The effect of dual-task training in older adults with total hip arthroplasty: a randomized controlled trial
Abstract Background No other study has addressed the effectiveness of dual-task training in the postoperative period of total hip arthroplasty (THA). This study investigated the efficacy of dual-task training in older adults with THA. Methods Patients were randomized into the control group (CG) (n =...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-025-08279-7 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841545038863007744 |
|---|---|
| author | İsmail Uysal Fatih Özden Mustafa Yalçın Emir İbrahim Işık Zübeyir Sarı |
| author_facet | İsmail Uysal Fatih Özden Mustafa Yalçın Emir İbrahim Işık Zübeyir Sarı |
| author_sort | İsmail Uysal |
| collection | DOAJ |
| description | Abstract Background No other study has addressed the effectiveness of dual-task training in the postoperative period of total hip arthroplasty (THA). This study investigated the efficacy of dual-task training in older adults with THA. Methods Patients were randomized into the control group (CG) (n = 14) and intervention group (IG) (n = 14). Patients in the CG received the usual post-operative rehabilitation for 8 weeks. IG-group received 8-week dual-task training in addition to the program given to the CG. Visual Analog Scale (VAS), Harris Hip Score (HHS), Mini-Mental Status Examination (MMSE), Dual Task Questionnaire (DTQ), Cognitive Timed Up and Go Test (cTUG), Lower Extremity Motor Coordination Test (LEMOCOT), 4 m Walking Speed (4MWS), Five Times Sit to Stand Test (FTSST), Activity Specific Balance Confidence Scale (ABC) were used to assess the patients after the sixth week of the surgery and after the two months of the initial assessment. Results All evaluated parameters of the intervention group (VAS, HHS, MMSE, DTQ, cTUG, LEMOCOT, 4MWS, FTSST, and ABC) improved significantly after the intervention. Also, significant improvement was seen in all scores (VAS, HHS, MMSE, DTQ, cTUG, LEMOCOT, 4MWS, FTSST, and ABC) except for HHS-pain (0.059) and HHS-deformity (0.157) (p < 0.05) for the control group. The score change of the intervention group was significantly better for all evaluated parameters (VAS, HHS, MMSE, DTQ, LEMOCOT, 4MWS, FTSST, and ABC) (p < 0.05), except cTUG. All parameters of the intervention group were clinically meaningful regarding MCID values, except HHS-pain, HHS-living activities, and cTUG score change. Besides, HHS-pain, HHS-living activities, HHS-deformity, MMSE, LEMOCOT, FTSST, and ABC score change was not meaningful clinically. Conclusion An eight-week dual-task training provides better results on pain, function, dual-task performance, motor coordination, gait, and balance than usual rehabilitation in patients after 6-weeks of THA. The results showed that patients after THA achieved improvements with gains in motor-cognitive function. Trial Registration The study protocol was registered to “clinicaltrials.gov” (Registration Date: 19/08/2023, Clinical Trial Number: NCT06009419|| https://clinicaltrials.gov/study/NCT06009419 ). |
| format | Article |
| id | doaj-art-3a8a97915c2b44c6bea2a5222ec9a83d |
| institution | Kabale University |
| issn | 1471-2474 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-3a8a97915c2b44c6bea2a5222ec9a83d2025-01-12T12:04:54ZengBMCBMC Musculoskeletal Disorders1471-24742025-01-0126111010.1186/s12891-025-08279-7The effect of dual-task training in older adults with total hip arthroplasty: a randomized controlled trialİsmail Uysal0Fatih Özden1Mustafa Yalçın2Emir İbrahim Işık3Zübeyir Sarı4Fethiye Vocational School of Health Services, Department of Health Care Services, Muğla Sıtkı Koçman UniversityKöyceğiz Vocational School of Health Services, Department of Health Care Services, Muğla Sıtkı Koçman UniversityDepartment of Physiotherapy and Rehabilitation, Bursa Çekirge State HospitalAbdi Sutcu Vocational School of Health Services, Department of Therapy and Rehabilitation, Çukurova UniversityFaculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Marmara UniversityAbstract Background No other study has addressed the effectiveness of dual-task training in the postoperative period of total hip arthroplasty (THA). This study investigated the efficacy of dual-task training in older adults with THA. Methods Patients were randomized into the control group (CG) (n = 14) and intervention