The efficacy of total hip arthroplasty on locomotive syndrome and its related physical function in patients with hip osteoarthritis

Ohmori, Takaaki; Kabata, Tamon; Kato, Satoshi; Takagi, Tomoharu; Kajino, Yoshitomo; Inoue, Dai; Taga, Tadashi; Yamamoto, Takashi; Kurokawa, Yuki; Yoshitani, Junya; Ueno, Takuro; Yamamuro, Yuki; Yahata, Tetsutaro; Tsuchiya, Hiroyuki

doi:10.1016/j.jos.2020.04.011

Cited by 12 publications

(7 citation statements)

References 31 publications

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“…The extensor strength of each knee was measured using a handheld dynamometer (μTas F-1; ANIMA). The OLST was measured as the time from the foot lifting until its return, up to a maximum of 60 seconds 22 . The functional reach test was measured as described in a previous report 23 .…”

Section: Methodsmentioning

confidence: 99%

“…The 10-m gait time was the time that a participant needed to walk 10 m with a maximum or comfortable speed after walking 2 m (for acceleration), following which the gait speed (m/s) was calculated. The maximum gait speed was measured by the participant walking as fast as safely possible (without running), and comfortable gait speed was measured by the participant walking at his or her routine speed 22 . Patients with a postoperative comfortable gait speed of ≥1.34 m/s were defined as the faster group, and those with <1.34 m/s were defined as the slower group.…”

Section: Methodsmentioning

confidence: 99%

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Contralateral Lower-Limb Functional Status Before Total Hip Arthroplasty

Ohmori

Kabata

Kajino

et al. 2021

Journal of Bone and Joint Surgery

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Background:Postoperative gait speed, especially comfortable gait speed, is an important factor for predicting function after total hip arthroplasty (THA). In this study, we examined factors related to gait speed, including preoperative lower and upper-limb functional parameters and postoperative lower-limb alignment. In addition, we examined factors related to postoperative good comfortable gait speed (≥1.34 m/s: one indicator of a good clinical outcome). The purpose of this study was to determine if better preoperative functional parameters had a positive effect on postoperative gait speed.Methods:This prospective case-control study included 91 patients with hip osteoarthritis who underwent unilateral THA. Patients who had undergone a prior hip surgical procedure or had Crowe type-3 and 4 hips, complications after THA, knee osteoarthritis-related pain, and severe lumbar conditions were excluded. The 1-leg standing time (OLST) and knee extensor strength of the operatively treated side and the contralateral side and the functional reach test were examined preoperatively and at 1 year postoperatively. The leg-length discrepancy and global offset compared with the contralateral side and leg lengthening were examined using 3-dimensional models captured through computed tomographic scans.Results:The preoperative contralateral side OLST was a significant factor (p < 0.001) for postoperative comfortable gait speed, and the preoperative contralateral-side knee extensor strength was a significant factor (p = 0.018) for postoperative maximum gait speed. Leg-length discrepancy and differences in global offset after THA were not significant factors for postoperative gait speed. The preoperative comfortable gait speed with a cutoff value of 1.115 m/s (area under the receiver operating characteristic curve, 0.690 [95% confidence interval, 0.569 to 0.810]; p = 0.003; sensitivity of 65.5% and specificity of 74.2%) was an independent factor associated with a good postoperative comfortable gait speed. Preoperative contralateral-side OLST was a significant factor (p = 0.027) for preoperative comfortable gait speed.Conclusions:The preoperative contralateral-side, lower-limb functional status is a significant factor for postoperative gait speed. Early surgical intervention before the contralateral-side function declines or a preoperative rehabilitation intervention on the contralateral side may improve THA outcome.Level of Evidence:Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Contralateral Lower-Limb Functional Status Before Total Hip Arthroplasty

Ohmori

Kabata

Kajino

et al. 2021

Journal of Bone and Joint Surgery

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“…12 The prevention and treatment of LS included exercise, 13 nutrition, 14,15 and total joint arthroplasty. [16][17][18] For exercise or nutrition, improving motivation is one of the most important issues. A concern was that having a higher Locomo Age than expected would decrease the patients' motivation.…”

