Feasibility and efficacy of an 8-week progressive home-based strengthening exercise program in patients with osteoarthritis of the hip and/or total hip joint replacement: a preliminary trial

Abstract

The feasibility and efficacy of an additional progressive home-based strengthening exercise program (PHSEP) on subjects that already attended supervised institutional exercise therapy was investigated. Thirty-six hip patients with hip osteoarthritis (OA) and/or total hip replacement in at least one hip joint were randomly assigned to an intervention group (IG) or a control group (CG). IG (18 patients, mean age 64.9, standard deviation (SD) 7.5) followed an 8-week PHSEP in addition to their weekly institutional exercise therapy, while CG (18 patients, mean age 64.7, SD 9) solely continued the weekly institutional exercise sessions. Before and after the intervention period, strength of hip muscles was quantified applying isokinetic concentric and isometric measurements, and health-related quality of life was monitored using the SF36 questionnaire. Adherence to the exercise program was evaluated using exercise logs. The PHSEP was feasible for all subjects in IG with an adherence of 99%. Exercise logs reported that pain resulting from the PHSEP was low. Increased strength in isokinetic concentric hip adduction (13%) and isometric hip abduction (9%), adduction (12%), and flexion (7%) was found in IG in comparison to CG. The results of the SF36 did not change during the intervention period. Consequently, supervised institutional exercise therapy supplemented by a PHSEP could increase hip muscle strength in patients with hip OA and/or total hip replacement. However, further research should evaluate the optimal frequency and duration of such supplementary sessions and their potential to increase physical function and reduce pain.

The Feasibility of a 3-Month Active Rehabilitation Program for Patients With Knee Full-Thickness Articular Cartilage Lesions: The Oslo Cartilage Active Rehabilitation and Education Study

“…50 Adherence to a rehabilitation program also influences pain, quality of life, and physical performance in patients with knee OA. 50,62 Few studies have been designed to investigate factors that influence adherence to a program. 50 One major factor seems to be the duration of the program, with a progressive decline in adherence (85% for a 3-month program, 70% for a 9-month program, and 54% for an 18-month program) as the intervention becomes longer.…”

Effects of a Home-Based Resistance Training Program on Recovery From Total Hip Replacement Surgery: Feasibility and Pilot Testing

“…Resistance bands have been widely used and have shown positive effects in leg muscle strength training in patients with knee arthritis (Chang, Liou, Chen, Huang, & Chang, 2012) and in rehabilitation in patients with hip OA or THR patients (Steinhilber et al, 2012). Resistance bands come in a range of resistance levels and may be used selectively according to individual fitness level and specific training plan.…”

Značaj stacionarne fizikalne terapije i rehabilitacije za kvalitet života pacijenata nakon ugradnje totalne endoproteze zgloba kuka

“…U našoj ustanovi je zadržan režim stacionarne fizikalne terapije koja se provodi pod kontrolom tima koji vodi ljekar specijalista fizijatar uz učešće fizioterapeuta, radnih terapeuta, psihologa i medicinske sestre. Literaturno [27] postoperativna rehabilitacija se obavlja u okviru "Škola kuka" koja obuhvata 60-minutnu grupnu fizikalnu terapiju koja se odvija nedeljno pod kontrolom fizioterapeuta i koja obuhvata fizikalne, socijalne i kognitivne elemente ili uz programe vježbi snage u kućnim uslovima ili [28] tri puta nedeljno uz vođenje dnevnika vježbanja, ili pod supervizorstvom fizioterapeuta prema različitom protokolu u smislu učestalosti i dužine trajanja kineziterapijskog programa. Često se u istraživanjima daje akcenat na rezultat operativnog zahvata sa praćenjem promjena u kvalitetu života i funkcionalnom statusu pacijenata uz pomoć WOMAC indexa i SF-36 upitnika bez osvrta na organizovanu kontrolisanu kineziterapiju uz učešća pratećih fizikalnih procedura i psihosocijalnu podršku [29].…”