Use the Back button in your browser to see the other results of your search or to select another record.

Detailed Search Results

Renforcement musculaire precoce apres arthroplastie totale de hanche: association de deux modeles de reeducation (Early muscular strengthening after total hip arthroplasty: association of two models of rehabilitation) [French]
Temfemo A, Doutrellot PL, Ahmaidi S
Annales de Readaptation et de Medecine Physique 2008 Jan;51(1):38-45
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To assess the effect of combining two rehabilitation models during early-stage muscle reinforcement in patients having undergone total hip arthroplasty (THA). METHODOLOGY: Our study was carried out on a total of 81 unilateral THA patients aged between 61 and 84. Forty-one control group (CG) patients participated in a standard rehabilitation (SR) program, whereas the 40 patients in the test group (TG) performed both SR and isometric exercises with electromyographic feedback. We performed three tests in each group, on the day before surgery (T1) and then three days (T2) and seven days (T3) after surgery. These tests enabled measurement of the integrated electromyographic peak (EMGipeak) for the gluteus medius, the peak voluntary isometric strength (VISpeak) of each leg (ie, both the operated and nonoperated sides) and the operated gluteus medius' maintenance time at 50% of the EMGipeak during isometric exercises with electromyographic feedback. RESULTS: For the operated gluteus medius, the TG's EMGipeak values were similar to those measured in the CG (p > 0.05) at T1 and T2. Likewise, the VISpeak values for the corresponding legs at T1 and T2 did not differ significantly. However, at T3, the EMGipeak of the gluteus medius and the leg VISpeak on the operated side increased in both groups and were higher in the TG than in the CG (p < 0.001). Compared with the CG, the TG also displayed a longer maintenance time at 50% of the EMG(ipeak) for the operated gluteus medius during isometric exercises with electromyographic feedback. CONCLUSION: This preliminary study showed that a combination of two rehabilitation models leads to faster post-THA recovery than the application of SR alone.

Full text (sometimes free) may be available at these link(s):      help