Int J Sports Med 2011; 32(9): 725-732
DOI: 10.1055/s-0031-1271696
Clinical Sciences

© Georg Thieme Verlag KG Stuttgart · New York

Pre-Surgical Sensorimotor Training for Patients Undergoing Total Hip Replacement: A Randomised Controlled Trial

R. Bitterli1 , J. M. Sieben2 , M. Hartmann1 , E. D. de Bruin3
  • 1Kantonsspital Liestal, Switzerland
  • 2Department of Anatomy & Embryology, Maastricht University, Maastricht, The Netherlands
  • 3Institute of Human Movement Sciences and Sport, ETH Zurich, Switzerland
Further Information

Publication History

accepted after revision January 13, 2011

Publication Date:
31 May 2011 (online)


The aim of this study was to investigate whether pre-operative, sensorimotor training results in improved physical function, quality of life, sensorimotor function and reduced disability in total hip replacement patients. 80 subjects awaiting total hip replacement at a Swiss hospital were recruited for this randomised controlled trial. The intervention group participated in a pre-operative home exercise sensorimotor training programme; the control group received no therapy. Primary outcome measure was physical function, secondary outcome measures were quality of life, disability and sensorimotor function. Outcomes were measured using generic and disease-specific questionnaires as well as objectively assessed balance ability. Measurements were taken one day before surgery and 10 days, 4 and 12 months after surgery. The intervention showed improved quality of life and sensorimotor function before surgery. These effects were lost following surgery. The intervention group experienced more disability at 4 months than the control group. At one year follow-up group-membership influenced quality of life scores depending on the measurement-time-point. It can be concluded that no useful effect was identified for a pre-operative sensory-motor training-programme. The psychological aspects following total hip replacement need to be considered in order to facilitate coping-strategies, reduce unrealistic expectations and increase satisfaction.



Dr. Judith M. SiebenPhD 

Department of Anatomy &


Maastricht University

P.O. Box 616

6200 MD Maastricht

The Netherlands

Phone: +31/433/88 1056

Fax: +31/433/88 4134