Wijgman 1994.
Methods | Randomised parallel group trial. | |
Participants | 64 participants undergoing total hip replacement (48 women, 16 men; mean age 65 years, range 42 to 85). Inclusion criteria: primary coxarthrosis confirmed by X‐ray. Exclusion criteria: pathological malformations (other than hip problems) that could interfere with rehabilitation. Location: Maastricht, Netherlands. |
|
Interventions | Intervention group (n = 31) received preoperative instructions (30 minutes) in groups of 4‐6 delivered by 2 physiotherapists as well as preoperative exercise therapy including muscle‐setting exercises. Control group (n = 33) not described. |
|
Outcomes | Days to mobilisation (standing, walking and climbing stairs); length of hospital stay; pain (medication). Participants were assessed preoperatively and 7, 10 and 14 days postoperatively. | |
Notes | Publication is written in Dutch and was translated into English. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "The patients... were divided at random..." Comment: sequence generation not described. |
Allocation concealment (selection bias) | Unclear risk | Comment: method of allocation not described. |
Blinding (performance bias and detection bias) Self‐reported outcomes | High risk | Comment: no description of any attempt to blind participants and blinding is unlikely to have been possible. |
Blinding (performance bias and detection bias) Objective outcomes | Unclear risk | Comment: no description of blinding of trial personnel; mobilisation and length of stay could have been influenced by awareness of a participant's assignment. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Adequate description of withdrawals. |
Selective reporting (reporting bias) | Unclear risk | Comment: outcome data were only presented as box plots, and attempts to retrieve means and SDs were successful. All outcomes listed in the methods were reported in the results, but without the trial protocol, it is unclear whether any other outcomes were measured but not reported based on the results. |
Other bias | Low risk | Comment: no other sources of bias identified. |
IQR: interquartile range; SD: standard deviation; SF‐36: 36‐item Short Form; VAS: visual analogue scale; WOMAC: Western Ontario and McMaster Universities Osteoarthritis Index.