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These aim of the study was to conduct a long-term evaluation of whether total hip replacement permanently affects the dynamic body balance. Methods: Twenty-five patients after the unilateral total hip replacement (mean age: 69.9 ± 6.2) and 25 subjects without the total hip replacement (mean age: 68.4 ± 4.8) who matched the age and overall health participated in this study. The force platform and functional tests such as Timed Up and Go, 3m walk test, Functional Reach Test, 30s Chair Stand Test, Step Test and Berg Balance Scale were used to assess dynamic balance. The results obtained in individual trials were compared using the Student’s t-test for independent variables, the Welch test or the non-parametric Mann–Whitney U-test. Results: Subjects from the THR group exhibited significantly increased time and distance in the tests performed on the force platform, compared to the control group. We also observed worse balance and functional test scores in the THR group: Timed Up and Go test ( p < 0.001), 3 m walk test ( p < 0.001), Functional Reach Test ( p < 0.001), 30 s Chair Stand Test ( p = 0.001) and Step Test (operated leg: p < 0.001, non-operated leg: p < 0.001). The results obtained in the Berg Balance Scale tests were not significantly different between the groups ( p = 0.218). Conclusions: We observed significant differences in postural stability and dynamic balance between patients after THR and subjects in the same age without endoprosthesis. Our research shows that total hip replacement permanently impairs patients’ dynamic balance and their functionality in certain lower-extremity activities.
Słowa kluczowe
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Tom
Strony
87--96
Opis fizyczny
Bibliogr. 29 poz., rys., tab., wykr.
Twórcy
autor
- Department of Rehabilitation, Poznan University of Medical Sciences, Poznań, Poland
autor
- Department of Rehabilitation, Poznan University of Medical Sciences, Poznań, Poland
Bibliografia
- [1] LUGADE V., KLAUSMEIER V., JEWETT B., COLLIS D., LI-SHAN CHOU, Short-term Recovery of Balance Control after Total Hip Arthroplasty, Clin. Orthop. Relat. Res., 2008, 466 (12), 3051–358.
- [2] JUDD D.L., THOMAS A.C., DAYTON M.R., STEVENS-LAPSLEY J.E., Strength and Functional Deficits in Individuals with Hip Osteoarthritis Compared to Healthy, Older Adults, Disabil. Rehabil., 2014, 36 (4), 307–312.
- [3] GAUDET M.C., EHRMANN F.D., ROSSIGNOL M., ZUKOR D., TANZER M. et al., The wait for total hip replacement in patients with osteoarthritis, Can. J. Surg., 2007, 50 (2), 101–109.
- [4] NAKAGAWA N., MASUHARA K., SHIMADA T., Deterioration of position sense at the hip joint following total hip arthroplasty: A prospective time course study, Bulletin of Health Sciences Kobe, 2003, 19, 87–94.
- [5] JUDD D.L., WINTERS J.D., STEVENS-LAPSLEY J.E., CHRISTIANSEN C.L., Effects of neuromuscular reeducation on hip mechanics and functional performance in patients after total hip arthroplasty: a case series, Clin. Biomech., (Bristol, Avon), 2016, 32, 49–55.
- [6] MAJEWSKI M., BISCHOFF-FERRARI H.A., GRÜNEBERG C., DICK W., ALLUM J.H., Improvements in balance after total hip replacement, J. Bone Joint Surg. Br., 2005, 87 (10), 1337–1343.
- [7] SICARD-ROSENBAUM L., LIGHT K.E., BEHRMAN A.L., Gait, lower extremity strength, and self-assessed mobility after hip arthroplasty, J. Gerontol. A Biol. Sci. Med. Sci., 2002, 57 (1), 47–51.
- [8] VISSERS M.M., BUSSMANN J.B., DE GROOT I.B., VERHAAR J.A., REIJMAN M., Walking and chair rising performed in the daily life situation before and after total hip arthroplasty, Osteoarthritis Cartilage, 2011, 19 (9), 1102–1107.
- [9] CALÒ L., RABINI A., PICCIOTTI P.M., LAURINO S., PASSALI G.C. et al., Postural control in patients with total hip replacement, Eur. J. Phys. Rehabil. Med., 2009, 45 (3), 327–334.
- [10] NALLEGOWDA M., SINGH U., BHAN S., WADHWA S., HANDA G., DWIVEDII S.N., Balance and gait in total hip replacement: a pilot study, Am. J. Phys. Med. Rehabil., 2003, 82 (9), 669–677.
- [11] RASCH A., DALÉN N., BERG H.E., Muscle strength, gait, and balance in 20 patients with hip osteoarthritis followed for 2 years after THA, Acta Orthop., 2010, 81 (2), 183–188.
