Comparison of Balance, Proprioception and Skeletal Muscle Mass in Total Hip Replacement Patients With and Without Fracture: A Pilot Study
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objective To determine whether there was a difference in balance, proprioception, and skeletal muscle mass among patients who undergo hip fracture surgery relative to and elective total hip replacement (THR). Methods Thirty-one THR patients were enrolled. The patients were categorized into two groups: fracture group (n=15) and non-fracture group (n=16). Berg Balance Scale (BBS) was used to balance the proprioception of the hip joint while a joint position sense (JPS) test was used to evaluate it. Skeletal muscle mass was measured by bioelectrical impedance analysis and expressed as a skeletal muscle mass index (SMI). Quality of life (QOL) was also assessed using a 36-item short form health survey (SF-36). All tests were assessed at 3 months after the surgery. An independent t-test was used to compare the fracture group and non-fracture group. Spearman correlation was used to identify the correlation of each variable. Results In an independent t-test, the BBS score of patients undergoing elective surgery was higher than the BBS score of patients undergoing hip fracture surgery. There was a significant correlation between the BBS and JPS score after a THR. SMI also correlated with the score of BBS.Conclusion It seems that THR patients undergoing surgery for a hip fracture might have more trouble balancing than elective THR patients. Therefore THR patients undergoing hip fracture surgery might need more care during rehabilitation.
Abstract
Objective To determine whether there was a difference in balance, proprioception, and skeletal muscle mass among patients who undergo hip fracture surgery relative to and elective total hip replacement (THR). Methods Thirty-one THR patients were enrolled. The patients were categorized into two groups: fracture group (n=15) and non-fracture group (n=16). Berg Balance Scale (BBS) was used to balance the proprioception of the hip joint while a joint position sense (JPS) test was used to evaluate it. Skeletal muscle mass was measured by bioelectrical impedance analysis and expressed as a skeletal muscle mass index (SMI). Quality of life (QOL) was also assessed using a 36-item short form health survey (SF-36). All tests were assessed at 3 months after the surgery. An independent t-test was used to compare the fracture group and non-fracture group. Spearman correlation was used to identify the correlation of each variable. Results In an independent t-test, the BBS score of patients undergoing elective surgery was higher than the BBS score of patients undergoing hip fracture surgery. There was a significant correlation between the BBS and JPS score after a THR. SMI also correlated with the score of BBS.Conclusion It seems that THR patients undergoing surgery for a hip fracture might have more trouble balancing than elective THR patients. Therefore THR patients undergoing hip fracture surgery might need more care during rehabilitation.
참고문헌 (25)
- Wykman A, "Postural stability after total hip replacement", Int Orthop, 13, pp.235~238 (1989)
- Lephart SM, "Proprioception of the ankle and knee", Sports Med, 25, pp.149~155 (1998)
- Skinner HB, "Effect of fatigue on joint position sense of the knee", J Orthop Res, 4, pp.112~118 (1986)
- Swash M, "The effect of age on human skeletal muscle: studies of the morphology and innervation of muscle spindles", J Neurol Sci, 16, pp.417~432 (1972)
- Kim GH, "Age-related physiological and morphological changes of muscle spindles in rats", J Physiol, 582, pp.525~538 (2007)
- Bruce MF, "The relation of tactile thresholds to histology in the fingers of elderly people", J Neurol Neurosurg Psychiatry, 43, pp.730~734 (1980)
- Wingert JR, "Age-related hip proprioception declines: effects on postural sway and dynamic balance", Arch Phys Med Rehabil, 95, pp.253~261 (2014)
- Thewlis D, "Preoperative asymmetry in load distribution during quiet stance persists following total knee arthroplasty", Knee Surg Sports Traumatol Arthrosc, 22, pp.609~614 (2014)
- Majewski M, "Improvements in balance after total hip replacement", J Bone Joint Surg Br, 87, pp.1337~1343 (2005)
- Lugade V, "Short-term recovery of balance control after total hip arthroplasty", Clin Orthop Relat Res, 466, pp.3051~3058 (2008)
- Rasch A, "Muscle strength, gait, and balance in 20 patients with hip osteoarthritis followed for 2 years after THA", Acta Orthop, 81, pp.183~188 (2010)
- Judd DL, "Muscle strength and functional recovery during the first year after THA", Clin Orthop Relat Res, 472, pp.654~664 (2014)
- Shumway-Cook, "Assessing the influence of sensory interaction of balance: suggestion from the field", Phys Ther, 66, pp.1548~1550 (1986)
- Arnold W, "Gait analysis in patients with total hip endoprosthesis. Part II: Pre- and postoperative gait analysis", Z Gesamte Inn Med, 47, pp.15~20 (1992)
- Bogle Thorbahn LD, "Use of the Berg Balance Test to predict falls in elderly persons", Phys Ther, 76, pp.576~583 (1996)
- Riemann BL, "Sensorimotor system measurement techniques", J Athl Train, 37, pp.85~98 (2002)
- Janssen I, "Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability", J Am Geriatr Soc, 50, pp.889~896 (2002)
- Jenkinson C, "Short form 36 (SF36)health survey questionnaire: normative data for adults of working age", BMJ, 306, pp.1437~1440 (1993)
- Goldie PA, "Force platform measures for evaluating postural control: reliability and validity", Arch Phys Med Rehabil, 70, pp.510~517 (1989)
- Lephart SM, "Relationship between selected physical characteristics and functional capacity in the anterior cruciate ligament-insufficient athlete", J Orthop Sports Phys Ther, 16, pp.174~181 (1992)
- Le Manach Y, "Outcomes after hip fracture surgery compared with elective total hip replacement", JAMA, 314, pp.1159~1166 (2015)
- Lindemann U, "Gait analysis and WOMAC are complementary in assessing functional outcome in total hip replacement", Clin Rehabil, 20, pp.413~420 (2006)
- Swanik CB, "Proprioception, kinesthesia, and balance after total knee arthroplasty with cruciate-retaining and posterior stabilized prostheses", J Bone Joint Surg Am, 86(A), pp.328~334 (2004)
- Beloosesky Y, "Cytokines and C-reactive protein production in hip-fracture-operated elderly patients", J Gerontol A Biol Sci Med Sci, 62, pp.420~426 (2007)
- Miller RR, "Association between interleukin-6 and lower extremity function after hip fracture: the role of muscle mass and strength", J Am Geriatr Soc, 56, pp.1050~1056 (2008)