The Effect of Simultaneous Antigravity Treadmill Training and Electrical Muscle Stimulation After Total Hip Arthroplasty: Short Follow-Up Time
10.5535/arm.2019.43.4.474
- Author:
Yukio MIKAMI
1
;
Naoya ORITA
;
Takuma YAMASAKI
;
Yoshiichiro KAMIJO
;
Hiroaki KIMURA
;
Nobuo ADACHI
Author Information
1. Department of Rehabilitation Medicine, Hiroshima University Hospital, Hiroshima, Japan. ymikami@wakayama-med.ac.jp
- Publication Type:Original Article
- Keywords:
Anti-gravity treadmill;
Low frequency electrical stimulation device;
Hip osteoarthritis;
Total hip arthroplasty
- MeSH:
Arthroplasty, Replacement, Hip;
Electric Stimulation;
Follow-Up Studies;
Humans;
Knee;
Knee Joint;
Lower Extremity;
Muscle Strength;
Osteoarthritis, Hip;
Outcome Assessment (Health Care);
Rehabilitation;
Retrospective Studies;
Walking
- From:Annals of Rehabilitation Medicine
2019;43(4):474-482
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To assess the effectiveness of our devised hybrid physiotherapy regime using an anti-gravity treadmill and a low-frequency electrical stimulation device, as measured in patients with hip osteoarthritis after total hip arthroplasty (THA). METHODS: The outcomes of the postoperative rehabilitation in 44 patients who underwent THA for hip osteoarthritis were retrospectively examined. The conventional group (n=22) underwent the postoperative rehabilitation according to our protocol, while the hybrid group (n=22) underwent the same training, along with training on an anti-gravity treadmill and training using a low-frequency therapeutic device. The outcome measures were recorded and reviewed with the Numerical Rating Scale for pain, which rates pain on an 11-point scale from 0 to 10, surgical side knee joint extension force, 10-m walking test, Timed Up and Go test, and the 6-minute walking distance (6MD). The outcome measurement was taken 2 weeks after conducting pre-operation and antigravity treadmill training and electrical muscle stimulation, and compared the respective results. RESULTS: At the timeframe of 2 weeks from the surgery after conducting a devised hybrid physiotherapy, the values of knee extension muscle strength and 6MD were not worse in the hybrid group than conventional group. In the evaluation at 2 weeks after surgery, the knee extension muscle strength and 6MD values significantly decreased compared with the preoperative values only in the conventional group. CONCLUSION: Lower limb muscular strength and endurance were maintained in the hybrid group, which suggested that hybrid physiotherapy could maintain physical functions early after THA operation.
