Rehabilitation Program After Mesenchymal Stromal Cell Transplantation Augmented by Vascularized Bone Grafts for Idiopathic Osteonecrosis of the Femoral Head: A Preliminary Study

Rehabilitation Program After Mesenchymal Stromal Cell Transplantation Augmented by Vascularized Bone Grafts for Idiopathic Osteonecrosis of the Femoral Head: A Preliminary Study
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DOI:
10.1016/j.apmr.2014.09.040
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发表时间:
2015-03-01
影响因子:
4.3
通讯作者:
Toguchida, Junya
Toguchida, Junya
中科院分区:
医学1区
文献类型:
--
作者:
Aoyama, Tomoki;Fujita, Yasuko;Toguchida, Junya

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Objective: To determine the feasibility and safety of implementing a 12-week rehabilitation program after mesenchymal stromal cell (MSC) transplantation augmented by vascularized bone grafting for idiopathic osteonecrosis (ION) of the femoral head.Design: A prospective case series.Setting: University clinical research laboratory.Participants: Participants (N=10) with ION who received MSC transplantation augmented by vascularized bone grafting.Intervention: A 12-week exercise program, which included range-of-motion (ROM) exercises, muscle-strengthening exercises, and aerobic training.Main Outcome Measures: Measures of ROM, muscle strength, Timed Up and Go test, and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) were collected before surgery and again at 6 and 12 months after surgery.Results: All participants completed the 12-week program. External rotation ROM as well as extensor and abductor muscle strength significantly improved 6 months after treatment compared with that before treatment (P