Rao B, Cieslewicz TJ, Sochacki KR, et al. - A randomized controlled trial was performed to compare the effectiveness of supervised formal physical therapy (PT) and self-directed home exercises and to distinguish independent predictors of transitioning from self-directed home exercises to supervised formal PT following total hip arthroplasty (THA) via an anterior approach. In this study, 147 patients undergoing primary unilateral THA through anterior approach were enrolled after Institutional Review Board approval and randomized to receive either clinic or home-based PT. Researchers obtained surveys with Hip Osteoarthritis Outcome Scores and Short Form-12 Health Survey scores for both groups before surgery and at 6, 14, and 24 weeks after surgery. No significant outcome score differences were observed between subjects undergoing supervised formal PT and self-directed home exercises. The study further demonstrated patients reporting worse preoperative pain and higher preoperative activity levels may prefer supervised formal PT compared to self-directed home exercises after undergoing primary anterior THA.