Total Hip Arthroplasty Improves Pain and Function but Not Physical Activity

Jeldi, Artaban; Deakin, A.H.; Allen, David J.; Granat, Malcolm H.; Grant, Margaret; Stansfield, Ben

doi:10.1016/j.arth.2017.02.002

Cited by 32 publications

(26 citation statements)

References 31 publications

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“…The decrease in leg muscle strength and walking ability is also reported to be a factor in falls, while falls are reported to cause decreases in subsequent functional performance and PA 7,8,28) . In addition to hip joint function, PA is also reported to be correlated with age, body mass index, social factors such as work, and psychological factors such as self-efficacy 29,30) . In the future, it will be necessary to conduct a longitudinal study to compare the THA patients and healthy adults, Confounding factors should also be solved, and to examine what kind of exercise is effective for the patients.…”

Section: Discussionmentioning

confidence: 99%

Patients 10 years after total hip arthroplasty have the deficits in functional performance, physical activity, and high fall rate compared to healthy adults

et al. 2018

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Background: Long-term results in muscle strength, physical activity (PA), and functional improvement after total hip arthroplasty (THA) have not been studied. The purpose of this study was to evaluate the deficits in functional performance, PA, and high fall rate in patient 10 years after THA compared to healthy adults. Methods: The subjects were 58 patients who underwent primary THA for unilateral hip osteoarthritis 10 years, and 46 healthy adults. Hip abductor strength, balance function (single-leg stance time), Maximal Walking Speed (MWS), fall rate, and PA (IPAQ short ver.) were evaluated. The unpaired t-test and χ 2 test were used to assess differences between the groups. Statistical significance was set at p value <0.05. Results: Compared to healthy adults, THA patients had 9.5% less hip abductor muscle strength on the operated side, 42.1% shorter single-leg stance time on the operated side, 14.8% slower MWS, 2.0 times less High-PA group, and 2.8 times higher fall rate (p<0.05). Conclusion: This study showed that hip abductor muscle strength, gait speed, balance function, and PA were significantly lower in patients 10 years after THA than in healthy adults. Additionally, the fall rate was significantly higher in patients 10 years post-THA than in healthy adults.

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Section: Discussionmentioning

confidence: 99%

Patients 10 years after total hip arthroplasty have the deficits in functional performance, physical activity, and high fall rate compared to healthy adults

et al. 2018

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“…Nine studies examined PA participation pre-/post-THA ( Table 1 ), in which four measured PA using an activity monitor, 11 – 14 two used a self-report questionnaire, 15 , 16 and three used both. 17 – 19 Jeldi et al 11 assessed changes in PA at 3 and 12 months post-THA in 30 subjects (average age 67 years) using an activity monitor worn on the anterior aspect of the thigh. The study reported nonsignificant increases in daily step counts of 12% (623 steps/day, p =0.071) at 3 months and 16% (835 steps/day, p =0.152) at 12 months.…”

Section: Resultsmentioning

confidence: 99%

Physical activity after total joint arthroplasty: a narrative review

Almeida¹,

Khoja²,

Piva³

2018

OAJSM

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BackgroundTotal joint arthroplasty (TJA) is a common procedure to treat individuals with hip and knee osteoarthritis. While TJAs are successful in decreasing pain and improving quality of life, it is unclear whether individuals who undergo TJA become more physically active after surgery. It is possible that TJA, by itself, is not sufficient to affect the behavior of patients toward physical activity (PA) participation. To increase PA participation, individuals with TJA may need to be exposed to exercise/behavioral interventions specifically aimed to promote PA (ie, in addition to the surgery).ObjectivesThis narrative review aimed to assess the evidence on 1) whether TJAs change PA participation from pre- to postsurgery and 2) whether exercise/behavioral interventions delivered before or after TJA help to promote PA in these patients.ResultsFor aim 1, the studies that assessed PA from pre- to post-TJA reported that PA does not change in the first 3 months postsurgery. The results of follow-ups longer than 3 months but shorter than 12 months are contradictory, and the results of follow-ups longer than 12 months provide weak evidence of increased PA. Assessment of changes in PA due to TJA is challenged by the wide variability in demographics, methods used to assess PA, and different pathways of care used across studies. The results for aim 2 were limited by a scarcity of studies that used exercise/behavioral interventions to promote PA.ConclusionTJA relieves joint pain and offers a unique opportunity for patients to become more physically active. However, the current evidence is limited and unable to offer definitive results of whether TJA is effective to change PA from pre- to postsurgery. Future large studies in representative samples of patients with TJA are needed to adequately answer this question.

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“…Total hip arthroplasty (THA) has been considered the gold standard in the treatment of end-stage OA of this joint, and one of the most effective operations in modern surgery [2]. In most cases, the surgery makes it possible to restore the joint function, increase physical activity, relieve pain and improve the quality of life (QOL) [3,4]. Total hip arthroplasty can be performed using a variety of surgical approaches -each with its own benefits and risks.…”

Section: Introductionmentioning

confidence: 99%

Heterotopic ossification and clinical results after total hip arthroplasty using the anterior minimally invasive and anterolateral approaches

Łęgosz

Sarzyńska

Pulik

et al. 2020

aoms

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Introduction: Total hip arthroplasty (THA) is considered the gold standard in the treatment of advanced osteoarthritis of the hip. The aim of this study was to compare the incidence of heterotopic ossification (HO), the quality of life and the function in two groups of patients who underwent total hip arthroplasty (THA), performed using the anterior minimally invasive (MIS) and the anterolateral approaches. Material and methods: Retrospective analysis of 597 patients who underwent THA in 2009-2013 was performed. In all 597 cohort data on medical history were retrieved. HO occurrence was recorded for 331 patients and was evaluated based on Brooker's scale in the X-ray scan. Functional and quality of life scores were obtained for 238 patients. The following scales were used for the survey: Harris Hip Score, Western Ontario and McMaster Universities Osteoarthritis Index, Visual Analogue Scale, and Hip and Knee Arthroplasty Satisfaction Scale. Results: Patients operated on from the MIS approach had statistically significantly (p < 0.05) better results with all the clinical scales used, except the Visual Analogue Scale (p > 0.05). HO was slightly more common after the MIS approach (52.5%) compared to the anterolateral approach (49.76%), though the difference was not statistically significant (p > 0.05). Conclusions: The MIS approach was associated with better clinical and functional outcomes. In the aspect of HO, we were not able to show the superiority of the MIS approach in terms of incidence.

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Total Hip Arthroplasty Improves Pain and Function but Not Physical Activity

Cited by 32 publications

References 31 publications

Patients 10 years after total hip arthroplasty have the deficits in functional performance, physical activity, and high fall rate compared to healthy adults

Patients 10 years after total hip arthroplasty have the deficits in functional performance, physical activity, and high fall rate compared to healthy adults

Physical activity after total joint arthroplasty: a narrative review

Heterotopic ossification and clinical results after total hip arthroplasty using the anterior minimally invasive and anterolateral approaches

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