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Titre : | Recovery and Prediction of Physical Functioning Outcomes During the First Year After Total Hip Arthroplasty (2013) |
Auteurs : | Elisabeth Heiberg Kristi ; Arne Ekeland ; Vigdis Bruun-olsen ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/7, 2013) |
Article en page(s) : | pp. 1352-1359 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Rééducation et réadaptation |
Mots-clés: | Arthroplasty ; replacement ; hip ; Arthroplastie prothétique de hanche ; Recovery of function ; Récupération fonctionnelle ; Walking ; Marche à pied |
Résumé : |
Objectives To investigate recovery of physical functioning in patients during the first year after total hip arthroplasty (THA), and to predict postoperative walking distance outcomes from preoperative measures. Design A longitudinal prospective design was used. Data were analyzed by repeated-measures analysis of variance and multivariate regression analyses. Setting Two hospitals. Participants Patients with hip osteoarthritis were consecutively included and assessed preoperatively (n=88), at 3 months (n=88), and at 12 months (n=64) after THA. Interventions Not applicable. Main Outcome Measures Physical functioning was assessed by objective measuresthe 6-minute walk test (6MWT), stair climbing test, Index of Muscle Function, figure-of-eight, and active hip range of motionand the subjective measures by Harris Hip Score and Hip dysfunction and Osteoarthritis Outcome Score. Results In objective measures, improvements were found from preoperatively to 3 months in 6MWT (P<.01 and stair climbing test scores while all measures had improved from to months in contrast the subjective showed substantial improvements at but small further age sex preoperative distance hip range of motion predicted outcomes> Conclusions The objective measures of physical functioning improved gradually during the first postoperative year, while the subjective measures showed large early improvements, but little further improvements. Younger age, male sex, and better scores of walking distance and hip flexibility before surgery predicted better score in walking distance at both 3 and 12 months after surgery. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |