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Does an early home-based progressive resistance training program improve function following total hip replacement? Results of a randomized controlled study

Okoro, T. and Whitaker, R. and Gardner, A. and Maddison, P. and Andrew, G. and Lemmey, A. (2016) Does an early home-based progressive resistance training program improve function following total hip replacement? Results of a randomized controlled study. BMC Musculoskeletal Disorders. (In Press)

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Abstract

Background In-hospital progressive resistance training (PRT) has been shown to be an effective method of rehabilitation following hip surgery. The aim of this study was to assess whether a home-based PRT program would be beneficial in improving patients' muscle strength and physical function compared to standard rehabilitation. Methods Subjects (n=49) either received home-based PRT rehabilitation (n=25) or standard rehabilitation (n=24) in a prospective single blinded randomized trial carried out over a two-year period. The primary outcome measure was the maximal voluntary contraction of the operated leg quadriceps (MVCOLQ) with secondary measures of outcome being the sit to stand score (ST), timed up and go (TUG), stair climb performance (SCP), the 6 minute walk test (6MWT), and lean mass of the operated leg (LM). Results Twenty-six patients completed follow up at 1 year (n=13 per group) for the final comparative analysis. All the outcome measures showed marked progressive improvements from the baseline measures at 9-12 months post op (Estimated effect (std error); p value)- MVCOLQ 26.50 (8.71) N p=0.001; ST 1.37 (0.33) p=0.0001; TUG -1.44 (0.45) s p =0.0001; SCP -3.41(0.80)s p=0.0001; 6MWT 45.61 (6.10)m p=0.0001; LM 20 (204)g p=0.326) following surgery for both groups. Overall, there was no significant effect for participation in the exercise regime compared with standard care for all outcomes assessed. Conclusions Overall, this study demonstrated that there is no significant difference between the two groups for participation in the home-based PRT exercise programme when compared to standard care for all outcomes

Item Type: Article
Subjects: Research Publications
Departments: College of Health and Behavioural Sciences > School of Medical Sciences
College of Health and Behavioural Sciences > School of Sport, Health and Exercise Sciences
Date Deposited: 09 Apr 2016 02:34
Last Modified: 15 Apr 2016 02:24
ISSN: 1471-2474
URI: http://e.bangor.ac.uk/id/eprint/6480
Publisher: Springer
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