Effects of Home-Based Interval Walking Training on Thigh Muscle Strength and Aerobic Capacity in Female Total Hip Arthroplasty Patients: A Randomized, Controlled Pilot Study

Abstract Background The demand for total hip arthroplasty (THA) is quickly rising given the escalating global incidence of hip osteoarthritis, and it is widely accepted that the post-surgery rehabilitation is key to optimize outcomes. The overall objective of this study is to evaluate the effectiveness of a new telerehabilitation solution, ReHub, for the physical function and clinical outcome improvement following THA. The specific aims of this manuscript are to describe the study design, protocol, content of interventions, and primary and secondary outcomes and to discuss the clinical rehabilitation impact of the expected experimental results. Methods/design This prospective, randomized, controlled, parallel-group trial will include 56 patients who had undergone primary THA. Patients are randomized to a control group (standard rehabilitation during the 2-week stay in the rehabilitation clinic followed by 3 weeks of unsupervised home-based rehabilitation) or an experimental group (standard rehabilitation during the 2-week stay in the rehabilitation clinic followed by 3 weeks of home-based ReHub-assisted telerehabilitation). The primary outcome is physical performance assessed through the Timed Up-and-Go (TUG) test. Secondary outcomes include independence level, pain intensity, hip disability, hip range of motion, muscle strength, and patient’s perception of clinical improvement. Discussion Proving the clinical and cost-effectiveness of a home-based telerehabilitation program for physical and muscle function following THA could support its systematic incorporation in post-surgical rehabilitation protocols, which should be tailored to the individual and collective needs. Trial registration ClinicalTrial.gov NCT04176315. Registered on 22 November 2019

Download Full-text

Effectiveness of A Home-Based Telerehabilitation System in Patients After Total Hip Arthroplasty: Study Protocol of A Randomized Controlled Trial

10.21203/rs.3.rs-36194/v1 ◽

2020 ◽

Author(s):

Chiara Busso ◽

Gabriele Castorina ◽

Marco Di Monaco ◽

Daniel Rodriguez ◽

Hadis Mahdavi ◽

...

Keyword(s):

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Control Group ◽

Total Hip ◽

Randomized Controlled ◽

Group Standard ◽

Post Surgery ◽

Home Based ◽

Secondary Outcomes ◽

Rehabilitation Clinic

Abstract Background: The demand for total hip arthroplasty (THA) is quickly rising given the escalating global incidence of hip osteoarthritis and it is widely accepted that the post-surgery rehabilitation is key to optimize outcomes. The overall objective of this study is to evaluate the effectiveness of a new telerehabilitation solution, ReHub, for the physical function and clinical outcome improvement following THA. The specific aim of this manuscript is to describe the study design, protocol, content of interventions, primary and secondary outcomes and to discuss the clinical rehabilitation impact of the expected experimental results.Methods/design: This prospective, randomized, controlled, parallel-group trial will include 56 patients who had undergone primary THA. Patients are randomized to a control group (standard rehabilitation during the 2-week stay in the rehabilitation clinic followed by 3 weeks of unsupervised home-based rehabilitation) or an experimental group (standard rehabilitation during the 2-week stay in the rehabilitation clinic followed by 3 weeks of home-based ReHub-assisted telerehabilitation). The primary outcome is physical performance assessed through the Timed Up-and-Go (TUG) test. Secondary outcomes include independence level, pain intensity, hip disability, hip range of motion, muscle strength and patient’s perception of clinical improvement.Discussion: Proving the clinical and cost-effectiveness of a home-based telerehabilitation program for physical and muscle function following THA could support its systematic incorporation in post-surgical rehabilitation protocols, that should be tailored to individual and collective needs.Trial registration: ClinicalTrial.gov: NCT04382729. Registered 22 November 2019 - https://clinicaltrials.gov/ct2/show/NCT04176315

Download Full-text

Effects of milk product intake on thigh muscle strength and NFKB gene methylation during home-based interval walking training in older women: A randomized, controlled pilot study

PLoS ONE ◽

10.1371/journal.pone.0176757 ◽

2017 ◽

Vol 12 (5) ◽

pp. e0176757 ◽

Cited By ~ 11

Author(s):

Shizue Masuki ◽

Kensei Nishida ◽

Shigenari Hashimoto ◽

Mayuko Morikawa ◽

Satoshi Takasugi ◽

...

