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Early, intensified home-based exercise after total hip replacement--a pilot study.

Lone R Mikkelsen1, Søren S Mikkelsen, Finn B Christensen

  • 1Department of Physiotherapy, Silkeborg Regional Hospital, Denmark. lonemike@rm.dk

Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy
|March 28, 2012
PubMed
Summary

Early intensified home-based exercises after total hip replacement (THR) show feasibility and high patient satisfaction. Some patients may require supervision for optimal outcomes in THR rehabilitation.

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Area of Science:

  • Orthopaedic Surgery
  • Rehabilitation Medicine
  • Sports Science

Background:

  • Muscle strength and physical function deficits persist 1-2 years post-total hip replacement (THR).
  • Limited evidence exists on the most effective rehabilitation strategies following THR.

Purpose of the Study:

  • To assess the feasibility of an early-initiated, intensified, home-based exercise regimen after THR.
  • To gather data for future studies on exercises, outcome measures, and power calculations for THR rehabilitation.

Main Methods:

  • A single-blinded, cluster-randomized controlled trial involving 46 patients undergoing primary THR for osteoarthritis.
  • Intervention group (n=23) received 12 weeks of intensified home exercises (e.g., resistance bands); control group (n=21) received standard rehabilitation.

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  • Outcome measures included gait speed, hip abductor strength, one-legged stance, quality of life, and patient-reported pain and function.

    • Main Results:

    • Both groups showed significant improvements in all measured outcomes over 12 weeks.
    • Higher patient satisfaction reported in the intensified exercise group (100%) compared to the control group (85%).
    • 17.4% of the intensified exercise group experienced difficulties with home-based exercises; hip abduction strength remained weaker in the operated leg post-intervention.

    Conclusions:

    • Early-initiated intensified exercises are generally well-tolerated by THR patients, with high satisfaction and no additional pain.
    • Supervision may be necessary for some patients to effectively perform intensified home-based rehabilitation exercises after THR.