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Total Hip Arthroplasty (THA)NCT07550647

Early Rehabilitation After Total Hip Arthroplasty

A study testing Early Postoperative Physiotherapy, Neuromuscular Electrical Stimulation (NMES) and Telerehabilitation in people with Total Hip Arthroplasty (THA), run by Muğla Sıtkı Koçman University at 1 site in Turkey (Türkiye).

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study aims to investigate the effects of an early postoperative rehabilitation program combined with neuromuscular electrical stimulation (NMES) and telerehabilitation on functional recovery in patients undergoing total hip arthroplasty (THA). Read more about this study

Who is it for?
Ages 50 to 75 years
Conditions the study is for
Total Hip Arthroplasty (THA)
What is being tested?
Early Postoperative Physiotherapy, Neuromuscular Electrical Stimulation (NMES) and Telerehabilitation
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
52 participants
Where
1 siteTurkey (Türkiye)
Study dates
Apr 2026to Oct 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 50 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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

Who cannot join

  • 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
Show all 9Show fewer
  • Concomitant orthopedic conditions (e.g., lower extremity fractures, severe hip/knee deformities, lumbar or sacroiliac dysfunction)
  • Body mass index >35
  • Occurrence of postoperative complications (e.g., prosthetic infection, thromboembolic events, or conditions requiring reoperation)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Cansu Dal, Specialist Physiotherapist contact

+905379773071

ptcansudal@gmail.com

Turkey (Türkiye)1 site, 1 recruiting
  • Niğde Ömer Halisdemir University, Education and Research Hospital

    Niğde, Merkez, 51200

    Emin Kürşat Bulut, Asst Prof Orthopedic Surgeon, +905536155737, eminkursatbulut@ohu.edu.tr

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Official title: Effect of Early Rehabilitation on Functional Recovery After Total Hip Arthroplasty: A Randomized Controlled Trial

This study aims to investigate the effects of an early postoperative rehabilitation program combined with neuromuscular electrical stimulation (NMES) and telerehabilitation on functional recovery in patients undergoing total hip arthroplasty (THA).

In the early postoperative period, patients commonly experience muscle weakness, impaired gait, and functional limitations that may delay recovery. Early rehabilitation has been shown to improve functional outcomes, while NMES may enhance muscle activation, particularly in hip abductor muscles. Additionally, telerehabilitation may support continuity of care following discharge by enabling supervised home-based exercise.

In this prospective study, participants will be assigned to either an intervention group receiving early physiotherapy combined with NMES and telerehabilitation, or a control group receiving standard postoperative care. Functional outcomes, gait parameters, quality of life, and muscle-related changes will be evaluated at predefined time points.

Read the detailed description

This study is designed as a prospective, randomized controlled clinical trial to evaluate the effectiveness of an early postoperative rehabilitation program combined with neuromuscular electrical stimulation (NMES) and telerehabilitation in patients undergoing total hip arthroplasty (THA).

Following THA, patients frequently experience muscle weakness, gait asymmetries, and reduced functional capacity, which may prolong recovery. Although early mobilization and rehabilitation are widely recommended, the combined effects of NMES and telerehabilitation within a structured early-phase rehabilitation program have not been sufficiently investigated.

Participants will be randomly allocated into intervention and control groups using a simple randomization method. The intervention group will receive a structured physiotherapy program initiated on the first postoperative day and continued daily during hospitalization. This program will be combined with NMES targeting the gluteus medius muscle, applied using surface electrodes placed over the motor point with stimulation parameters adjusted according to patient tolerance.

After discharge, participants in the intervention group will continue a structured home-based exercise program supported by synchronous telerehabilitation sessions conducted three times per week. These sessions will enable real-time supervision, feedback on exercise performance, and progression based on standardized tolerance criteria.

The control group will receive the standard postoperative care protocol routinely applied in the clinic, without additional NMES or telerehabilitation support.

