Progressive muscle relaxation to reduce pain, anxiety, and fear of falling after hip or knee replacement
The Effect of Progressive Muscle Relaxation Exercise Undergoing Total Hip and Knee Arthroplasty Patients on Fear of Falling, Pain and Anxiety Level
This will test whether progressive muscle relaxation helps people having hip or knee replacement feel less pain, less anxious, and less afraid of falling.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 44 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Gazi University Academic / other |
| Locations | 1 site (Ankara) |
| Trial ID | NCT07098390 on ClinicalTrials.gov |
What this trial studies
This is a randomized, parallel-group trial that compares progressive muscle relaxation exercises (PMRE) to usual care in patients undergoing elective primary hip or knee arthroplasty. Baseline measures (Descriptive Information Form, Fear of Falling Scale, Numeric Rating Scale for pain, and State-Trait Anxiety Inventory) are collected before randomization. The intervention group receives guided PMRE with headphones preoperatively and on the first postoperative day, with outcome reassessments before mobilization and one hour after mobilization. The primary outcomes are postoperative fear of falling, pain intensity, and state anxiety levels.
Who should consider this trial
Good fit: Adults (18+) having elective primary hip or knee arthroplasty at Gazi University Hospital who can communicate, consent, and do not have major neurological or psychiatric disorders, active cancer treatment, or chronic pain therapy.
Not a fit: Patients with diagnosed anxiety disorders, cognitive or neurological impairment, perioperative complications, active cancer treatment, or on chronic pain treatment are unlikely to benefit from the intervention as tested.
Why it matters
Potential benefit: If successful, patients could have less pain, lower anxiety, and reduced fear of falling after arthroplasty using a simple, non-drug relaxation technique.
How similar studies have performed: Previous perioperative and orthopedic studies of progressive muscle relaxation have shown modest reductions in anxiety and pain, though effects vary and its specific impact on postoperative fear of falling after arthroplasty is less well-established.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * • Patients aged 18 years or older, * Undergoing primary and elective hip or knee arthroplasty, * Admitted to the clinic one day before surgery, * Having no other acute illness that could cause pain or anxiety, * Voluntarily agreeing to participate in the study, * Able to communicate Exclusion Criteria: * • Diagnosed with any neurological or psychiatric disorder affecting cognitive status, * Diagnosed with an anxiety disorder, * Developing complications during the perioperative period, * Undergoing active cancer treatment, * Receiving chronic pain treatment
Where this trial is running
Ankara
- Gazi University Hospital — Ankara, Turkey (Türkiye) (Recruiting)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.