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Titre : | Development of a Clinical Prediction Rule to Identify Physical Activity After Total Hip Arthroplasty (2022) |
Auteurs : | Takumi Kawano ; Takumi Kawano ; Manabu Nankaku ; Masanobu Murao ; Koji Goto ; Yutaka Kuroda ; Toshiyuki Kawai ; Ryosuke Ikeguchi ; Shuichi Matsuda |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 10, 2022) |
Article en page(s) : | p. 1975-1982 |
Note générale : | https://doi.org/10.1016/j.apmr.2022.03.015 |
Langues: | Français |
Descripteurs : |
HE Vinci Arthroplastie prothétique de hanche ; Exercice physique ; Réadaptation ; Techniques d'aide à la décision |
Résumé : | Objective To develop clinical prediction rule (CPR) of physical activity 1 year after total hip arthroplasty (THA). Design Retrospective cohort study. Setting University hospital with orthopedic surgery. Participants The study group included 321 patients (56 men) who underwent primary THA (N=321). Intervention Not applicable. Main Outcomes Measures The data collected included age, body mass index, clinical score from the questionnaires, hip pain, range of motion, muscle strength, and Physical functions (10-meter walk test [10MWT], timed Up and Go test, sit-to-stand test). Patients were classified into sufficient and insufficient activity groups based on their University of California, Los Angeles (UCLA) activity score 1 year after THA. Variables measured preoperatively and 3 weeks postoperatively were analyzed using univariate and multivariate methods to derive CPR for physical activity. Results A CPR was developed using the following 5 factors and cutoffs: age 70.5 years or younger, preoperative UCLA activity score ?3.5, preoperative hip abduction strength ?0.54 Nm/kg, preoperative knee extension strength ?1.04 Nm/kg, and 10MWT ?8.49 seconds 3 weeks after surgery. The presence of 4 of the 5 factors predicted a sufficient physical activity level at 1 year, with a positive likelihood ratio of 5.94 and probability of 85.4%. The presence of 5 predictor variables increased the probability of sufficient physical activity after THA to 94.7%. Conclusions This study developed a CPR for physical activity 1 year after THA. Having 4 or more of the 5 measurements were useful indicators for predicting of physical activity 1 year postoperatively. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322003392 |