Article

OBJECTIVE: To evaluate the efficacy of an in-hospital programme based on
task-oriented exercises associated with early full
weight-bearing in patients
with multiple comorbidities undergoing total hip replacement. DESIGN: Randomized
controlled trial. SETTING: Specialised rehabilitation centre. SUBJECTS: A total
of 100 patients (mean age of 69 (8) years; 40 males, 60 females). INTERVENTIONS:
The experimental group underwent task-oriented exercises and was encouraged to
abandon any walking aids by the end of their in-hospital stay.
The control group
underwent open chain kinetic exercises, and was recommended to use partial
weight-bearing and walking aids until three months after surgery. Both groups
individually followed programmes of 90-minute sessions five times a week for
three weeks. OUTCOME MEASURES: Western Ontario and McMaster Universities
Osteoarthritis Index, Pain Numerical Rating Scale, Functional Independence
Measure, and Short-Form Health Survey. The participants were evaluated before,
after training, and after a further 12 months. RESULTS: There were no significant
between-group differences at baseline. After training, a between-group difference
of 12 points was found for the Western Ontario and McMaster Universities
Osteoarthritis Index - functional subscale, indicating a clinically tangible
treatment effect on disability. The Functional Independence Measure increased by
31 and 15 points in the experimental and control group, respectively. A linear
mixed model revealed significant effects of time, group, and time by group
interaction on disability, pain, activities of daily living, and most of the
physical quality of life domains. CONCLUSION: Task-oriented exercises associated
with early full weight-bearing improve disability, pain, activities of daily living, and quality of life after total hip replacement.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS