Comparison of Balance, Proprioception and Skeletal Muscle Mass in Total Hip Replacement Patients With and Without Fracture: A Pilot Study

Jo, Seunghwi; Park, Si-Bog; Kim, Mi Jung; Kim, Tai Kon; Park, Kyeong Il; Sung, Junhyun; Park, Un Jin; Kim, Yeo Ju; Kang, Byeong Jik; Lee, Kyu Hoon

doi:10.5535/arm.2016.40.6.1064

Cited by 10 publications

(11 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…COP area and length in mechanography were corre-lated with K-FRAIL at 3 months after hip fracture surgery, whereas the COP variables were correlated with FAC and walking ability by Koval at 6 months. In terms of immobilization and deconditioning, similar to frailty, skeletal muscle mass index correlated with BBS at 3 months after total hip replacement surgery in a previous study [17]. Moreover, lower-limb muscle weakness remained at 6 and 24 months after hip surgery, although gait and balance function recovered [18,19].…”

Section: Discussionsupporting

confidence: 58%

Correlation Between Mechanography and Clinical Parameters at Six Months After Hip Fracture Surgery

Min

Cho

et al. 2019

Ann Rehabil Med

View full text Add to dashboard Cite

Objective To investigate the correlation between mechanography and clinical parameters in older people at 3 and 6 months after hip fracture surgery. Methods A longitudinal follow-up study was conducted in university hospitals with 38 patients at 3 months and 29 patients at 6 months after hip fracture surgery. Subjects 65 years and older completed measurements on the Berg Balance Scale (BBS), Functional Ambulation Category (FAC), walking ability by Koval, Korean version of the fatigue, resistance, ambulation, illnesses, and loss of weight (K-FRAIL) scale, and hand grip strength. The Romberg test with center of foot pressure (COP), chair rise test (CRT), and maximal power (W/kg) were conducted using the Leonardo Mechanograph. Results COP area and pathway length were correlated with BBS at 3 and 6 months. Change in BBS was correlated with change in COP area, but not with change in COP length. COP area and pathway length were correlated with K-FRAIL at 3 months after hip fracture surgery. The same COP variables showed correlations with FAC and walking ability by Koval at 6 months after surgery. Maximal power during CRT had correlation with chair rise time but not with other clinical parameters. Conclusion The study revealed correlations between mechanography and clinical parameters in older people at 3 and 6 months after hip fracture surgery. Both the clinical assessment and objective test with mechanography may be required for the quantitative and sensitive measurement of postural balance and lower limb muscle power.

show abstract

Section: Discussionsupporting

confidence: 58%

Correlation Between Mechanography and Clinical Parameters at Six Months After Hip Fracture Surgery

Min

Cho

et al. 2019

Ann Rehabil Med

View full text Add to dashboard Cite

show abstract

“…Low muscle attenuation (24) and low muscle mass (47, 54, 55) were associated with longer length of hospital stay and hospital readmissions (34, 44, 48, 56, 57). Other outcomes that were reported to be associated with low muscle mass included general morbidity (24, 34, 41), surgical complications (58), reduced physical function (57, 59), lower quality of life (59), higher inflammatory response after surgery (60), discharge destination to a nursing or rehabilitation facility (34, 56), and higher hospitalization costs (10, 61, 62). One study reported a null association between muscle mass and quality of life post-discharge (63); although the population was large (n=215), diagnoses within the sample were diverse (cancer and non-cancer patients), which could have concealed significant sub-group associations.…”