All participants will be evaluated at predefined time points: preoperatively (within 3 days before surgery), at discharge (postoperative day 6), and at postoperative week 4. Outcome assessments will be performed by an experienced physiotherapist blinded to group allocation, and intervention delivery and outcome assessment will be conducted by different physiotherapists.

The primary objective of the study is to determine whether the addition of NMES and telerehabilitation to early rehabilitation improves functional recovery following THA. Secondary objectives include evaluating changes in muscle strength, joint mobility, pain levels, gait characteristics, and muscle morphology.

Being tested
Early Postoperative Physiotherapy, Neuromuscular Electrical Stimulation (NMES), Telerehabilitation, Standard Postoperative Care
Keywords
Rehabilitation, Total Hip Arthtoplasty

What participants receive

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

  • Early Postoperative PhysiotherapyOther

    A structured physiotherapy program including mobilization and therapeutic exercises initiated on postoperative day 1 and continued daily until discharge (5 days).

  • Neuromuscular Electrical Stimulation (NMES)Device

    NMES applied to the gluteus medius muscle starting on postoperative day 1, administered daily for 5 days using standard stimulation parameters to enhance muscle activation.

  • TelerehabilitationOther

    A 3-week home-based exercise program supported by synchronous video-based telerehabilitation sessions conducted three times per week after discharge.

  • Standard Postoperative CareOther

    Routine postoperative care including wound monitoring and general medical follow-up during hospitalization. At discharge, patients receive a home exercise brochure without supervised rehabilitation or telerehabilitation.

Study groups in NCT07550647
Study groupRoleWhat they receive
Experimental Group (Early Physiotherapy + NMES + Telerehabilitation)ExperimentalParticipants will receive a structured physiotherapy program initiated on the first postoperative day, including exercise and neuromuscular electrical stimulation (NMES) targeting the gluteus medius during hospitalization (5 days). After discharge, the intervention will continue with a 3-week home-based exercise program supported by synchronous telerehabilitation sessions conducted three times per week.
Receives: Other: Early Postoperative Physiotherapy; Device: Neuromuscular Electrical Stimulation (NMES); Other: Telerehabilitation
Control Group (Standard Care)Active comparatorParticipants will receive the hospital's standard postoperative care during hospitalization, including routine monitoring and wound care without a structured physiotherapy program. At discharge, they will be provided with a home exercise brochure with instructions but will not receive supervised telerehabilitation.
Receives: Other: Standard Postoperative Care

What is being measured

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

  1. Timed Up and Go (TUG) Test

    Functional mobility will be assessed using the Timed Up and Go (TUG) test. The time required to stand up from a chair, walk 3 meters, turn, return, and sit down will be recorded in seconds.

    Measured: Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 4.

  2. 10-Meter Walk Test (10MWT)

    Gait speed will be assessed using the 10-Meter Walk Test. Walking speed will be recorded in meters per second (m/s).

    Measured: Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 4

  3. Stair Climb Test

    Functional lower extremity performance will be assessed using the Stair Climb Test. The time required to ascend and descend a standardized flight of stairs will be recorded in seconds.

    Measured: Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 4

Secondary outcomes (9)
  1. 6-Minute Walk Test (6MWT)

    Functional exercise capacity will be assessed using the 6-Minute Walk Test. The total walking distance covered in 6 minutes will be recorded in meters.

    Measured: Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 4

  2. Hip Muscle Strength (Manual Muscle Testing)

    Hip muscle strength (flexion, extension, and abduction) will be evaluated using Manual Muscle Testing, graded on a scale from 0 to 5, where 0 indicates no muscle contraction and 5 indicates normal muscle strength. Higher scores indicate better muscle strength.

    Measured: Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 4

  3. Range of Motion (ROM)

    Hip joint range of motion (flexion, extension, and abduction) will be measured using a goniometer and recorded in degrees. Higher values indicate greater joint mobility.

