title: A non-invasive biomechanical device and treatment for patients following total hip arthroplasty: results of a 6-month pilot investigation.
abstract: BACKGROUND
  The purpose of the study was to examine the effect of a foot-worn biomechanical device on the clinical measurements and gait patterns of patients with total hip arthroplasty (THA).
  
  
  METHODS
  Nineteen patients, up to 3 months post-THA, were enrolled to the study. Patients underwent a computerized gait analysis to calculate spatiotemporal parameters and completed the Western Ontario and McMaster Universities osteoarthritis index and the SF-36 health survey. Patients then began therapy with a non-invasive foot-worn biomechanical device coupled with a treatment methodology (AposTherapy). Patients received exercise guidelines and used the device daily during their regular activities at their own environment. Follow-up examinations were conducted after 4, 12, and 26 weeks of therapy. Repeated measures ANOVA was used to evaluate changes over time. The clinical significance of the treatment effect was evaluated by computing the Cohen's effect sizes (ES statistic).
  
  
  RESULTS
  After 26 weeks of therapy, a significant improvement was seen in gait velocity (50.3%), involved step length (22.9%), and involved single limb support (16.5%). Additionally, a significant reduction in pain (85.4%) and improvement in function (81.1%) and quality of life (52.1%) were noted.
  
  
  CONCLUSIONS
  Patients following THA demonstrated a significant improvement in gait parameters and in self-assessment evaluations of pain, function, and quality of life. We recommend further RCTs to examine the effect of this therapy compared to other rehabilitation modalities following THA and compared to healthy matched controls.
  
  
  BACKGROUND
  Clinical trial registration number NCT01266382.
authors.affiliation: AposTherapy Research Group, Herzliya 46733, Israel.
authors.forename: Ganit
authors.initials: G
authors.lastname: Segal
authors.forename: Yaron
authors.initials: Y
authors.lastname: Bar-Ziv
authors.forename: Steven
authors.initials: S
authors.lastname: Velkes
authors.forename: Vadim
authors.initials: V
authors.lastname: Benkovich
authors.forename: Gilad
authors.initials: G
authors.lastname: Stanger
authors.forename: Eytan M
authors.initials: EM
authors.lastname: Debbi
authors.forename: Ronen
authors.initials: R
authors.lastname: Debi
authors.forename: Amit
authors.initials: A
authors.lastname: Mor
authors.forename: Avi
authors.initials: A
authors.lastname: Elbaz
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000534:rehabilitation*; D001696:Biomechanical Phenomena; D004867:Equipment Design; D005081:Exercise Therapy / Q000295:instrumentation* / Q000379:methods; D005260:Female; D005684:Gait / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000534:rehabilitation / Q000601:surgery*; D010146:Pain / Q000534:rehabilitation; D010865:Pilot Projects; D011182:Postoperative Care / Q000295:instrumentation* / Q000379:methods; D011788:Quality of Life; D020127:Recovery of Function; D012647:Self-Assessment; D016896:Treatment Outcome