Gait during hydrokinesitherapy following total hip arthroplasty
Gait during hydrokinesitherapy following total hip arthroplasty
复制标题
全髋关节置换术后水动力治疗期间的步态
DOI：
10.1080/09638280600926439
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发表时间：
2007
影响因子：
2.2
通讯作者：
F. Valentini
中科院分区：
文献类型：
--
作者：
Salvatore Giaquinto;E. Ciotola;F. Margutti;F. Valentini
目的：获取全髋关节置换术后康复患者水疗（HT）期间的步态参数。 方法：本研究采用队列前瞻性设计。 接受初次全髋关节置换术（THA）的患者遵循HT康复计划。入组了21例连续患者。其中5人因各种原因退出，独立于HT。因此，可评价16例患者（5例男性和11例女性）。16名年龄匹配的健康志愿者为对照组。9例患者行右侧THA，7例患者行左侧THA。平均HT持续时间为15.7天（SD 3.8）。结果：患者在基线时的平均速度为749米/小时（SD 146）。 在最后一次会议的平均速度是1175米每小时（SD 396）。手术侧平均站立时间为1.59 s（SD 0.28），非手术侧为1.67 s（SD 0.27）。相比之下，平均摆动持续时间为1.02秒（SD 0.20）的手术侧和0.95秒（SD 0.16）的非手术侧。平衡差异具有统计学意义。两侧的步进持续时间相同。HT开始时，手术侧的站立/摆动比为1.62（SD 0.40），而非手术侧为1.74（SD 0.42）。在对照组中，该比率为1.45。在HT期间，两个值波动，但随着时间的推移，趋势是朝向更好的一致性。开始时平均步幅为0.484米（SD 0.116），15次训练后平均步幅为0.628米（SD 0.131）。在个体水平，回收率以非线性方式发生，但平均回归线的系数为27.1，截距为560.3。结论：研究设计允许在康复过程中准确定义步幅参数，从而优化程序。 每天监测速度的增加和平衡的恢复，并将其作为HT计划的目标。
Purpose. To obtain gait parameters during hydrotherapy (HT) in patients who were referred for rehabilitation after total hip arthroprostheses. Method. The study had a cohort prospective design. Patients who underwent primary total hip arthroplasty (THA) followed a HT rehabilitation program. Twenty-one consecutive patients were enrolled. Five of them dropped out for various reasons, independently of HT. Therefore 16 patients could be evaluated (5 men and 11 women). Sixteen age-matched healthy volunteers were the control subjects. Nine patients had a right THA and 7 a left THA. On average HT duration was 15.7 days (SD 3.8). Results. The patients presented with a mean speed of 749 meters per hour (SD 146) at the baseline. At the last session the mean speed was 1175 meters per hour (SD 396). The mean stance duration was 1.59 s (SD 0.28) on the operated side and 1.67 (SD 0.27) on the non-operated side. By contrast, the mean swing duration was 1.02 s (SD 0.20) on the operated side and 0.95 s (SD 0.16) on the non-operated side. The differences in balance were statistically significant. The step duration was the same on both sides. At the beginning of HT the stance/swing ratio was 1.62 (SD 0.40) on the operated side, whereas it was 1.74 (SD 0.42) on the non-operated side. In the controls the ratio was 1.45. During HT both values fluctuated but the trend was toward a better coherence over time. At the beginning the mean stride length was 0.484 meters (SD 0.116) and the value became 0.628 (SD 0.131) after 15 training sessions. At the individual level, recovery occurred in a non-linear fashion, but the mean regression line had a coefficient of 27.1 and the intercept was at 560.3. Conclusions. The study design permits accurate definition of stride parameters during rehabilitation which allows optimization of the programme. Increase in speed and regain of balance are monitored on a daily basis and they appear as the targets of a HT programme.