Comparison of gait parameters in patients following total hip arthroplasty with a direct-lateral or antero-lateral surgical approach

Kiss, Rita M.; Illyés, Árpád

doi:10.1016/j.humov.2012.02.004

Cited by 38 publications

(42 citation statements)

References 35 publications

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“…In the case of postero-lateral exposure, Nallegowda et al (2003) found that 8 months after THA, the results of stabilometry testing conducted with the eyes open did not differ significantly from the control group, even when the tests were performed on a plate with sinusoidal motion. The gait parameters in patients who underwent THA by posterior exposure did not show significant differences at 6 months after THA compared to controls (Kiss and Illyés, 2012).…”

Section: Type Of Testmentioning

confidence: 66%

“…4 and 5). The results showed that the balancing ability gradually improved in the first 6 months of the postoperative period, but it failed to reach that of control group ( based on pressure centre motion analysis during standing on the affected limb; the gait (spatial, temporal and angular) parameters on the affected side were significantly different from the values of the control group (Kiss and Illyés, 2012).…”

Section: Type Of Testmentioning

confidence: 77%

“…Pain is relieved and functional abilities are partly restored by total hip arthroplasty (THA) (Jones et al, 2000;Wylde et al, 2009), but gait patterns are significantly modified during the postoperative period (Bennett et al, 2007(Bennett et al, , 2008Foucher et al, 1998Foucher et al, , 2007Kiss and Illyés, 2012;Mont et al, 2007;Vogt et al, 2003Vogt et al, , 2004. It has been shown in earlier research that at half a year and 1 year after THA, the perception of the joint position corresponds to that of healthy subjects (Grigg et al, 1973;Karanjia and Ferguson, 1983).…”

Section: Introductionmentioning

confidence: 99%

“…The Lehr's damping ratio characterising the dynamic balancing ability was compared with (a) Lehr's damping ratio in healthy subjects of the same age; (b) Lehr's damping ratio determined preoperatively and (c) Lehr's damping ratio determined in patients operated using different methods of exposure. The joint capsule and periarticular joints are affected differently depending on the method of exposure; consequently, the method of exposure in the case of total hip arthroplasty has a considerable impact on the spatial, temporal and angular parameters to characterise gait patterns (Kiss and Illyés, 2012). Therefore, it can be presumed that postoperative changes in the dynamic balancing ability will be different.…”

Section: Introductionmentioning

confidence: 99%

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Impact of the method of exposure in total hip arthroplasty on balancing ability in response to sudden unidirectional perturbation in the first six months of the postoperative period

Holnapy

Kiss

2013

Journal of Electromyography and Kinesiology

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Section: Type Of Testmentioning

confidence: 66%

Section: Type Of Testmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Impact of the method of exposure in total hip arthroplasty on balancing ability in response to sudden unidirectional perturbation in the first six months of the postoperative period

Holnapy

Kiss

2013

Journal of Electromyography and Kinesiology

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“…Several studies have shown that joint motion does not return to normal after 6 months and in some cases up to years postoperatively [4,5,8]. This atypical joint motion includes additional stress being placed on the unaffected leg that may eventually lead to the development of osteoarthritis (OA) in the contralateral limb [6,9-11] and other joint disorders, some of which may even require a second arthroplasty [12].…”

Section: Introductionmentioning

confidence: 99%

A non-invasive biomechanical device and treatment for patients following total hip arthroplasty: results of a 6-month pilot investigation

et al. 2013

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BackgroundThe purpose of the study was to examine the effect of a foot-worn biomechanical device on the clinical measurements and gait patterns of patients with total hip arthroplasty (THA).MethodsNineteen patients, up to 3 months post-THA, were enrolled to the study. Patients underwent a computerized gait analysis to calculate spatiotemporal parameters and completed the Western Ontario and McMaster Universities osteoarthritis index and the SF-36 health survey. Patients then began therapy with a non-invasive foot-worn biomechanical device coupled with a treatment methodology (AposTherapy). Patients received exercise guidelines and used the device daily during their regular activities at their own environment. Follow-up examinations were conducted after 4, 12, and 26 weeks of therapy. Repeated measures ANOVA was used to evaluate changes over time. The clinical significance of the treatment effect was evaluated by computing the Cohen's effect sizes (ES statistic).ResultsAfter 26 weeks of therapy, a significant improvement was seen in gait velocity (50.3%), involved step length (22.9%), and involved single limb support (16.5%). Additionally, a significant reduction in pain (85.4%) and improvement in function (81.1%) and quality of life (52.1%) were noted.ConclusionsPatients following THA demonstrated a significant improvement in gait parameters and in self-assessment evaluations of pain, function, and quality of life. We recommend further RCTs to examine the effect of this therapy compared to other rehabilitation modalities following THA and compared to healthy matched controls.Trial registrationClinical trial registration number NCT01266382

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Gait function improvements, using Cardiff Classifier, are related to patient‐reported function and pain following hip arthroplasty

Biggs

Holsgaard-Larsen

Holt

et al. 2021

Journal Orthopaedic Research

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Summarizing results of three-dimensional (3D) gait analysis into a comprehensive measure of overall gait function is valuable to discern to what extent gait function is affected, and later recovered after surgery and rehabilitation. This study aimed to investigate whether preoperative gait function, quantified and summarized using the Cardiff Classifier, can predict improvements in postoperative patient-reported activities of daily living, and overall gait function 1 year after total hip arthroplasty (THA). Secondly, to explore relationships between pre-to-post surgical change in gait function versus changes in patient-reported and performance-based function. Thirty-two patients scheduled for THA and 25 nonpathological individuals were included in this prospective cohort study. Patients were evaluated before THA and 1 year postoperatively using 3D gait analysis, patient-reported outcomes, and performance-based tests. Kinematic and kinetic gait parameters, derived from 3D gait analysis, were quantified using the Cardiff Classifier. Linear regressions investigated the predictive value of preoperative gait function on postoperative outcomes of function, and univariate correlations explored relationships between pre-to-post surgical changes in outcome measures. Preoperative gait function, by means of Cardiff Classifier, explained 35% and 30% of the total variance in change in patient-reported activities of daily living, and in gait function, respectively. Moderate-to-strong correlations were found between change in gait function and change in patient-reported function and pain, while no correlations were found between change in gait function and performance-based function. Clinical significance: Preoperative gait function predicts postsurgical function to a moderate degree, while improvements in gait function after surgery are more closely related to how patients perceive function than their maximal performance of functional tests.

show abstract

Comparison of gait parameters in patients following total hip arthroplasty with a direct-lateral or antero-lateral surgical approach

Cited by 38 publications

References 35 publications

Impact of the method of exposure in total hip arthroplasty on balancing ability in response to sudden unidirectional perturbation in the first six months of the postoperative period

Impact of the method of exposure in total hip arthroplasty on balancing ability in response to sudden unidirectional perturbation in the first six months of the postoperative period

A non-invasive biomechanical device and treatment for patients following total hip arthroplasty: results of a 6-month pilot investigation

Gait function improvements, using Cardiff Classifier, are related to patient‐reported function and pain following hip arthroplasty

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