Function and quality of life could not be meta-analysed due to insufficient data and heterogeneity of measures , but functional measures tended to favour the physiotherapy rehabilitation group .
Most outcomes were similar between outpatient and home-based exercise programs .
Physiotherapy rehabilitation improves hip abductor strength , gait speed and cadence in people who have been discharged from hospital after total hip replacement .
Physiotherapist-directed rehabilitation exercises appear to be similarly effective whether they are performed unsupervised at home or supervised by a physiotherapist in an outpatient setting
QUESTION In people who have been discharged from hospital after a total hip replacement , do rehabilitation exercises directed by a physiotherapist improve strength , gait , function and quality of life ?
Are these exercises as effective in an unsupervised home-based setting as they are in a supervised outpatient setting ?
The effect of exercise on hip muscle strength, gait speed and cadence in patients with total hip arthroplasty: a randomized controlled study
Objective : To evaluate the effect of home versus in-hospital exercise ( under supervision ) programmes on hip strength , gait speed and cadence in patients with total hip arthroplasty at least one year after operation . Setting : Physical therapy and rehabilitation department . Subjects : Twenty-six patients who had had a total hip arthroplasty operation 12—24 months prior to the study were enrolled . Interventions : The patients were r and omized into three groups : group 1 patients were assigned a home exercise programme , group 2 patients exercised under physiotherapist supervision in hospital , and group 3 served as the control group , with no specific intervention . The study duration was six weeks . Main measures : Maximum isometric abduction torque of operated hip muscle , gait speed and cadence were measured before and after the study . Results : Maximum isometric abduction torques of the hip abductor muscles improved in groups 1 and 2 , but not in group 3 ( 30 ± 12 to 38 ± 11 ft.lb in group 1 , 18 ± 10 to 30 ± 9.8 ft.lb in group 2 ) . Gait speed improved from 67.8 ± 23 to 74.35 ± 24 m/min in group 1 , from 48.53 ± 4 to 56.7 ± 5 m/min in group 2 and from 58.01 ± 12 to 59.8 ± 14 m/min in group 3 . Cadence also improved , from 97.7 ± 18 to 111 ± 17 steps/min in group 1 , from 90.75 ± 6 to 104.75 ± 7 steps/min in group 2 , and from 87 ± 16 to 88.22 ± 16 steps/min in group 3 . When the three groups were compared , group 2 showed the best improvement ( P = 0.006 ) only in maximum isometric abduction torque . Conclusion : Our findings suggest that both home and supervised exercise programmes are effective one year after total hip arthroplasty . Home exercise programmes with close follow-up could be recommended
Function and quality of life could not be meta-analysed due to insufficient data and heterogeneity of measures , but functional measures tended to favour the physiotherapy rehabilitation group .
Most outcomes were similar between outpatient and home-based exercise programs .
Physiotherapy rehabilitation improves hip abductor strength , gait speed and cadence in people who have been discharged from hospital after total hip replacement .
Physiotherapist-directed rehabilitation exercises appear to be similarly effective whether they are performed unsupervised at home or supervised by a physiotherapist in an outpatient setting
QUESTION In people who have been discharged from hospital after a total hip replacement , do rehabilitation exercises directed by a physiotherapist improve strength , gait , function and quality of life ?
Are these exercises as effective in an unsupervised home-based setting as they are in a supervised outpatient setting ?