A specific arm-interval exercise program could improve the health status and walking ability of elderly patients after total hip arthroplasty: a pilot study

Maire, Jérôme; Faillenet-Maire, Anne-Françoise; Grange, Céline; Dugué, Benoît; Tordi, Nicolás; Parratte, B.; Rouillon, Jean-Denis

doi:10.1080/16501970310021383

Cited by 45 publications

(58 citation statements)

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“…Those two subjects did not complete the 1-year follow-up. Altogether, our interval-training program was able to induce an improvement in upper-body aerobic capacity, walking ability, and subjective health status (WOMAC score) [7][8][9]. In the walking tests, the TG covered a longer walking distance with a faster walking speed and with a longer stride length, and the cadence was higher (data not shown).…”

Section: Discussionmentioning

confidence: 92%

“…We recently reported that a 6-week upper-limb interval training starting early after THA had positive effects in the recovery of elderly patients with osteoarthritis (OA) [7][8]. The positive effects of this aerobic training were observed 2 months after surgery on cardiorespiratory fitness, subjective health status (Western Ontario and McMaster University [WOMAC]), and walking ability THA.…”

Section: Introductionmentioning

confidence: 99%

“…Their physical characteristics were (mean ± standard deviation): age 75.1 ± 4.8, mass 73.8 ± 13.5 kg, height 158.2 ± 7.9 cm, and body mass index 29.3 ± 4.7 kg/m 2 . The detailed description of our patients and the rehabilitation program was recently published [7][8][9]. Briefly, only volunteers over the age of 65 whose main diagnosis was primary hip OA were included.…”

Section: Subjectsmentioning

confidence: 99%

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Influence of a 6-week arm exercise program on walking ability and health status after hip arthroplasty: A 1-year follow-up pilot study

Maire¹,

Dugué²,

Faillenet-Maire³

et al. 2006

JRRD

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Abstract-The influence of an upper-limb interval-training program after total hip arthroplasty (THA) in elderly patients was studied during a 1 yr follow-up on health status and walking ability. After surgery, 14 patients were randomly assigned to the control group that started a 6 wk general rehabilitation program or the training group that combined it with an interval exercise program on an arm ergometer. A Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index was completed 1 mo before and 2 mo and 1 yr after surgery. A 6 min walking test was performed at 2 mo and 1 yr after surgery. The training group covered a significantly longer distance than the control group in the 6 min walk test and obtained significantly lower WOMAC scores both at 2 mo and 1 yr after surgery. However, both groups significantly improved in WOMAC and in their performance during the survey. Endurance-type upper-body aerobic training in a rehabilitation program might be important after THA.

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Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Subjectsmentioning

confidence: 99%

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Influence of a 6-week arm exercise program on walking ability and health status after hip arthroplasty: A 1-year follow-up pilot study

Maire¹,

Dugué²,

Faillenet-Maire³

et al. 2006

JRRD

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“…Effectiveness of physical rehabilitation for THR patients following discharge from hospital is supported by evidence [10-14]; however, the quality of existing trials prevents robust conclusions on the optimal content of rehabilitation programs. Recommendations regarding content include arm ergometer interval exercise [10], aerobic type dance routines [15], various strength and range of motion (ROM) exercises with and without resistance [11-13,16,17], and walking programs [13,17]. Existing literature also varies with respect to the quantity, timing to commencement, and frequency of physiotherapy rehabilitation [10-13,15-23].…”

Section: Introductionmentioning

confidence: 99%

“…Recommendations regarding content include arm ergometer interval exercise [10], aerobic type dance routines [15], various strength and range of motion (ROM) exercises with and without resistance [11-13,16,17], and walking programs [13,17]. Existing literature also varies with respect to the quantity, timing to commencement, and frequency of physiotherapy rehabilitation [10-13,15-23]. Frequency ranges from twice daily [21] to twice weekly [15], and timing to commencement from immediately following hospital discharge [11] to greater than 6 months after [15,21].…”

