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Titre : | Influence of Left- and Right-Side Total Hip Arthroplasty on the Ability to Perform an Emergency Stop While Driving a Car (2014) |
Auteurs : | Maurice Jordan ; Ulf Krister Hofmann ; Julia Grünwald |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/9, 2014) |
Article en page(s) : | p. 1702-1709 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Arthroplastie ; Conduite automobile ; Rééducation et réadaptation |
Mots-clés: | Arthroplasty ; Automobile driving ; Replacement ; Hip ; Arthroplastie prothétique de hanche |
Résumé : |
Objective To show the possible effect of left- and right-side total hip arthroplasty (THA) on the ability to perform an emergency stop when driving a car. Design Inception cohort. Setting A driving simulator using an actual car cabin, specifically developed for the experiment, was used for testing driving ability. Participants Patients (N=40; 20 left-side THA/20 right-side THA) were tested preoperatively and in increments of 8 days and 6, 12, and 52 weeks after surgery. Interventions Left- and right-side THA. Main Outcome Measures Reaction time, movement time, total brake response time (TBRT), and maximum brake force. Results Eight days postoperatively, measurements on driving performance indicated a slight worsening for all outcome parameters in patients after left-side THA and considerably more worsening in patients after right-side THA. For both patient groups, significant improvements in outcome measures were noted during the 1-year follow-up. Brake force declined significantly in patients with left-side THA (P=.012) and in patients after right-side THA (P<.001 a total of the patients with right-side tha and left-side could not meet tbrt threshold weeks postoperatively.> Conclusions Most patients who underwent right-side THA reached their preoperative baseline 6 weeks after surgery. Most of the patients with left-side THA showed no TBRT limitations 8 days postoperatively. Because of the patients' highly individual rehabilitation course and considering the possible consequences of the premature resumption of driving a motor vehicle, individual examination and recommendation are necessary. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314002160 |