Cognitive behavioral therapy to reduce fear of movement and improve recovery after hip replacement

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized interventional trial compares standard post-THA physical therapy alone versus the same rehabilitation program plus cognitive behavioral therapy (CBT). Eligible adults who had a first-time unilateral total hip arthroplasty and high kinesiophobia are assigned to either control or experimental arms. Outcomes include changes in kinesiophobia (Tampa Scale of Kinesiophobia), pain, functional mobility, and quality of life, with follow-up visits up to six months. The experimental group receives structured CBT sessions alongside exercise while the control group receives routine physical therapy only.

Why it matters

Who can join: the full rules

Inclusion Criteria:

((1) postoperative unilateral THA for the first time; (2) at least primary education; (3) ≥18 years of age ; (4) voluntary participation and close cooperation with the care plan; and (5) agreement to continue the intervention and the six-month follow-up after discharge,(6) high level of kinesiophobia on Tampa Scale of Kinesiophobia(TSK), (7)medically stable and cleared by their orthopedic surgeon.

Exclusion Criteria:

(1) revision surgery, (2) severe osteoarthritis in the contralateral hip, (3) severe acute metabolic neuromuscular and cardiovascular disease, (4) body mass index above 40, (5) presence of malignancy, any other orthopedic or neurologic problem that might affect treatment and assessments, (6) any condition that might interfere with communication, (7) or lack of cooperation during the study.(9) Individuals with cognitive disorder,(10) individuals with any psychological disease or disorder,(10) Had previously participated in a CBT intervention,(11) pregnancy.

Where it's running

• Cairo University Hospitals
  Giza, Giza Governorate, Egypt Recruiting

Study contacts

• Study coordinator: Ahmad El Melhat, Phd
• Email: ahmed.elmelhat@cu.edu.lb
• Phone: +20 11 12595022

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.