Section: Introductionmentioning

confidence: 99%

Telerehabilitation Versus Traditional Care Following Total Hip Replacement: A Randomized Controlled Trial Protocol

et al. 2017

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BackgroundTotal hip replacement (THR) is the gold standard treatment for severe hip osteoarthritis. Effectiveness of physical rehabilitation for THR patients following discharge from hospital is supported by evidence; however, barriers such as geographical location and transport can limit access to appropriate health care. One solution to this issue is using an alternative model of care using telerehabilitation technology to deliver rehabilitation programs directly into patients’ homes. A telerehabilitation model may also have potential health care cost savings for health care providers.ObjectiveThis study aims to determine if a telerehabilitation model of care delivered remotely is as effective as face-to-face rehabilitation in the THR population and cost effective for health care providers and patients.MethodsA total of 70 people undergoing THR will be recruited to participate in a randomized, single-blind, controlled noninferiority clinical trial. The trial will compare a technology-based THR rehabilitation program to in-person care. On discharge from hospital, participants randomized to the in-person group will receive usual care, defined as a paper home exercise program (HEP) targeting strengthening exercises for quadriceps, hip abductors, extensors, and flexors; they will be advised to perform their HEP 3 times per day. At 2, 4, and 6 weeks postoperatively, they will receive a 30-minute in-person physiotherapy session with a focus on gait retraining and reviewing and progressing their HEP. The telerehabilitation protocol will involve a program similar in content to the in-person rehabilitation program, except delivery will be directly into the homes of the participants via telerehabilitation technology on an iPad. Outcomes will be evaluated preoperatively, day of discharge from in-patient physiotherapy, 6 weeks and 6 months postoperatively. The primary outcome will be the quality of life subscale of the hip disability and osteoarthritis outcome score, measured at 6 weeks. Both intention-to-treat and per-protocol analyses as recommended in the extension of the Consolidated Standards for Reporting Trials (CONSORT) guideline for noninferiority trials will be performed.ResultsRecruitment commenced in September 2015 and is expected to be completed by June 2017. Data collection will be completed by December 2017. It is anticipated the results from this trial will be published by July 2018.ConclusionsPrevious research investigating telerehabilitation in postoperative orthopedic conditions has yielded promising results. If shown to be as effective as in-person care, telerehabilitation after THR could be helpful in addressing access issues in this population. Furthermore, it may help reduce the cost of health care provision by enabling patients to take a more independent approach to their rehabilitation.Trial RegistrationAustralian New Zealand Clinical Trials Registry ACTRN12615000824561; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=364010 (Archived by WebCite at http://www.webcitation.org/6oWXwe...

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Evaluation of Exercise Interventions and Outcomes After Hip Arthroplasty

Saueressig¹,

Owen

Zebisch³

et al. 2021

JAMA Netw Open

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IMPORTANCE Preoperative and postoperative exercise interventions are commonly used in patients with total hip arthroplasty despite a lack of established efficacy. OBJECTIVE To explore clinical outcomes associated with exercise training before and after hip arthroplasty. DATA SOURCES PubMed, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, EMBASE, and Google Scholar were searched from their inception to March 2020. Reference lists of included trials and related reviews were also searched. STUDY SELECTION Randomized clinical trials of land-based exercise interventions before or after total hip arthroplasty were included. DATA EXTRACTION AND SYNTHESIS This systematic review and meta-analysis is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline. Data extraction was independently performed in duplicate. Random-effects meta-analyses with restricted maximum likelihood were performed for pooling the data. MAIN OUTCOMES AND MEASURES The primary prespecified outcome was self-reported physical function. Secondary prespecified outcomes were self-reported pain intensity, quality of life, gait speed, lower body muscle strength, lower body flexibility, anxiety, hospital length of stay, and adverse events. RESULTS A total of 32 randomized clinical trials with 1753 patients were included in the qualitative synthesis, and 26 studies with 1004 patients were included in the meta-analysis. Compared with usual care or no or minimal intervention, postoperative exercise training was not associated with improved self-reported physical function, with a moderate level of certainty, at 4 weeks

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A specific arm-interval exercise program could improve the health status and walking ability of elderly patients after total hip arthroplasty: a pilot study

Abstract: Preliminary results indicate that the improvement in physical fitness and functional status of the training group seems to be associated with better health status.

Cited by 45 publications

References 4 publications

Influence of a 6-week arm exercise program on walking ability and health status after hip arthroplasty: A 1-year follow-up pilot study

Influence of a 6-week arm exercise program on walking ability and health status after hip arthroplasty: A 1-year follow-up pilot study

Telerehabilitation Versus Traditional Care Following Total Hip Replacement: A Randomized Controlled Trial Protocol

Evaluation of Exercise Interventions and Outcomes After Hip Arthroplasty

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