Medial Wedge Insoles to Improve Gait in Persons After Total Hip Replacement

Launched by NATIONAL INSTITUTE OF GERIATRICS, RHEUMATOLOGY AND REHABILITATION, POLAND · Feb 9, 2023

Keywords

ClinConnect Summary

This clinical trial is studying whether special insoles, called medial wedge insoles, can help improve walking and balance in people recovering from total hip replacement surgery. The research aims to see if these insoles can make a difference in how well patients move and function during their rehabilitation, compared to those using regular (sham) insoles. Participants will take part in a 6-week rehabilitation program that focuses on managing pain, improving strength and movement, and addressing individual needs through therapy.

To join the study, individuals should be between the ages of 65 and 74, have recently undergone total hip replacement surgery (1-6 months ago), and have specific hip conditions. However, those who had surgery through certain approaches or have other knee issues might not qualify. Throughout the study, participants will receive personalized insoles and will be monitored to see how their walking improves during and after the rehabilitation program. This research could provide valuable insights into enhancing recovery for patients after hip replacement surgery.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Clinical diagnosis of primary or secondary hip coxarthrosis or proxmal hip facture
• • Total Hip replacement made from posterior or lateral surgical approaches
• • Total Hip replacement made less 1-6 months prior to study entry
• Exclusion Criteria:
• • Total Hip replacement made from anterior or anterolateral approach
• • Total Hip replacement made less than 1 month or more than 6 months prior to study entry
• • Varus knee (Q angle below 5 degrees in males and below 10 degrees in females
• • Symptomatic arthritis of medial compartment of the knee
• • Use of corrective insoles (excluding insoles for limb length discrepancy compensation)
• • Inability to walk for one minute
• • Neurologic conditions
• • History of hip prosthesis dislocation
• • Cognitive dysfunction (MoCa Score below 26)
• • Lack of shoes with a stiff heel counter