The Effect of Simultaneous Antigravity Treadmill Training and Electrical Muscle Stimulation After Total Hip Arthroplasty: Short Follow-Up Time
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Objective To assess the effectiveness of our devised hybrid physiotherapy regime using an anti-gravity treadmill and a low-frequency electrical stimulation device, as measured in patients with hip osteoarthritis after total hip arthroplasty (THA). Methods The outcomes of the postoperative rehabilitation in 44 patients who underwent THA for hip osteoarthritis were retrospectively examined. The conventional group (n=22) underwent the postoperative rehabilitation according to our protocol, while the hybrid group (n=22) underwent the same training, along with training on an anti-gravity treadmill and training using a low-frequency therapeutic device. The outcome measures were recorded and reviewed with the Numerical Rating Scale for pain, which rates pain on an 11-point scale from 0 to 10, surgical side knee joint extension force, 10-m walking test, Timed Up and Go test, and the 6-minute walking distance (6MD). The outcome measurement was taken 2 weeks after conducting pre-operation and antigravity treadmill training and electrical muscle stimulation, and compared the respective results. Results At the timeframe of 2 weeks from the surgery after conducting a devised hybrid physiotherapy, the values of knee extension muscle strength and 6MD were not worse in the hybrid group than conventional group. In the evaluation at 2 weeks after surgery, the knee extension muscle strength and 6MD values significantly decreased compared with the preoperative values only in the conventional group. Conclusion Lower limb muscular strength and endurance were maintained in the hybrid group, which suggested that hybrid physiotherapy could maintain physical functions early after THA operation.
Abstract
Objective To assess the effectiveness of our devised hybrid physiotherapy regime using an anti-gravity treadmill and a low-frequency electrical stimulation device, as measured in patients with hip osteoarthritis after total hip arthroplasty (THA). Methods The outcomes of the postoperative rehabilitation in 44 patients who underwent THA for hip osteoarthritis were retrospectively examined. The conventional group (n=22) underwent the postoperative rehabilitation according to our protocol, while the hybrid group (n=22) underwent the same training, along with training on an anti-gravity treadmill and training using a low-frequency therapeutic device. The outcome measures were recorded and reviewed with the Numerical Rating Scale for pain, which rates pain on an 11-point scale from 0 to 10, surgical side knee joint extension force, 10-m walking test, Timed Up and Go test, and the 6-minute walking distance (6MD). The outcome measurement was taken 2 weeks after conducting pre-operation and antigravity treadmill training and electrical muscle stimulation, and compared the respective results. Results At the timeframe of 2 weeks from the surgery after conducting a devised hybrid physiotherapy, the values of knee extension muscle strength and 6MD were not worse in the hybrid group than conventional group. In the evaluation at 2 weeks after surgery, the knee extension muscle strength and 6MD values significantly decreased compared with the preoperative values only in the conventional group. Conclusion Lower limb muscular strength and endurance were maintained in the hybrid group, which suggested that hybrid physiotherapy could maintain physical functions early after THA operation.
