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A Prospective Randomized Controlled Trial Assessing the Impact of Preoperative Combined with Postoperative Progressive Resistance Training on Muscle Strength, Gait, Balance and Function in Patients Undergoing Total Hip Arthroplasty

Clinical interventions in aging, 2024-01, Vol.19, p.745-760 [Peer Reviewed Journal]

2024 Chen et al. ;2024 Chen et al. 2024 Chen et al. ;ISSN: 1176-9092 ;EISSN: 1178-1998 ;DOI: 10.2147/CIA.S453117 ;PMID: 38736563

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  • Title:
    A Prospective Randomized Controlled Trial Assessing the Impact of Preoperative Combined with Postoperative Progressive Resistance Training on Muscle Strength, Gait, Balance and Function in Patients Undergoing Total Hip Arthroplasty
  • Author: Chen, Guo ; Yu, Duoduo ; Wang, Yichen ; Ma, Zou ; Bi, Mengna ; Lu, Lisha ; Zhang, Shangshang ; Liu, Jiaxin ; Chen, Hu ; Shen, Hai ; Zhang, Huiwu ; Luo, Xiaobing ; Si, Yan ; Zhang, Peng
  • Subjects: Aged ; Arthroplasty, Replacement, Hip - rehabilitation ; exercise therapy ; Female ; Gait ; gait variability ; Hip Joint - surgery ; Humans ; Male ; Middle Aged ; Muscle Strength ; Original Research ; Osteoarthritis, Hip - surgery ; Postoperative Period ; Postural Balance ; progressive resistance training ; Prospective Studies ; Range of Motion, Articular ; Resistance Training - methods ; total hip arthroplasty ; Treatment Outcome
  • Is Part Of: Clinical interventions in aging, 2024-01, Vol.19, p.745-760
  • Description: The aim of this study is to investigate the effects of a preoperative combined with postoperative moderate-intensity progressive resistance training (PRT) of the operative side in patients with hip osteoarthritis (HOA) who are undergoing total hip arthroplasty (THA). The study seeks to evaluate the impact of this combined intervention on muscle strength, gait, balance, and hip joint function in a controlled, measurable, and objective manner. Additionally, the study aims to compare the outcomes of this combined intervention with those of preoperative or postoperative muscle strength training conducted in isolation. A total of 90 patients with HOA scheduled for unilateral primary THA were randomly assigned to three groups: Pre group (preoperative PRT), Post group (postoperative PRT), and Pre& Post group (preoperative combined with postoperative PRT) focusing on hip flexion, extension, adduction, and abduction of operated side. Muscle strength, gait parameters, balance, and hip function were assessed at specific time points during a 12-month follow-up period. All three groups showed significant improvements in muscle strength, with the Pre& Post group demonstrating the most pronounced and sustained gains. Gait velocity and cadence were significantly improved in the Pre& Post group at 1-month and 3-month postoperative follow-ups compared to the other groups. Similarly, the Pre& Post group exhibited superior balance performance at 3-month and 12-month postoperative follow-ups. The Harris Hip Score also showed better outcomes in the Pre& Post group at all follow-up intervals. Preoperative combined with postoperative moderate-intensity PRT in HOA patients undergoing THA led to superior improvements in muscle strength, gait, balance, and hip joint function compared to preoperative or postoperative PRT alone. This intervention shows significant promise in optimizing postoperative rehabilitation and enhancing patient outcomes following THA.
  • Publisher: New Zealand: Dove
  • Language: English
  • Identifier: ISSN: 1176-9092
    EISSN: 1178-1998
    DOI: 10.2147/CIA.S453117
    PMID: 38736563
  • Source: GFMER Free Medical Journals
    MEDLINE
    PubMed Central
    DOVE Medical Press Journals
    ProQuest Central
    DOAJ Directory of Open Access Journals
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