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The effect of exercise on hip muscle strength, gait speed and cadence in patients with total hip arthroplasty: a randomized controlled study.
Clin Rehabil. 2007 Aug; 21(8):706-11.CR

Abstract

OBJECTIVE

To evaluate the effect of home versus in-hospital exercise (under supervision) programmes on hip strength, gait speed and cadence in patients with total hip arthroplasty at least one year after operation.

SETTING

Physical therapy and rehabilitation department.

SUBJECTS

Twenty-six patients who had had a total hip arthroplasty operation 12-24 months prior to the study were enrolled.

INTERVENTIONS

The patients were randomized into three groups: group 1 patients were assigned a home exercise programme, group 2 patients exercised under physiotherapist supervision in hospital, and group 3 served as the control group, with no specific intervention. The study duration was six weeks.

MAIN MEASURES

Maximum isometric abduction torque of operated hip muscle, gait speed and cadence were measured before and after the study.

RESULTS

Maximum isometric abduction torques of the hip abductor muscles improved in groups 1 and 2, but not in group 3 (30 +/- 12 to 38 +/- 11 ft.lb in group 1, 18 +/- 10 to 30 +/- 9.8 ft.lb in group 2). Gait speed improved from 67.8 +/- 23 to 74.35 +/- 24 m/min in group 1, from 48.53 +/- 4 to 56.7 +/- 5 m/min in group 2 and from 58.01 +/- 12 to 59.8 +/- 14 m/min in group 3. Cadence also improved, from 97.7 +/- 18 to 111 +/- 17 steps/min in group 1, from 90.75 +/- 6 to 104.75 +/- 7 steps/min in group 2, and from 87 +/- 16 to 88.22 +/- 16 steps/min in group 3. When the three groups were compared, group 2 showed the best improvement (P = 0.006) only in maximum isometric abduction torque.

CONCLUSION

Our findings suggest that both home and supervised exercise programmes are effective one year after total hip arthroplasty. Home exercise programmes with close follow-up could be recommended.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

17846070

Citation

Unlu, Ece, et al. "The Effect of Exercise On Hip Muscle Strength, Gait Speed and Cadence in Patients With Total Hip Arthroplasty: a Randomized Controlled Study." Clinical Rehabilitation, vol. 21, no. 8, 2007, pp. 706-11.
Unlu E, Eksioglu E, Aydog E, et al. The effect of exercise on hip muscle strength, gait speed and cadence in patients with total hip arthroplasty: a randomized controlled study. Clin Rehabil. 2007;21(8):706-11.
Unlu, E., Eksioglu, E., Aydog, E., Aydog, S. T., & Atay, G. (2007). The effect of exercise on hip muscle strength, gait speed and cadence in patients with total hip arthroplasty: a randomized controlled study. Clinical Rehabilitation, 21(8), 706-11.
Unlu E, et al. The Effect of Exercise On Hip Muscle Strength, Gait Speed and Cadence in Patients With Total Hip Arthroplasty: a Randomized Controlled Study. Clin Rehabil. 2007;21(8):706-11. PubMed PMID: 17846070.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of exercise on hip muscle strength, gait speed and cadence in patients with total hip arthroplasty: a randomized controlled study. AU - Unlu,Ece, AU - Eksioglu,Emel, AU - Aydog,Ece, AU - Aydog,Sedat Tolga, AU - Atay,Gulay, PY - 2007/9/12/pubmed PY - 2007/11/9/medline PY - 2007/9/12/entrez SP - 706 EP - 11 JF - Clinical rehabilitation JO - Clin Rehabil VL - 21 IS - 8 N2 - OBJECTIVE: To evaluate the effect of home versus in-hospital exercise (under supervision) programmes on hip strength, gait speed and cadence in patients with total hip arthroplasty at least one year after operation. SETTING: Physical therapy and rehabilitation department. SUBJECTS: Twenty-six patients who had had a total hip arthroplasty operation 12-24 months prior to the study were enrolled. INTERVENTIONS: The patients were randomized into three groups: group 1 patients were assigned a home exercise programme, group 2 patients exercised under physiotherapist supervision in hospital, and group 3 served as the control group, with no specific intervention. The study duration was six weeks. MAIN MEASURES: Maximum isometric abduction torque of operated hip muscle, gait speed and cadence were measured before and after the study. RESULTS: Maximum isometric abduction torques of the hip abductor muscles improved in groups 1 and 2, but not in group 3 (30 +/- 12 to 38 +/- 11 ft.lb in group 1, 18 +/- 10 to 30 +/- 9.8 ft.lb in group 2). Gait speed improved from 67.8 +/- 23 to 74.35 +/- 24 m/min in group 1, from 48.53 +/- 4 to 56.7 +/- 5 m/min in group 2 and from 58.01 +/- 12 to 59.8 +/- 14 m/min in group 3. Cadence also improved, from 97.7 +/- 18 to 111 +/- 17 steps/min in group 1, from 90.75 +/- 6 to 104.75 +/- 7 steps/min in group 2, and from 87 +/- 16 to 88.22 +/- 16 steps/min in group 3. When the three groups were compared, group 2 showed the best improvement (P = 0.006) only in maximum isometric abduction torque. CONCLUSION: Our findings suggest that both home and supervised exercise programmes are effective one year after total hip arthroplasty. Home exercise programmes with close follow-up could be recommended. SN - 0269-2155 UR - https://www.unboundmedicine.com/medline/citation/17846070/The_effect_of_exercise_on_hip_muscle_strength_gait_speed_and_cadence_in_patients_with_total_hip_arthroplasty:_a_randomized_controlled_study_ L2 - https://journals.sagepub.com/doi/10.1177/0269215507077302?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -