What is the effect on independent recovery of using pedometers as a tool to prescribe exercise following total hip replacement?

ISRCTN ISRCTN16250771
DOI https://doi.org/10.1186/ISRCTN16250771
Secondary identifying numbers 1
Submission date
20/10/2014
Registration date
25/02/2015
Last edited
10/05/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Pedometers are portable devices, often attached by a belt worn on the waist. That counts every step a person takes by detecting hip movements. There is evidence to suggest that these devices promote physical activity and improve quality of life in the general population. It is also suggested that people generally don’t increase their physical activity levels after undergoing hip replacement surgery. Here, we hope to use the pedometer to increase levels of physical activity in this group of patients and help them to recover from their surgery.

Who can participate?
Adults (at least 18 years old) who have a hip replacement operation scheduled for 2 weeks’ time or later and are able to walk at least 10m without walking aids.

What does the study involve?
The participants are randomly allocated into one of two groups. Those in group 1 receive standard care following their surgery. Those in group 2 receive standard care and a pedometer-driven
walking intervention (treatment). Each person in this group will be given a target number of steps to walk each week using their pedometer.

What are the possible benefits and risks of participating?
The possible benefits of taking part in the study are that it is helping to understand if physical activity aids recovery following hip replacement. The additional risks on taking part in this study is that there is a slight increase in the risk of suffering a ‘sports injury’ as it is likely that participation in this study will result in participants being more physically active than usual.

Where is the study run from?
University of East Anglia (UK)

When is the study starting and how long is it expected to run for?
November 2014 to September 2016

Who is funding the study?
University of East Anglia (UK)

Who is the main contact?
Mr Tom Withers
t.withers@uea.ac.uk

Contact information

Mr Tom Withers
Scientific

Room 1.23
School of Health Sciences
Queen's Building
University of East Anglia
Norwich
NR4 7TJ
United Kingdom

ORCiD logoORCID ID 0000-0002-5286-7189

Study information

Study designTwo arm randomised controlled trial.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleWhat is the effect on independent recovery of using pedometers as a tool to prescribe exercise following total hip replacement? A two arm randomised controlled trial
Study acronymHPA
Study objectives1. Prescribed PA will significantly increase the overall amount of PA undertaken.
2. Prescribed PA will significantly improve quality of life.
Ethics approval(s)Cambridge south ethics committee, 20/10/2014, ref. 14/EE/1178
Health condition(s) or problem(s) studiedTotal hip arthroplasty.
InterventionParticipants are randomly allocated into one of two groups.
Group 1: Receive standard care
Group 2: Receive standard care and walking based pedometer intervention
Intervention typeDevice
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)
Primary outcome measureOxford Hip Score

Measured pre-surgery and 4, 12 and 24 weeks post surgery.
Secondary outcome measures1. Hip dislocation
2. Quality of life measured by self-completed questionnaire
3. Physical activity level through accelerometry.

Measured pre-surgery and 4, 12 and 24 weeks post surgery.
Overall study start date01/11/2014
Completion date30/09/2016

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants160
Key inclusion criteria1. Patient is on the waiting list for primary elective unilateral THR
2. Patient is 18 years of age or older
3. Patient is able to walk at least 10m pre-operation without walking aids, if the patient is unable to walk pre-operation it is believed that the patient will be able to walk post-THR
4. Patients operation is scheduled to be at least 2 weeks away
5. Patients have no other prosthetic implants
6. The surgeon that is performing the operation performs operations in both the independent and NHS hospital
Key exclusion criteria1. Patient is unable to give informed consent
2. Patient is having two different procedures combined together in one operation
3. Patients cannot comprehend English and do not have a friend, relative or care giver who is willing to translate for them
4. Patient is currently undertaking a custodial sentence
5. Patient already has a prosthetic hip in the other femur or patient is undergoing replacement of a previously implanted prosthetic hip
6. If the participants suffer an operative or perioperative complication they will be excluded from the study at this stage
7. Participants who suffer from any absolute or relative contraindication to exercise
8. For this this study partial proximal femur resection (PFR) will not be considered a form of THR
9. Patient lives in a care home
10. A reason for the patients to undergo THR is due to a form of cancer
Date of first enrolment05/12/2014
Date of final enrolment31/03/2016

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

University of East Anglia
Room 1.23
School of Health Sciences
Queen's Building
Norwich
NR4 7TJ
United Kingdom

Sponsor information

University of East Anglia
University/education

Research and Enterprise Services West Office
Norwich
NR4 7TJ
England
United Kingdom

ROR logo "ROR" https://ror.org/026k5mg93

Funders

Funder type

Research council

University of East Anglia
Private sector organisation / Universities (academic only)
Alternative name(s)
UEA
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration

2017 results published in thesis: https://ueaeprints.uea.ac.uk/id/eprint/63758/1/Thomas_Withers_Thesis.pdf (added 10/05/2021)
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No

Editorial Notes

10/05/2021: Added link to thesis.
16/05/2016: Recruitment end date changed from 30/09/2016 to 31/03/2016