Guo Chen, Duoduo Yu, Yichen Wang, Zou Ma, Mengna Bi, Lisha Lu, Shangshang Zhang, Jiaxin Liu, Hu Chen, Hai Shen, Huiwu Zhang, Xiaobing Luo, Yan Si, Peng Zhang
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Additionally, the study aims to compare the outcomes of this combined intervention with those of preoperative or postoperative muscle strength training conducted in isolation.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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. 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引用次数: 0
摘要
目的：本研究旨在探讨对接受全髋关节置换术（THA）的髋关节骨性关节炎（HOA）患者进行术前联合术后中等强度的手术侧渐进阻力训练（PRT）的效果。该研究旨在通过可控、可测量和客观的方式，评估这种联合干预对肌肉力量、步态、平衡和髋关节功能的影响。此外，该研究还旨在将这种联合干预的结果与单独进行术前或术后肌肉力量训练的结果进行比较：共有 90 名计划接受单侧原发性 THA 的 HOA 患者被随机分配到三组：前组（术前 PRT）、后组（术后 PRT）和前后组（术前结合术后 PRT），重点训练手术侧髋关节的屈伸、内收和外展。在为期 12 个月的随访期间，在特定时间点对肌肉力量、步态参数、平衡和髋关节功能进行评估：结果：三组患者的肌肉力量均有明显改善，其中前期和后期组的改善最为明显和持久。在术后 1 个月和 3 个月的随访中，术前和术后组的步速和步频与其他组相比都有明显改善。同样，在术后 3 个月和 12 个月的随访中，术前和术后组的平衡表现也更出色。哈里斯髋关节评分（Harris Hip Score）也显示，术前和术后组在所有随访期间的结果都更好：结论：对接受全髋关节置换术的 HOA 患者进行术前联合术后中等强度 PRT，与单独进行术前或术后 PRT 相比，可在肌肉力量、步态、平衡和髋关节功能方面取得更好的改善。这一干预措施在优化 THA 术后康复和提高患者疗效方面显示出了巨大的潜力。
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.
Purpose: 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.
Methods: 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.
Results: 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.
Conclusion: 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.
期刊介绍：
Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.
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