참고문헌 (26)
- Kondo K, "Factors associated with functional limitations in the daily living activities of Japanese hip osteoarthritis patients", Int J Rheum Dis, 20, pp.1372~1382 (2017)
- Bobic Lucic L, "Impact of balance confidence on daily living activities of older people with knee osteoarthritis with regard to balance, physical function, pain, and quality of life : a preliminary report", Clin Gerontol, 41, pp.357~365 (2018)
- Akune T, "Incidence of certified need of care in the long-term care insurance system and its risk factors in the elderly of Japanese population-based cohorts : the ROAD study", Geriatr Gerontol Int, 14, pp.695~701 (2014)
- Fujita K, "Prospective study of physical activity and quality of life in Japanese women undergoing total hip arthroplasty", J Orthop Sci, 18, pp.45~53 (2013)
- Maeda Y, "Improvement of activities of daily living after total hip arthroplasty using a computed tomography-based navigation system", J Artif Organs, 20, pp.152~157 (2017)
- Fortin PR, "Outcomes of total hip and knee replacement : preoperative functional status predicts outcomes at six months after surgery", Arthritis Rheum, 42, pp.1722~1728 (1999)
- Wallis JA, "Pre-operative interventions(nonsurgical and non-pharmacological)for patients with hip or knee osteoarthritis awaiting joint replacement surgery : a systematic review and meta-analysis", Osteoarthritis Cartilage, 19, pp.1381~1395 (2011)
- Coudeyre E, "Could preoperative rehabilitation modify postoperative outcomes after total hip and knee arthroplasty? Elaboration of French clinical practice guidelines", Ann Readapt Med Phys, 50, pp.189~197 (2007)
- Patil S, "Anti-gravity treadmills are effective in reducing knee forces", J Orthop Res, 31, pp.672~679 (2013)
- Bugbee WD, "Use of an anti-gravity treadmill for early postoperative rehabilitation after total knee replacement: a pilot study to determine safety and feasibility", Am J Orthop (Belle Mead NJ), 45, pp.E167~E173 (2016)
- Huang CH, "Antigravity treadmill training during the early rehabilitation phase following unicompartmental knee arthroplasty : a case series", Physiother Theory Pract, 35, pp.489~494 (2019)
- Mikami Y, "The effect of anti-gravity treadmill training for prosthetic rehabilitation of a case with below-knee amputation", Prosthet Orthot Int, 39, pp.502~506 (2015)
- Cutuk A, "Ambulation in simulated fractional gravity using lower body positive pressure: cardiovascular safety and gait analyses", J Appl Physiol(1985), 101, pp.771~777 (2006)
- Hambly K, "Return to running following knee osteochondral repair using an antigravity treadmill : a case report", Phys Ther Sport, 26, pp.35~40 (2017)
- Eastlack RK, "Lower body positive-pressure exercise after knee surgery", Clin Orthop Relat Res, (431), pp.213~219 (2005)
- Kawae T, "Anti-gravity treadmill can promote aerobic exercise for lower limb osteoarthritis patients", J Phys Ther Sci, 29, pp.1444~1448 (2017)
- Grabowski AM, "Effects of velocity and weight support on ground reaction forces and metabolic power during running", J Appl Biomech, 24, pp.288~297 (2008)
- Henkelmann R, "Outcome of patients after lower limb fracture with partial weight bearing postoperatively treated with or without anti-gravity treadmill(alter G®)during six weeks of rehabilitation : a protocol of a prospective randomized trial", BMC Musculoskelet Disord, 18, pp.104~ (2017)
- Hasegawa S, "Effect of early implementation of electrical muscle stimulation to prevent muscle atrophy and weakness in patients after anterior cruciate ligament reconstruction", J Electromyogr Kinesiol, 21, pp.622~630 (2011)
- Miyamoto T, "Lowintensity electrical muscle stimulation induces significant increases in muscle strength and cardiorespiratory fitness", Eur J Sport Sci, 16, pp.1104~1110 (2016)
- Gremeaux V, "Low-frequency electric muscle stimulation combined with physical therapy after total hip arthroplasty for hip osteoarthritis in elderly patients : a randomized controlled trial", Arch Phys Med Rehabil, 89, pp.2265~2273 (2008)
- Nishida MM, "Review of the evidence on the use of electrical muscle stimulation to treat sarcopenia", Eur Geriatr Med, 7, pp.267~271 (2016)
- Numata H, "Effects of the belt electrode skeletal muscle electrical stimulation system on lower extremity skeletal muscle activity : evaluation using positron emission tomography", J Orthop Sci, 21, pp.53~56 (2016)
- Karvonen MJ, "The effects of training on heart rate; a longitudinal study", Ann Med Exp Biol Fenn, 35, pp.307~315 (1957)
- Nakagawa Y, "A new accounting system for financial balance based on personnel cost after the introduction of a DPC", DRG system, 2011, pp.35, 251~264
- Shiraishi N, "The effect of additional training on motor outcomes at discharge from recovery phase rehabilitation wards : a survey from multi-center stroke data bank in Japan", PLoS One, 9, pp.e91738~ (2014)