Section: Discussionmentioning

confidence: 99%

“…Previous reports showed that as LS stages progressed, the risk of falls increased, 10 the quality of life decreased, 11 and mortality increased 12 . The prevention and treatment of LS included exercise, 13 nutrition, 14,15 and total joint arthroplasty 16–18 . For exercise or nutrition, improving motivation is one of the most important issues.…”

Section: Discussionmentioning

confidence: 99%

Can the measurement of Locomo Age improve motivation for exercise in fitness club users?

Hisamoto,

Okubo,

Fukushima

et al. 2023

Geriatrics Gerontology Int

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In 2022, the Japanese Orthopaedic Association developed "Locomo Age," which can be used to measure mobility. The potential effects of measuring Locomo Age on motivation to exercise are yet to be explored. This study aimed to determine whether the measurement of Locomo Age improved motivation for exercise.Methods: In total, 90 fitness club users (17 men and 73 women) were enrolled in the study. The participants performed the locomotive syndrome risk test. These results were entered on a smartphone website, and their Locomo Age was automatically calculated. Questionnaires about impressions of Locomo Age and changes in motivation for exercise after measuring Locomo Age were surveyed. Results:The mean Locomo Age of the participants was 84.4 AE 8.5 years, which was significantly higher than their actual age (75.9 AE 7.2 years, P < 0.001). Questionnaires showed that 55 participants (61.1%) felt that their Locomo Age was higher than expected; 42 participants (46.7%) had increased motivation for exercise, and only two participants (2.2%) had decreased motivation. The rate of improvement in motivation for exercise was higher in the group of participants who reported having an older Locomo Age than they expected compared with that of the group with a Locomo Age that was the same as they expected (P < 0.05). Conclusions:The measurement of Locomo Age improved the motivation for exercise. This result remained true even when the Locomo Age was higher than expected, as it did not decrease the participants' motivation. Locomo Age allows for the comprehension of participants' mobility without medical knowledge.

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“…This measure has been used previously in patients with osteoarthritis. 17 Pain was evaluated with the Brief Pain Inventory. This test has two domains: severity and interference.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of an individualized comprehensive rehabilitation program in women with chronic knee osteoarthritis: a randomized controlled trial

et al. 2022

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Objective:To evaluate the short- and medium-term effects of an 8-week individualized comprehensive rehabilitation program in women with chronic knee osteoarthritis as regards functionality, physical performance, and perceived health status.Methods:Women with chronic knee osteoarthritis were randomly assigned to the aquatic training group or to the individualized comprehensive rehabilitation (ICR) group. The main outcomes were functionality assessed with the Western Ontario and McMaster Universities Osteoarthritis Index, physical performance assessed with the Timed Up and Go test and the Stair Climbing Test, and perceived health status evaluated with the European Quality of Life- 5 Dimensions questionnaire. Participants were assessed after the treatment and at 3-month follow-up.Results:Forty participants were included in the study. After the treatment, there were no significant between- group differences. At 3-month follow-up, there were significant between-group differences in functionality (stiffness P = 0.049, function P = 0.005, and total subscores P = 0.048) and physical performance (Timed Up and Go P = 0.031 and Stair Climbing Test P = 0.046) in favor of the ICR group.Conclusion:An 8-week ICR program improved functionality, physical performance, and perceived health status compared with an aquatic training program in women with chronic knee osteoarthritis.

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The efficacy of total hip arthroplasty on locomotive syndrome and its related physical function in patients with hip osteoarthritis

Cited by 12 publications

References 31 publications

Contralateral Lower-Limb Functional Status Before Total Hip Arthroplasty

Contralateral Lower-Limb Functional Status Before Total Hip Arthroplasty

Can the measurement of Locomo Age improve motivation for exercise in fitness club users?

Effectiveness of an individualized comprehensive rehabilitation program in women with chronic knee osteoarthritis: a randomized controlled trial

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