PDF(Pubmed)
Abstract：
UNASSIGNED: The aim of this study is to investigate the effects of a preoperative combined with postoperative moderate-intensity progressive resistance training (PRT) of the operative side in patients with hip osteoarthritis (HOA) who are undergoing total hip arthroplasty (THA). The study seeks to evaluate the impact of this combined intervention on muscle strength, gait, balance, and hip joint function in a controlled, measurable, and objective manner. Additionally, the study aims to compare the outcomes of this combined intervention with those of preoperative or postoperative muscle strength training conducted in isolation.
UNASSIGNED: A total of 90 patients with HOA scheduled for unilateral primary THA were randomly assigned to three groups: Pre group (preoperative PRT), Post group (postoperative PRT), and Pre& Post group (preoperative combined with postoperative PRT) focusing on hip flexion, extension, adduction, and abduction of operated side. Muscle strength, gait parameters, balance, and hip function were assessed at specific time points during a 12-month follow-up period.
UNASSIGNED: All three groups showed significant improvements in muscle strength, with the Pre& Post group demonstrating the most pronounced and sustained gains. Gait velocity and cadence were significantly improved in the Pre& Post group at 1-month and 3-month postoperative follow-ups compared to the other groups. Similarly, the Pre& Post group exhibited superior balance performance at 3-month and 12-month postoperative follow-ups. The Harris Hip Score also showed better outcomes in the Pre& Post group at all follow-up intervals.
UNASSIGNED: Preoperative combined with postoperative moderate-intensity PRT in HOA patients undergoing THA led to superior improvements in muscle strength, gait, balance, and hip joint function compared to preoperative or postoperative PRT alone. This intervention shows significant promise in optimizing postoperative rehabilitation and enhancing patient outcomes following THA.
UNASSIGNED: A total of 90 patients with HOA scheduled for unilateral primary THA were randomly assigned to three groups: Pre group (preoperative PRT), Post group (postoperative PRT), and Pre& Post group (preoperative combined with postoperative PRT) focusing on hip flexion, extension, adduction, and abduction of operated side. Muscle strength, gait parameters, balance, and hip function were assessed at specific time points during a 12-month follow-up period.
UNASSIGNED: All three groups showed significant improvements in muscle strength, with the Pre& Post group demonstrating the most pronounced and sustained gains. Gait velocity and cadence were significantly improved in the Pre& Post group at 1-month and 3-month postoperative follow-ups compared to the other groups. Similarly, the Pre& Post group exhibited superior balance performance at 3-month and 12-month postoperative follow-ups. The Harris Hip Score also showed better outcomes in the Pre& Post group at all follow-up intervals.
UNASSIGNED: Preoperative combined with postoperative moderate-intensity PRT in HOA patients undergoing THA led to superior improvements in muscle strength, gait, balance, and hip joint function compared to preoperative or postoperative PRT alone. This intervention shows significant promise in optimizing postoperative rehabilitation and enhancing patient outcomes following THA.
摘要：
■本研究的目的是探讨术前联合术后中等强度渐进性阻力训练（PRT）对全髋关节置换术（THA）的髋关节骨关节炎（HOA）患者的影响。该研究旨在评估这种联合干预对肌肉力量的影响，步态,balance,和髋关节功能在一个受控的，可测量,客观的态度。此外,这项研究的目的是比较这种联合干预措施与术前或术后单独进行的肌力训练的结果。
■共有90例计划进行单侧原发性THA的HOA患者被随机分为三组：术前组（术前PRT），术后组（术后PRT），Pre&Post组(术前联合术后PRT)关注髋关节屈曲,扩展,内收,绑架手术方。肌肉力量,步态参数,balance,在12个月随访期间的特定时间点评估髋关节功能.
■三组的肌肉力量均有显著改善，Pre&Post小组展示了最显著和持续的收益。与其他组相比，Pre＆Post组在术后1个月和3个月随访时的步态速度和步调显着提高。同样，Pre&Post组在术后3个月和12个月随访时表现出优异的平衡性能。在所有随访间隔中，前和后组的Harris髋关节评分也显示出更好的结果。
■在接受THA的HOA患者中，术前结合术后中等强度的PRT可以改善肌肉力量，步态,balance,和髋关节功能与术前或术后单独PRT相比。这种干预在优化THA术后康复和提高患者预后方面显示出重大希望。
■共有90例计划进行单侧原发性THA的HOA患者被随机分为三组：术前组（术前PRT），术后组（术后PRT），Pre&Post组(术前联合术后PRT)关注髋关节屈曲,扩展,内收,绑架手术方。肌肉力量,步态参数,balance,在12个月随访期间的特定时间点评估髋关节功能.
■三组的肌肉力量均有显著改善，Pre&Post小组展示了最显著和持续的收益。与其他组相比，Pre＆Post组在术后1个月和3个月随访时的步态速度和步调显着提高。同样，Pre&Post组在术后3个月和12个月随访时表现出优异的平衡性能。在所有随访间隔中，前和后组的Harris髋关节评分也显示出更好的结果。
■在接受THA的HOA患者中，术前结合术后中等强度的PRT可以改善肌肉力量，步态,balance,和髋关节功能与术前或术后单独PRT相比。这种干预在优化THA术后康复和提高患者预后方面显示出重大希望。