Keyword(s):

Pilot Study ◽

Muscle Strength ◽

Older Women ◽

Thigh Muscle ◽

Milk Product ◽

Gene Methylation ◽

Randomized Controlled ◽

Home Based

Download Full-text

Durability of transosseous repair of posterior soft tissues after primary total hip arthroplasty: a prospective randomized controlled trial

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-021-04118-1 ◽

2021 ◽

Author(s):

Erdem Edipoglu

Keyword(s):

Randomized Controlled Trial ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Soft Tissues ◽

Controlled Trial ◽

Total Hip ◽

Randomized Controlled ◽

Prospective Randomized Controlled Trial ◽

Transosseous Repair ◽

Primary Total Hip Arthroplasty

Download Full-text

Could the Evaluation of Muscle Strength Imbalances Be Used as a Predictor of Total Hip Arthroplasty?

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18105082 ◽

2021 ◽

Vol 18 (10) ◽

pp. 5082

Author(s):

Tomáš Vodička ◽

Michal Bozděch ◽

Marta Gimunová ◽

Lenka Svobodová ◽

Jiří Zháněl ◽

...

Keyword(s):

Muscle Strength ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Clinical Predictor ◽

Total Hip ◽

Logistic Regressions

Loss of muscle strength characterizes the period before total hip arthroplasty (THA). Little is known about whether muscle strength imbalances caused by muscle strength decline could be considered another clinical predictor for THA. This study aimed to determine whether muscle imbalances may be used as a clinical predictor for THA surgery. Thirty-six participants were enrolled in the study. Eighteen patients had THA (THA group), while 18 were healthy elders (CON group). Ipsilateral (H/Q) and bilateral (% Def) muscle imbalances of the knee were assessed. THA patients showed impairment of the extensors on the affected extremity compared to those unaffected. A comparison between the groups proved there were weakened flexors in the THA group on both extremities. A comparison of the imbalances revealed a significant bilateral imbalance of the extensors and ipsilateral imbalance of both extremities in the THA group. We computed two logistic regressions using bilateral and ipsilateral imbalance as the predictors of THA surgery. We found that bilateral extensor imbalance may be used as a predictor for THA (Nagelkerke R2 = 0.22). A decrease of the bilateral extensors imbalance by 8% decreases the probability of THA by 8%. The most interesting finding is that the evaluation of the bilateral extensor imbalance may be used as another clinical predictor for THA.

Download Full-text

Abductor Muscle Force after Straight-Stem Compared to Short-Stem Total Hip Arthroplasty through a Modified Direct Lateral Approach: Functional Assessment of 70 Consecutive Patients of a Randomized Controlled Clinical Trial

Journal of Clinical Medicine ◽

10.3390/jcm10061235 ◽

2021 ◽

Vol 10 (6) ◽

pp. 1235

Author(s):

Michael Fuchs ◽

Marie-Anne Hein ◽

Martin Faschingbauer ◽

Mirco Sgroi ◽

Ralf Bieger ◽

...

Keyword(s):

Clinical Trial ◽

Muscle Strength ◽

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Lateral Approach ◽

Short Stem ◽

Abductor Muscle ◽

Total Hip ◽

Straight Stem ◽

Direct Lateral Approach

Because of preservation of proximal femoral bone stock and minimized soft tissue trauma, short-stem implants are becoming increasingly important in total hip arthroplasty (THA). The postulated advantage regarding the functional outcome has not been verified. We hypothesized an increased abductor muscle strength by the use of a short-stem design. Seventy consecutive patients of a randomized clinical trial were included. Of these, 67 patients met the inclusion criteria after 12 months. Thirty-five patients received a standard straight stem and 32 patients a short-stem femoral component. All surgeries were performed by a modified direct lateral approach. Isometric muscle strength of the hip abductors was evaluated preoperatively 3 and 12 months after surgery. Harris hip score (HHS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores were evaluated. After three months, there were no differences between the two groups; the abductor force was comparable to the preoperative initial values. After 12 months, a significant increase in muscle strength for the short stem patient group compared to preoperative baseline values was measured (straight-stem THA, 0.09 Nm/kg ± 0.4, p = 0.32; short-stem THA, 0.2 Nm/kg ± 0.3, p = 0.004). Comparison of the 12-month postoperative total HHS and WOMAC revealed no significant differences between both groups. A significant increase in hip abductor muscle strength 12 months after short-stem THA compared to conventional-stem THA was observed.

Download Full-text