Hip Abductor Strength and Lower Limb Load on Nonoperating Predict Functional Mobility in Women Patients With Total Hip Arthroplasty.
Journal
American journal of physical medicine & rehabilitation
ISSN: 1537-7385
Titre abrégé: Am J Phys Med Rehabil
Pays: United States
ID NLM: 8803677
Informations de publication
Date de publication:
01 01 2021
01 01 2021
Historique:
pubmed:
11
7
2020
medline:
26
2
2021
entrez:
11
7
2020
Statut:
ppublish
Résumé
The aim of this study was to identify which aspect of the preoperative lower limb functions is most likely to affect the functional mobility at 6 mos after total hip arthroplasty. The study subjects included 125 women who underwent total hip arthroplasty. Hip flexion and abduction angles, hip abductor and knee extensor strengths, and lower limb load were measured preoperatively. The Timed Up and Go test was performed 6 mos postoperatively. Then, patients were divided into fast or slow groups as per the comparison with the Timed Up and Go score of healthy women. Hip abductor strength and lower limb load on the nonoperative side were revealed as significant measurements that affected functional mobility after total hip arthroplasty according to stepwise multiple logistic regression analysis. Moreover, receiver operating characteristic curve analyses showed that the postoperative functional mobility was predicted by the lower limb load of the nonoperative side (cutoff point, 8.97 N/kg; sensitivity, 62.3%; specificity, 82.8%; and area under the curve, 77.5%). This study revealed that patients with preoperative hip abductor strength of greater than 0.66 Nm/kg and lower limb load of greater than 8.97 N/kg on the nonoperative side could achieve better functional mobility at 6 mos postoperatively than healthy women of the same age group.
Identifiants
pubmed: 32649339
pii: 00002060-202101000-00012
doi: 10.1097/PHM.0000000000001523
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
72-76Informations de copyright
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.
Références
Liu XW, Zi Y, Xiang LB, et al.: Total hip arthroplasty: areview of advances, advantages and limitations. Int J Clin Exp Med 2015;8:27–36
Vissers MM, Bussmann JB, Verhaar JA, et al.: Recovery of physical functioning after total hip arthroplasty: systematic review and meta-analysis of the literature. Phys Ther 2011;91:615–29
Larsen K, Sorensen OG, Hansen TB, et al.: Accelerated perioperative care and rehabilitation intervention for hip and knee replacement is effective: a randomized clinical trial involving 87 patients with 3 months of follow-up. Acta Orthop 2008;79:149–59
Suetta C, Magnusson SP, Rosted A, et al.: Resistance training in the early postoperative phase reduces hospitalization and leads to muscle hypertrophy in elderly hip surgery patients—a controlled, randomized study. J Am Geriatr Soc 2004;52:2016–22
van den Akker-Scheek I, Stevens M, Bulstra SK, et al.: Recovery of gait after short-stay total hip arthroplasty. Arch Phys Med Rehabil 2007;88:361–7
Kolk S, Minten MJ, van Bon GE, et al.: Gait and gait-related activities of daily living after total hip arthroplasty: a systematic review. Clin Biomech (Bristol, Avon) 2014;29:705–18
Foucher KC, Thorp LE, Orozco D, et al.: Differences in preferred walking speeds in a gait laboratory compared with the real world after total hip replacement. Arch Phys Med Rehabil 2010;91:1390–5
Perron M, Malouin F, Moffet H, et al.: Three-dimensional gait analysis in women with a total hip arthroplasty. Clinical Biomech (Bristol, Avon) 2000;15:504–15
Sicard-Rosenbaum L, Light KE, Behrman AL: Gait, lower extremity strength, and self-assessed mobility after hip arthroplasty. J Gerontol A Biol Sci Med Sci 2002;57:M47–51
Miki H, Sugano N, Hagio K, et al.: Recovery of walking speed and symmetrical movement of the pelvis and lower extremity joints after unilateral THA. J Biomech 2004;37:443–55
Talis VL, Grishin AA, Solopova IA, et al.: Asymmetric leg loading during sit-to-stand, walking and quiet standing in patients after unilateral total hip replacement surgery. Clinical Biomech (Bristol, Avon) 2008;23:424–33
Guedes RC, Dias JM, Dias RC, et al.: Total hip arthroplasty in the elderly: impact on functional performance. Rev Bras Fisioter 2011;15:123–30
Vissers MM, Bussmann JB, de Groot IB, et al.: Walking and chair rising performed in the daily life situation before and after total hip arthroplasty. Osteoarthr Cartil 2011;19:1102–7
Lamontagne M, Beaulieu ML, Beaulé PE: Comparison of joint mechanics of both lower limbs of tha patients with healthy participants during stair ascent and descent. J Orthop Res 2011;29:305–11