    Measured: Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 4

  4. Pain Intensity (Visual Analog Scale - VAS)

    Pain intensity during movement will be assessed using the Visual Analog Scale (VAS), a 10-centimeter scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate worse pain.

    Measured: Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 4

  5. Hip Function and Quality of Life (International Hip Outcome Tool-12)

    Hip-related function and quality of life will be assessed using the International Hip Outcome Tool-12 (IHOT-12). Scores range from 0 to 100, with higher scores indicating better hip function and quality of life.

    Measured: Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 4

  6. Gluteus Medius Muscle Sarcopenia (CT-Based Assessment)

    Gluteus medius muscle sarcopenia will be assessed using computed tomography (CT) imaging. Muscle cross-sectional area and composition will be analyzed.

    Measured: Preoperative (within 3 days before surgery) and postoperative week 4

  7. Step Length

    Step length will be assessed using gait analysis methods and recorded in meters. Higher values indicate better gait performance.

    Measured: Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 4

  8. Cadence

    Cadence will be assessed using gait analysis methods and recorded as steps per minute. Higher values indicate better gait performance.

    Measured: Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 4

  9. Walking Speed

    Walking speed will be assessed using gait analysis methods and recorded in meters per second (m/s). Higher values indicate better gait performance.

    Measured: Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 4

Timeline

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

  1. First posted24 Apr 2026
  2. Study startApr 2026 (estimated)
  3. Primary completionJul 2027 (estimated)
  4. Study completionOct 2027 (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
2 groups with two different applications
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
52 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07550647
Sponsor's protocol ID
CD2
Status last verified
Apr 2026
First submitted
30 Mar 2026
Last updated
24 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: At this stage, the plan for sharing individual participant data has not yet been determined.

Publications

  • Baldwin ER, Klakowicz PM, Collins DF. Wide-pulse-width, high-frequency neuromuscular stimulation: implications for functional electrical stimulation. J Appl Physiol (1985). 2006 Jul;101(1):228-40. doi: 10.1152/japplphysiol.00871.2005. Epub 2006 Apr 20.

    PubMed 16627680
  • Marchisio AE, Ribeiro TA, Umpierres CSA, GalvAo L, Rosito R, Macedo CAS, Galia CR. Accelerated rehabilitation versus conventional rehabilitation in total hip arthroplasty (ARTHA): a randomized double blinded clinical trial. Rev Col Bras Cir. 2020;47:e20202548. doi: 10.1590/0100-6991e-20202548. Epub 2020 Aug 12. English, Portuguese.

    PubMed 32844909
  • Madara KC, Marmon A, Aljehani M, Hunter-Giordano A, Zeni J Jr, Raisis L. PROGRESSIVE REHABILITATION AFTER TOTAL HIP ARTHROPLASTY: A PILOT AND FEASIBILITY STUDY. Int J Sports Phys Ther. 2019 Jul;14(4):564-581.

    PubMed 31440408
  • Monaghan B, Grant T, Hing W, Cusack T. Functional exercise after total hip replacement (FEATHER): a randomised control trial. BMC Musculoskelet Disord. 2012 Nov 28;13:237. doi: 10.1186/1471-2474-13-237.

    PubMed 23190932

Questions about this trial

What is this clinical trial studying?

A study testing Early Postoperative Physiotherapy, Neuromuscular Electrical Stimulation (NMES) and Telerehabilitation in people with Total Hip Arthroplasty (THA), run by Muğla Sıtkı Koçman University at 1 site in Turkey (Türkiye).

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 6 inclusion and 9 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: looking for participants now, as of the sponsor's last update on 24 Apr 2026. 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 Turkey (Türkiye). 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Cansu Dal, Specialist Physiotherapist (+905379773071, ptcansudal@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Timed Up and Go (TUG) Test (time frame: Preoperative (within 3 days before surgery), postoperative day 6 (at discharge), and postoperative week 4.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07550647, which also lists 4 linked publications.

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 24 Apr 2026.

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