Age explains limited hip extension recovery at one year from total hip arthroplasty

Does aquatic thermal therapy improve quality of life after total hip replacement? A retrospective preliminary pilot study

“…Thermal water physiotherapy reduces postural instability and risk of falling in elderly subjects, with a positive impact on quality of life (Vivas et al 2011), and maximizes rehabilitative treatment efficacy in different musculoskeletal disorders (Devereux et al 2005;Masiero 2008;Arnold et al 2008;Paoloni et al 2017;Mazzoli et al 2017;Masiero et al 2018). Thermal rehabilitative therapies provide also a favorable social environment (Miller and Kaptchuk 2008).…”

“…Thermal rehabilitative therapies provide also a favorable social environment (Miller and Kaptchuk 2008). Previous studies demonstrated anti-edemigenous, anti-inflammatory, muscle relaxant, muscle trophic and antalgic physical properties of thermal waters (Masiero 2008;Masiero et al 2011Masiero et al , 2018Paoloni et al 2017;Mazzoli et al 2017). Current evidence indicates that aquatic thermal therapy may have the potential to decrease cortisol levels in the short term and to improve cortisol awakening response in healthy subjects (Toda et al 2006).…”

Functional assessment of total hip arthroplasty using inertial measurement units: Improvement in gait kinematics and association with patient‐reported outcome measures

“…While most studies reported only the absolute maximum and minimum values, we assessed joint angle trajectories during the entire gait cycle and hip ROM during stance and swing considering both the loaded and unloaded state of the lower extremity throughout the gait cycle. Different systematic reviews found that some studies have suggested an increase in hip ROM in patients with OA after receiving THA 9,25,29,37 . However, because maximum hip flexion during gait can occur in late swing or early stance and because only two 38,39 of eight previous studies 29,37–43 on group differences and changes in hip ROM in patients undergoing THA specified that hip ROM was calculated by subtracting maximum and minimum values over the entire gait cycle, the comparability of our results with and among previous studies is limited.…”

“…Another strength is the matching of the controls to the patients with OA, which helped to eliminate potential confounders. Age has been recognized to influence sagittal hip ROM and gait recovery after THA 37 and a higher BMI can influence the sensor position and gait patterns. Furthermore, we did not only consider discrete kinematic parameters in this study but kinematic trajectories and identified phases in the gait cycle with differences from normal gait patterns.…”

Physiological and operative severity score for the enumeration of mortality and morbidity, frailty, and perioperative quality of life in the elderly

“…Available data on this subject suggests this recovery process might be longer and more eventful in the elderly population, considering the higher prevalence of frailty and disability. [ 2 40 41 42 43 44 ] We assessed the patients’ QOL after 3 months with the main intent of limiting the dropout rate, and because this time mark is commonly used when assessing this parameter. Comparison of perioperative changes in HRQOL may be impaired by the different time frames and questionnaires used in the literature for assessing the outcome.…”