Comparison of Balance, Proprioception and Skeletal Muscle Mass in Total Hip Replacement Patients With and Without Fracture: A Pilot Study.
10.5535/arm.2016.40.6.1064
- Author:
Seunghwi JO
1
;
Si Bog PARK
;
Mi Jung KIM
;
Taikon KIM
;
Kyeong Il PARK
;
Junhyun SUNG
;
Un Jin PARK
;
Yee Suk KIM
;
Byeong Jik KANG
;
Kyu Hoon LEE
Author Information
1. Department of Rehabilitation Medicine, Hanyang University Medical Center, Hanyang University College of Medicine, Seoul, Korea. dumitru1@hanyang.ac.kr
- Publication Type:Original Article
- Keywords:
Arthroplasty;
Hip;
Fracture;
Postural balance
- MeSH:
Arthroplasty;
Arthroplasty, Replacement, Hip*;
Electric Impedance;
Health Surveys;
Hip;
Hip Joint;
Humans;
Joints;
Muscle, Skeletal*;
Pilot Projects*;
Postural Balance;
Proprioception*;
Quality of Life;
Rehabilitation
- From:Annals of Rehabilitation Medicine
2016;40(6):1064-1070
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To determine whether there was a difference in balance, proprioception, and skeletal muscle mass among patients who undergo hip fracture surgery relative to and elective total hip replacement (THR). METHODS: Thirty-one THR patients were enrolled. The patients were categorized into two groups: fracture group (n=15) and non-fracture group (n=16). Berg Balance Scale (BBS) was used to balance the proprioception of the hip joint while a joint position sense (JPS) test was used to evaluate it. Skeletal muscle mass was measured by bioelectrical impedance analysis and expressed as a skeletal muscle mass index (SMI). Quality of life (QOL) was also assessed using a 36-item short form health survey (SF-36). All tests were assessed at 3 months after the surgery. An independent t-test was used to compare the fracture group and non-fracture group. Spearman correlation was used to identify the correlation of each variable. RESULTS: In an independent t-test, the BBS score of patients undergoing elective surgery was higher than the BBS score of patients undergoing hip fracture surgery. There was a significant correlation between the BBS and JPS score after a THR. SMI also correlated with the score of BBS. CONCLUSION: It seems that THR patients undergoing surgery for a hip fracture might have more trouble balancing than elective THR patients. Therefore THR patients undergoing hip fracture surgery might need more care during rehabilitation.