- [12] CHANG C.J., LIN N.L., LEE M.S., CHERN J.S., Recovery of Posture Stability at Different Foot Placements in Patients Who Underwent Minimally Invasive Total Hip Arthroplasty: A One-Year Follow-Up Study, Biomed. Res. Inter., 2015, 463792, DOI: 10.1155/2015/463792.
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- [14] MARTINEZ-RAMIREZ A., WEENK D., LECUMBERRI P., VERDONSCHOT N., PAKVIS D., VELTINK P.H., Assessment of asymmetric leg loading before and after total hip arthroplasty using instrumented shoes, J. Neuroeng. Rehabil., 2014, 11, 20, DOI: 10.1186/1743-0003-11-20.
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- [16] PODSIADŁO D., RICHARDSON S., The Timed Up & Go: A test of basic functional mobility for frail elderly persons, J. Am. Geriatr. Soc., 1991, 39, 142–148.
- [17] LYONS J.G., HEEREN T., STUVER S.O., FREDMAN L., Assessing the agreement between 3-meter and 6-meter walk tests in 136 community-dwelling older adults, J. Aging Health., 2015, 27 (4), 594–605.
- [18] KAGE H., OKUDA M., NAKAMURA I., KUNITSUGU I., SUGIYAMA S., HOBARA T., Measuring methods for functional reach test: comparison of 1-arm reach and 2-arm reach, Arch. Phys. Med. Rehabil., 2009, 90 (12), 2103–2107.
- [19] MILLOR N., LECUMBERRI P., GOMEZ M., MARTINEZ-RAMIREZ A., IZQUIERDO M., An evaluation of the 30-s chair stand test in older adults: frailty detection based on kinematic parameters from a single inertial unit, J. Neuroeng. Rehabil., 2013, 10, 86, DOI: 10.1186/1743-0003-10-86.
- [20] MERCER V.S., FREBURGER J.K., CHANG S.H., PURSER J.L., Step Test Scores Are Related to Measures of Activity and Participation in the First 6 Months After Stroke, Phys. Ther., 2009, 89(10), 1061–1071.
- [21] BERG K., BECK C.K., HEACOOCK P. et al., Measuring balance in the elderly: preliminary development of an instrument, Physiother. Can., 1989, 41, 304–311.
- [22] ABUJABER S.B., MARMON A.R., POZZI F., RUBANO J.J., ZENI J.A., Sit-To-Stand Biomechanics Before and After Total Hip Arthroplasty, J. Arthroplasty, 2015, 30 (11), 2027–2033.
- [23] ELLISON J., MILLER J., HOCATE M.F., LEVITAN S., NANDHINI M., Comparison of Berg Balance Scale scores between rehabilitated patients with total hip arthroplasty and matched healthy subjects, J. Outcome Meas., 2000, 4, 49–54.
- [24] GUEDES R.C., DIAS J.M., DIAS R.C., BORGES V.S., LUSTOSA L.P., ROSA N.M., Total hip arthroplasty in the elderly: impact on functional performance, Rev. Bras. Fisioter., 2011, 15 (2), 123–130.
- [25] KOLK S., MINTEN M.J., VAN BON G.E., RIJNEN W.H., GEURTS A.C. et. al., Gait and gait-related activities of daily living after total hip arthroplasty: a systematic review, Clin. Biomech., 2014, 29 (6), 705–718.
- [26] AGOSTINI V., GANIO D., FACCHIN K., CANE L., MOREIRA CARNEIRO S., KNAFLITZ M., Gait parameters and muscle activation patterns at 3, 6 and 12 months after total hip arthroplasty, J. Arthroplasty, 2014, 29 (6), 1265–1272.
- [27] BAHL J.S., NELSON M.J., TAYLOR M., SOLOMON L.B., ARNOLD J.B., THEWLIS D., Biomechanical changes and recovery of gait function after total hip arthroplasty for osteoarthritis: a systematic review and meta-analysis, Osteoarthritis Cartilage, 2018, 26 (7), 847–863.
- [28] PUSZCZAŁOWSKA-LIZIS E., BUJAS P., OMORCZYK J., JANDZIŚ S., ŻAK M., Feet deformities are correlated with impaired balance and postural stability in seniors over 75, PLoS ONE, 2017, 12 (9), e0183227, DOI: 10.1371/ journal.pone.0183227.
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Uwagi
Opracowanie rekordu ze środków MNiSW, umowa Nr 461252 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2020).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-374f5e03-f58a-42c8-929c-7595efff4bd3