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The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

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Physical functioning before and after total hip arthroplasty: perception and performance.

Inge van den Akker-Scheek1, Wiebren Zijlstra, Johan W Groothoff

  • 1Department of Orthopedics, University Medical Center Groningen, University of Groningen, PO Box 30001, 9700 RB Groningen, the Netherlands. i.scheek@orth.umcg.nl

Physical Therapy
|April 12, 2008
PubMed
Summary
This summary is machine-generated.

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See all related articles

Pain significantly impacts self-reported physical function after total hip arthroplasty, leading to a poor correlation with performance-based measures. This relationship does not change over time.

Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Self-report and performance-based measures of physical functioning after total hip arthroplasty (THA) yield different information.
  • The relationship between these measures and its changes over time are not well understood.

Purpose of the Study:

  • To determine the relationship between self-report and performance-based physical functioning measures before and after THA.
  • To assess the influence of pain on this relationship.
  • To examine if the relationship changes over time.

Main Methods:

  • Seventy-five subjects undergoing THA were assessed preoperatively and at 6 and 26 weeks postoperatively.
  • The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) physical functioning and pain subscales were used.

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  • Generalized estimating equations analyzed relationships between WOMAC physical functioning, walking speed, and gait variability, including time and pain interactions.
  • Main Results:

    • A poor relationship was observed between self-report and performance-based physical functioning measures.
    • Pain significantly influenced self-reported physical functioning.
    • The relationship between the measures did not change over the study period.

    Conclusions:

    • Pain's influence on self-reported physical functioning explains the weak correlation with performance-based measures.
    • The WOMAC self-report measure may not adequately distinguish between physical functioning and pain.