Gait and gait-related activities of daily living after total hip arthroplasty: A systematic review

Kolk, Sjoerd; Minten, M.J.M.; Bon, Geert E A van; Rijnen, Wim H C; Geurts, Alexander C. H.; Verdonschot, Nico; Weerdesteyn, Vivian

doi:10.1016/j.clinbiomech.2014.05.008

Cited by 95 publications

(78 citation statements)

References 68 publications

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“…it was suggested these differences are not as apparent as those observed during level walking 11 . It has been suggested that this is due to the reduced hip joint moments required for stair negotiation when compared to level walking 13 .…”

Section: (2)effect Of Total Hip Replacement Surgerymentioning

confidence: 77%

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Basic biomechanics of the hip

Lunn

Lampropoulos

Stewart

2016

Orthopaedics and Trauma

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(1)AbstractThe basic mechanical principles which govern how the hip joint maintains equilibrium and balance during standing and performing activities is explained along with the consequences when this balanced system is compromised. A description of the movements and forces acting around the hip joint that are expected during activities of daily living is offered and also how these movements are affected following total hip replacement, with particular reference to femoral offset and leg length inequality.

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Section: (2)effect Of Total Hip Replacement Surgerymentioning

confidence: 77%

“…In a recent review, THR patients were compared to that of healthy control patients 11 . It was found that in almost all studies there was reduced ROM in the hip following THR, compared to control subjects including a reduced hip abduction moment and reduced hip abduction angle 12 .…”

Section: (2)effect Of Total Hip Replacement Surgerymentioning

confidence: 99%

Basic biomechanics of the hip

Lunn

Lampropoulos

Stewart

2016

Orthopaedics and Trauma

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“…Many studies have found that the peak hip adduction moment or external rotation moments in postoperative THA patients is lower than in control subjects 16,17 . Lateral and anterior surgical approaches are often associated with poorer abductor function compared to posterior approaches in many 34e36 , but not all studies 37e39 .…”

Section: Discussionmentioning

confidence: 99%

“…These studies, however, have generalizability concerns that limit how they can be used and interpreted to inform rehabilitation practices. First, we know from the clinical literature that preoperative function is an important determinant of postoperative function 3,18 ; 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 unfortunately, a recent meta-analysis points out that most gait analysis studies have not included a preoperative evaluation 16,17 . Second, many gait analysis studies have had relatively small sample sizes e in the same meta-analysis, all but one study had fewer than 30 subjects.…”

Section: Introductionmentioning

confidence: 97%

Preoperative factors associated with postoperative gait kinematics and kinetics after total hip arthroplasty

Foucher

Freels

2015

Osteoarthritis and Cartilage

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“…In particular, abnormal muscle control at the hip and pelvis during gait, which often results in an abnormal gait pattern, is indicative of low internal hip abduction moments which are related slow walking speeds observed after THA. 12,14–16 Some investigations suggest that walking mechanics never return to normal following THA. 17 Movement compensations have been found to serve as important biomarkers of functional decline in a variety of older adult populations 18,19 and are linked to increased fall risk 18,19 and poor functional outcomes, 20 thus highlighting the importance of addressing these compensations through postoperative exercise programs.…”

Section: Introductionmentioning

confidence: 99%

Effects of neuromuscular reeducation on hip mechanics and functional performance in patients after total hip arthroplasty: A case series

Judd

Winters

Stevens-Lapsley

et al. 2016

Clinical Biomechanics

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Background Following total hip arthroplasty, patients demonstrate compensatory movement strategies during activities of daily living such as walking and stair climbing. Movement compensations are important markers of functional decline in older adults and are related to poor functional capacity. Despite increased utilization of hip arthroplasty, persistent movement compensation, and functional performance deficits, no consensus on postoperative rehabilitation exists. Neuromuscular reeducation techniques offer a strategy to improve movement quality by emphasizing hip abductor performance and pelvic stability. This case series illustrates changes in movement strategy around the hip in response to targeted neuromuscular reeducation techniques after hip arthroplasty. Methods Five participants received an 8-week exercise program following total hip arthroplasty, emphasizing targeted neuromuscular reeducation techniques hallmarked by specific, weight-bearing exercise to improve hip abductor performance and pelvic stability. Five additional participants were supervised and followed for comparison. Findings Participants in the neuromuscular reeducation program improved their internal hip abductor moments and vertical ground reaction forces during walking and stair climbing. They also improved their functional performance and hip abductor strength outcomes. Interpretation Targeted neuromuscular reeducation techniques after total hip arthroplasty provided a positive effect on biomechanical outcomes, functional performance, and muscle strength. Through focused use of the hip abductor muscles, increased internal hip abductor moments were observed. This intervention potentially promotes pelvic stability, and may contribute to improved performance on tasks such as stair climbing, fast walking, and balance. The results suggest that neuromuscular reeducation offers a unique effect on movement strategy and function for patients following total hip arthroplasty.

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Gait and gait-related activities of daily living after total hip arthroplasty: A systematic review

Cited by 95 publications

References 68 publications

Basic biomechanics of the hip

Basic biomechanics of the hip

Preoperative factors associated with postoperative gait kinematics and kinetics after total hip arthroplasty

Effects of neuromuscular reeducation on hip mechanics and functional performance in patients after total hip arthroplasty: A case series

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