group (IG) (n = 14). Patients in the CG received the usual post-operative rehabilitation for 8 weeks. IG-group received 8-week dual-task training in addition to the program given to the CG. Visual Analog Scale (VAS), Harris Hip Score (HHS), Mini-Mental Status Examination (MMSE), Dual Task Questionnaire (DTQ), Cognitive Timed Up and Go Test (cTUG), Lower Extremity Motor Coordination Test (LEMOCOT), 4 m Walking Speed (4MWS), Five Times Sit to Stand Test (FTSST), Activity Specific Balance Confidence Scale (ABC) were used to assess the patients after the sixth week of the surgery and after the two months of the initial assessment. Results All evaluated parameters of the intervention group (VAS, HHS, MMSE, DTQ, cTUG, LEMOCOT, 4MWS, FTSST, and ABC) improved significantly after the intervention. Also, significant improvement was seen in all scores (VAS, HHS, MMSE, DTQ, cTUG, LEMOCOT, 4MWS, FTSST, and ABC) except for HHS-pain (0.059) and HHS-deformity (0.157) (p < 0.05) for the control group. The score change of the intervention group was significantly better for all evaluated parameters (VAS, HHS, MMSE, DTQ, LEMOCOT, 4MWS, FTSST, and ABC) (p < 0.05), except cTUG. All parameters of the intervention group were clinically meaningful regarding MCID values, except HHS-pain, HHS-living activities, and cTUG score change. Besides, HHS-pain, HHS-living activities, HHS-deformity, MMSE, LEMOCOT, FTSST, and ABC score change was not meaningful clinically. Conclusion An eight-week dual-task training provides better results on pain, function, dual-task performance, motor coordination, gait, and balance than usual rehabilitation in patients after 6-weeks of THA. The results showed that patients after THA achieved improvements with gains in motor-cognitive function. Trial Registration The study protocol was registered to “clinicaltrials.gov” (Registration Date: 19/08/2023, Clinical Trial Number: NCT06009419|| https://clinicaltrials.gov/study/NCT06009419 ).https://doi.org/10.1186/s12891-025-08279-7Cognitive trainingHip replacementMotor skillsPhysiotherapy modalitiesRehabilitation |
| spellingShingle | İsmail Uysal Fatih Özden Mustafa Yalçın Emir İbrahim Işık Zübeyir Sarı The effect of dual-task training in older adults with total hip arthroplasty: a randomized controlled trial BMC Musculoskeletal Disorders Cognitive training Hip replacement Motor skills Physiotherapy modalities Rehabilitation |
| title | The effect of dual-task training in older adults with total hip arthroplasty: a randomized controlled trial |
| title_full | The effect of dual-task training in older adults with total hip arthroplasty: a randomized controlled trial |
| title_fullStr | The effect of dual-task training in older adults with total hip arthroplasty: a randomized controlled trial |
| title_full_unstemmed | The effect of dual-task training in older adults with total hip arthroplasty: a randomized controlled trial |
| title_short | The effect of dual-task training in older adults with total hip arthroplasty: a randomized controlled trial |
| title_sort | effect of dual task training in older adults with total hip arthroplasty a randomized controlled trial |
| topic | Cognitive training Hip replacement Motor skills Physiotherapy modalities Rehabilitation |
| url | https://doi.org/10.1186/s12891-025-08279-7 |
| work_keys_str_mv | AT ismailuysal theeffectofdualtasktraininginolderadultswithtotalhiparthroplastyarandomizedcontrolledtrial AT fatihozden theeffectofdualtasktraininginolderadultswithtotalhiparthroplastyarandomizedcontrolledtrial AT mustafayalcın theeffectofdualtasktraininginolderadultswithtotalhiparthroplastyarandomizedcontrolledtrial AT emiribrahimisık theeffectofdualtasktraininginolderadultswithtotalhiparthroplastyarandomizedcontrolledtrial AT zubeyirsarı theeffectofdualtasktraininginolderadultswithtotalhiparthroplastyarandomizedcontrolledtrial AT ismailuysal effectofdualtasktraininginolderadultswithtotalhiparthroplastyarandomizedcontrolledtrial AT fatihozden effectofdualtasktraininginolderadultswithtotalhiparthroplastyarandomizedcontrolledtrial AT mustafayalcın effectofdualtasktraininginolderadultswithtotalhiparthroplastyarandomizedcontrolledtrial AT emiribrahimisık effectofdualtasktraininginolderadultswithtotalhiparthroplastyarandomizedcontrolledtrial AT zubeyirsarı effectofdualtasktraininginolderadultswithtotalhiparthroplastyarandomizedcontrolledtrial |