standing
    2. standing to sitting
    3. transfers.
    4. standing unsupported
    5. sitting unsupported
    6. standing with eyes closed
    7. standing with feet together.
    8. standing one foot in front
    9. standing on one foot
    10. turning 360 degrees
    11. turning to look behind
    12. retrieving object from the floor
    13. placing alternate foot on a stool
    14. reaching forward with outstretched arm. each task will be scored utilizing the 0-4 scale. the child's performance should be scored based upon the lowest criteria which describe the child best performance (each task has its own criteria of performance description scored from 0-4 that will be used to guide scoring procedure).

    Measured: Patient will be evaluated after 3 weeks of treatment (13 weeks postoperatively)

  8. pediatric balance scale

    the pediatric balance scale will evaluate the child's balance through asking the child to do 14 different tasks that include

    1. sitting to standing
    2. standing to sitting
    3. transfers.
    4. standing unsupported
    5. sitting unsupported
    6. standing with eyes closed
    7. standing with feet together.
    8. standing one foot in front
    9. standing on one foot
    10. turning 360 degrees
    11. turning to look behind
    12. retrieving object from the floor
    13. placing alternate foot on a stool
    14. reaching forward with outstretched arm. each task will be scored utilizing the 0-4 scale. the child's performance should be scored based upon the lowest criteria which describe the child best performance (each task has its own criteria of performance description scored from 0-4 that will be used to guide scoring procedure).

    Measured: Patient will be evaluated after 6 weeks of treatment (16 weeks postoperatively)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Feb 2022
  2. Study start23 Feb 2022
  3. Primary completion1 Feb 2023 (estimated)
  4. Study completion1 Feb 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Individuals who meet the inclusion criteria and had their guardian agreed to volunteer will be included in the study by signing the Informed Voluntary Consent Form and will be randomly allocated into either control group or treatment group. Patients in the control group will be given a home program by the orthopedic surgeon (common practice). Patients in the intervention (treatment) group will be treated with conventional physiotherapy 3 times a week for 6 weeks (4 times evaluation and 18 times treatment). all participants will be examined by the responsible examiner in physiotherapy clinic (blinded to the allocated group) at four main points: preoperative, postoperative (after the removal of spica cast), 3 weeks postoperative, 6 weeks postoperative.
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05238935
Sponsor's protocol ID
1920
Status last verified
Aug 2022
First submitted
19 Jan 2022
Last updated
29 Aug 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: anonymous data will be shared for analysis

Questions about this trial

What is this clinical trial studying?

A study testing prescribed physiotherapy course in people with Developmental Dysplasia of the Hip, run by Ministry of Health, Kuwait at 1 site in Kuwait.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 29 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Kuwait. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Hadeel H Alsaleh, PhD (0096565064141, golden_land85@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

modified outcome evaluation standard for congenital dislocation of the hip by Zhou and Ji will be used to evaluate child's functional level (time frame: Patient will be evaluated before the operation (baseline)). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Aug 2022.

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