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A targeted home- and center-based exercise program for people after total hip replacement: a randomized clinical trial.
Arch Phys Med Rehabil. 2008 Aug; 89(8):1442-7.AP

Abstract

OBJECTIVE

To examine the physical function, gait, and quality of life of patients after total hip replacement (THR) randomly assigned to either a targeted home- or center-based exercise program.

DESIGN

Randomized controlled trial.

SETTING

Rehabilitation research center in Australia.

PARTICIPANTS

Twenty-three patients with unilateral THR were randomly assigned to a supervised center-based exercise group (n=11) or an unsupervised home-based exercise group (n=12).

INTERVENTION

The center-based group completed an 8-week targeted exercise program while under the direct supervision of a physiotherapist. After initial instruction, the home-based group completed the 8-week targeted exercise program at home without further supervision.

MAIN OUTCOME MEASURES

Quality of life, physical function, and spatiotemporal measures of gait.

RESULTS

No significant interaction (group by time) or main effects of grouping were found. Within each group, quality of life, and stair climbing improved significantly (P<.05) as did Timed Up & Go test and 6-minute walk test performances (P<.05). Walking speed increased by 16 cm/s (P<.01), cadence by 8 steps/min (P<.05), step length by 4.7 cm (P<.05), and double-support time reduced by a factor of 16%. Step length symmetry showed significant improvement (P<.05) over time. Step length differential between the affected and unaffected limbs reduced from 4.0 to 2.7 cm.

CONCLUSIONS

The targeted strengthening program was effective for both the home- and center-based groups. No group differences were found in the majority of the outcome measures. This finding is important because it shows that THR patients can achieve significant improvements through a targeted strengthening program delivered at a center or at home.

Authors+Show Affiliations

Rehabilitation Sciences Research Centre, University of Melbourne, Parkville, Victoria, Australia. m.galea@unimelb.edu.auNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18586222

Citation

Galea, Mary P., et al. "A Targeted Home- and Center-based Exercise Program for People After Total Hip Replacement: a Randomized Clinical Trial." Archives of Physical Medicine and Rehabilitation, vol. 89, no. 8, 2008, pp. 1442-7.
Galea MP, Levinger P, Lythgo N, et al. A targeted home- and center-based exercise program for people after total hip replacement: a randomized clinical trial. Arch Phys Med Rehabil. 2008;89(8):1442-7.
Galea, M. P., Levinger, P., Lythgo, N., Cimoli, C., Weller, R., Tully, E., McMeeken, J., & Westh, R. (2008). A targeted home- and center-based exercise program for people after total hip replacement: a randomized clinical trial. Archives of Physical Medicine and Rehabilitation, 89(8), 1442-7. https://doi.org/10.1016/j.apmr.2007.11.058
Galea MP, et al. A Targeted Home- and Center-based Exercise Program for People After Total Hip Replacement: a Randomized Clinical Trial. Arch Phys Med Rehabil. 2008;89(8):1442-7. PubMed PMID: 18586222.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A targeted home- and center-based exercise program for people after total hip replacement: a randomized clinical trial. AU - Galea,Mary P, AU - Levinger,Pazit, AU - Lythgo,Noel, AU - Cimoli,Chris, AU - Weller,Robert, AU - Tully,Elizabeth, AU - McMeeken,Joan, AU - Westh,Roger, Y1 - 2008/06/30/ PY - 2007/09/03/received PY - 2007/11/02/revised PY - 2007/11/15/accepted PY - 2008/7/1/pubmed PY - 2008/8/7/medline PY - 2008/7/1/entrez SP - 1442 EP - 7 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 89 IS - 8 N2 - OBJECTIVE: To examine the physical function, gait, and quality of life of patients after total hip replacement (THR) randomly assigned to either a targeted home- or center-based exercise program. DESIGN: Randomized controlled trial. SETTING: Rehabilitation research center in Australia. PARTICIPANTS: Twenty-three patients with unilateral THR were randomly assigned to a supervised center-based exercise group (n=11) or an unsupervised home-based exercise group (n=12). INTERVENTION: The center-based group completed an 8-week targeted exercise program while under the direct supervision of a physiotherapist. After initial instruction, the home-based group completed the 8-week targeted exercise program at home without further supervision. MAIN OUTCOME MEASURES: Quality of life, physical function, and spatiotemporal measures of gait. RESULTS: No significant interaction (group by time) or main effects of grouping were found. Within each group, quality of life, and stair climbing improved significantly (P<.05) as did Timed Up & Go test and 6-minute walk test performances (P<.05). Walking speed increased by 16 cm/s (P<.01), cadence by 8 steps/min (P<.05), step length by 4.7 cm (P<.05), and double-support time reduced by a factor of 16%. Step length symmetry showed significant improvement (P<.05) over time. Step length differential between the affected and unaffected limbs reduced from 4.0 to 2.7 cm. CONCLUSIONS: The targeted strengthening program was effective for both the home- and center-based groups. No group differences were found in the majority of the outcome measures. This finding is important because it shows that THR patients can achieve significant improvements through a targeted strengthening program delivered at a center or at home. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/18586222/A_targeted_home__and_center_based_exercise_program_for_people_after_total_hip_replacement:_a_randomized_clinical_trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(08)00305-5 DB - PRIME DP - Unbound Medicine ER -