Section: Inpatient Settingsmentioning

confidence: 99%

Implications of low muscle mass across the continuum of care: a narrative review

et al. 2018

View full text Add to dashboard Cite

Abnormalities in body composition can occur at any body weight. Low muscle mass is a predictor of poor morbidity and mortality and occurs in several populations. This narrative review provides an overview of the importance of low muscle mass on health outcomes for patients in inpatient, outpatient and long-term care clinical settings. A one-year glimpse at publications that showcases the rapidly growing research of body composition in clinical settings is included. Low muscle mass is associated with outcomes such as higher surgical and post-operative complications, longer length of hospital stay, lower physical function, poorer quality of life and shorter survival. As such, the potential clinical benefits of preventing and reversing this condition are likely to impact patient outcomes and resource utilization/health care costs. Clinically viable tools to measure body composition are needed for routine screening and intervention. Future research studies should elucidate the effectiveness of multimodal interventions to counteract low muscle mass for optimal patient outcomes across the healthcare continuum. Key messages Low muscle mass is associated with several negative outcomes across the healthcare continuum. Techniques to identify and counteract low muscle mass in clinical settings are needed.

show abstract

“…Static balance/postural stability was assessed in 20 studies [ 11 , 35 , 37 – 53 , 63 ]; dynamic balance was assessed in 10 studies [ 34 , 36 , 41 , 52 , 54 – 59 ]; proprioception in terms of sense of joint position was assessed in 2 studies [ 60 , 61 ]; clinical scales and other test batteries for balance assessment were used in 10 studies [ 11 , 13 , 40 , 41 , 52 , 59 , 60 , 62 – 64 ].…”

Section: Resultsmentioning

confidence: 99%

“…The study by Jo et al [ 60 ] investigating proprioception by means of hip joint position sense reported no differences between patients undergoing THA for osteoarthritis or after hip fracture 3 months after surgery, while Wang et al [ 61 ] reported that THA patients had higher mean absolute angle error than HR patients at 6 and 12 months from surgery; after 1 year and up to 36 months, both groups had similar absolute angle error. In either study, results were not compared with a control group of healthy age-matched participants.…”

Section: Resultsmentioning

confidence: 99%

Balance and proprioception impairment, assessment tools, and rehabilitation training in patients with total hip arthroplasty: a systematic review

Labanca

Ciardulli

Bonsanto

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Osteoarthritis and subsequent total hip arthroplasty (THA) lead to damages to hip joint mechanoceptors, which in turns lead to impairments in proprioception. One of the abilities mainly affected by an altered joint proprioception is balance. The aim of this work was to investigate the balance and proprioception impairments, current assessment tools, and rehabilitation training after THA. Methods A systematic literature revision was conducted on PubMed, Web of Science and Cochrane databases. Articles reporting balance and proprioception impairments, current assessment tools, or rehabilitation interventions were included. Methodological quality was assessed using the Downs and Black checklist. A total of 41 articles were included, 33 discussing balance and proprioception assessment, and 8 dealing with training. Data related to type of surgical approach, type and timing of assessment protocols, assessment instrumentation, and type, volume and duration of the rehabilitation training were extracted from each study. Results Thirty-one studies were of high quality, 2 of moderate quality and 8 of low-quality. Literature review showed an improvement in balance following THA in comparison with the pre-operative performance, although balance abnormalities persist up to 5 years after surgery, with THA patients showing an increased risk for falls. Balance training is effective in all the rehabilitation phases if specifically structured for balance enhancement and consistent in training volume. It remains unclear which assessments are more appropriate for the different rehabilitation phases, and if differences exist between the different surgical procedures used for THA. Only two studies assessed proprioception. Conclusion Balance and proprioception show impairments up to 5 years after THA, increasing the risk of falls. However, patients with THA may benefit of an adequate balance training. Further research is needed to investigate the gaps in balance and proprioception assessment and training following THA surgery.

show abstract

Comparison of Balance, Proprioception and Skeletal Muscle Mass in Total Hip Replacement Patients With and Without Fracture: A Pilot Study

Cited by 10 publications

References 22 publications

Correlation Between Mechanography and Clinical Parameters at Six Months After Hip Fracture Surgery

Correlation Between Mechanography and Clinical Parameters at Six Months After Hip Fracture Surgery

Implications of low muscle mass across the continuum of care: a narrative review

Balance and proprioception impairment, assessment tools, and rehabilitation training in patients with total hip arthroplasty: a systematic review

Contact Info

Product

Resources

About