|Title:||Effects of a home program on strength, walking speed, and function after total hip replacement||Authors:||Jan M.-H.
|Issue Date:||2004||Journal Volume:||85||Journal Issue:||12||Start page/Pages:||1943-1951||Source:||Archives of Physical Medicine and Rehabilitation||Abstract:||
Jan M-H, Hung J-Y, Lin JC-H, Wang S-F, Liu T-K, Tang P-F. Effects of a home program on strength, walking speed, and function after total hip replacement. To assess the efficacy of a home exercise program in increasing hip muscle strength, walking speed, and function in patients more than 1.5 years after total hip replacement (THR). Randomized controlled trial. Kinesiology laboratory. Fifty-three patients with unilateral THR were randomly assigned to the training (n=26) and control (n=27) groups. Patients in the training group were further divided into exercise-high (n=13) and exercise-low (n=13) compliance groups according to their practice ratio (high, <50%). The training group underwent a 12-week home program that included hip flexion range of motion exercises for both hip joints; strengthening exercises for bilateral hip flexors, extensors, and abductors; and a 30-minute walk every day. The control group did not receive any training. Strength of bilateral hip muscles, free and fast walking speeds while walking over 3 different terrains, and functional performance were assessed by using a dynamometer, videotape analysis, and the functional activity part of the Harris Hip Score, respectively, before and after the 12-week period. Subjects in the exercise-high compliance group showed significantly (P<.05) greater improvement in muscle strength for the operated hip, fast walking speed, and functional score than those in the exercise-low compliance and control groups. The designed home program was effective in improving hip muscle strength, walking speed, and function in patients after THR who practiced the program at least 3 times a week, but adherence to this home program may be a problem. ? 2004 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.
|ISSN:||0003-9993||DOI:||10.1016/j.apmr.2004.02.011||SDG/Keyword:||adult; aged; article; clinical trial; controlled clinical trial; controlled study; extensor muscle; female; flexor muscle; health program; home care; human; joint function; joint mobility; kinesiology; laboratory; learning; male; muscle exercise; muscle strength; muscle training; patient compliance; randomized controlled trial; scoring system; total hip prosthesis; videotape; walking speed; Analysis of Variance; Arthroplasty, Replacement, Hip; Exercise Therapy; Female; Humans; Isometric Contraction; Male; Middle Aged; Muscle, Skeletal; Patient Compliance; Program Evaluation; Recovery of Function; Taiwan; Walking
|Appears in Collections:||物理治療學系所|
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