Real-time visual biofeedback to improve therapy compliance after total hip arthroplasty: A pilot randomized controlled trial

Abstract

Background: Previous studies have shown limited therapy compliance in weight-bearing in patients following total hip arthroplasty.

Research question: The purpose of this pilot RCT is to determine the immediate and late effect of real-time, visual biofeedback on weight-bearing during rehabilitation after THA in elderly.

Methods: 24 participants who underwent THA were randomized to either the control or the intervention group. The intervention group received real-time, visual biofeedback on weight-bearing during training with the physical therapist during hospitalization and at twelve weeks follow up.

Results: Without biofeedback, therapy compliance was limited. Significant improvement in peak load was found in the intervention group in the early postoperative phase. In contrast to the control group, the peak load at twelve weeks was significantly higher in the intervention group compared to the pre-operative peak load, indicating a lasting effect of early biofeedback. Other gait parameters were not significantly different in the early postoperative phase. In the intervention group a longer walking distance was observed and the use of walking aids was reduced at twelve weeks.

Significance: Biofeedback systems could be promising to improve outcomes and reduce costs in future rehabilitation programs after THA.

Keywords: Biofeedback; Gait monitoring; Rehabilitation; SensiStep; Total hip arthroplasty.