Kanzaki H, Nankaku M, Kawanabe K, et al.: The recovery of the walking ability of patients at early stages after total hip arthroplasty from the perspective of the displacement of the center of gravity. J Phys Ther Sci 2008;20:225–32
Nantel J, Termoz N, Vendittoli PA, et al.: Gait patterns after total hip arthroplasty and surface replacement arthroplasty. Arch Phys Med Rehabil 2009;90:463–9
Forrest GP, Roque JM, Dawodu ST: Decreasing length of stay after total joint arthroplasty: effect on referrals to rehabilitation units. Arch Phys Med Rehabil 1999;80:192–4
McGregor AH, Rylands H, Owen A, et al.: Does preoperative hip rehabilitation advice improve recovery and patient satisfaction? J Arthroplasty 2004;19:464–8
Holstege MS, Lindeboom R, Lucas C: Preoperative quadriceps strength as a predictor for short-term functional outcome after total hip replacement. Arch Phys Med Rehabil 2011;92:236–41
Nankaku M, Tsuboyama T, Akiyama H, et al.: Preoperative prediction of ambulatory status at 6 months after total hip arthroplasty. Phys Ther 2013;93:88–93
Petis SM, Howard JL, Lanting BA, et al.: Perioperative predictors of length of stay after Total hip Arthroplasty. J Arthroplasty 2016;31:1427–30
Isles RC, Choy NL, Steer M, et al.: Normal values of balance tests in women aged 20–80. J Am Geriatr Soc 2004;52:1367–72
Holm I, Bolstad B, Lütken T, et al.: Reliability of goniometric measurements and visual estimates of hip ROM in patients with osteoarthrosis. Physiother Res Int 2000;5:241–8
Nankaku M, Akiyama H, Kakinoki R, et al.: Factors associated with ambulatory status 6 months after total hip arthroplasty. Physiotherapy 2014;100:263–7
Shumway-Cook A, Brauer S, Woollacott M: Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther 2000;80:896–903
Akobeng AK: Understanding diagnostic tests 3: receiver operating characteristic curves. Acta Paediatrica (Oslo, Norway : 1992) 2007;96:644–7
Kennedy DM, Stratford PW, Wessel J, et al.: Assessing stability and change of four performance measures: a longitudinal study evaluating outcome following total hip and knee arthroplasty. BMC Musculoskelet Disord 2005;6:3
Wright AA, Cook CE, Baxter GD, et al.: A comparison of 3 methodological approaches to defining major clinically important improvement of 4 performance measures in patients with hip osteoarthritis. J Orthop Sports Phys Ther 2011;41:319–27
Sasaki K, Senda M, Nishida K, et al.: Preoperative time required for the timed “up and go” test in women with hip osteoarthritis could predict a deep venous thrombosis complication after total hip arthroplasty. Acta Med Okayama 2010;64:197–201
Kamimura A, Sakakima H, Tsutsumi F, et al.: Preoperative predictors of ambulation ability at different time points after total hip arthroplasty in patients with osteoarthritis. Rehabil Res Pract 2014;2014:1–7
Bily W, Sarabon N, Lofler S, et al.: Relationship between strength parameters and functional performance tests in patients with severe knee osteoarthritis. PM & R 2019;11:834–42
Beaulieu ML, Lamontagne M, Beaule PE: Lower limb biomechanics during gait do not return to normal following total hip arthroplasty. Gait Posture 2010;32:269–73
Bennett D, Humphreys L, O’Brien S, et al.: Gait kinematics of age-stratified hip replacement patients—a large scale, long-term follow-up study. Gait Posture 2008;28:194–200
Coelho-Junior HJ, Rodrigues B, Gonçalves IO, et al.: The physical capabilities underlying timed “Up and Go” test are time-dependent in community-dwelling older women. Exp Gerontol 2018;104:138–46
Swets JA: Measuring the accuracy of diagnostic systems. Science (New York, NY) 1988;240:1285–93
Fischer JE, Bachmann LM, Jaeschke R: A readers’ guide to the interpretation of diagnostic test properties: clinical example of sepsis. Intensive Care Med 2003;29:1043–51
Shakoor N, Foucher KC, Wimmer MA, et al.: Asymmetries and relationships between dynamic loading, muscle strength, and proprioceptive acuity at the knees in symptomatic unilateral hip osteoarthritis. Arthritis Res Ther 2014;16:455
Tsai TY, Dimitriou D, Li JS, et al.: Asymmetric hip kinematics during gait in patients with unilateral total hip arthroplasty: in vivo 3-dimensional motion analysis. J Biomech 2015;48:555–9
Kear BM, Guck TP, McGaha AL: Timed Up and Go (TUG) test: normative reference values for ages 20 to 59 years and relationships with physical and mental health risk factors. J Prim Care Community Health 2017;8:9–13
Kennedy D, Stratford PW, Pagura SM, et al.: Comparison of gender and group differences in self-report and physical performance measures in total hip and knee arthroplasty candidates. J Arthroplasty 2002;17:70–7
Kennedy DM, Hanna SE, Stratford PW, et al.: Preoperative function and gender predict pattern of functional recovery after hip and knee arthroplasty. J Arthroplasty 2006;21:559–66