The Effect of Simultaneous Antigravity Treadmill Training and Electrical Muscle Stimulation After Total Hip Arthroplasty: Short Follow-Up Time

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 rehabilita...

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Main Authors: Yukio Mikami, Naoya Orita, Takuma Yamasaki, Yoshiichiro Kamijo, Hiroaki Kimura, Nobuo Adachi
Format: Article
Language:English
Published: Korean Academy of Rehabilitation Medicine 2019-08-01
Series:Annals of Rehabilitation Medicine
Subjects:
Online Access:http://www.e-arm.org/upload/pdf/arm-2019-43-4-474.pdf
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author Yukio Mikami
Naoya Orita
Takuma Yamasaki
Yoshiichiro Kamijo
Hiroaki Kimura
Nobuo Adachi
author_facet Yukio Mikami
Naoya Orita
Takuma Yamasaki
Yoshiichiro Kamijo
Hiroaki Kimura
Nobuo Adachi
author_sort Yukio Mikami
collection DOAJ
description 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.
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spelling doaj.art-949ae4952df64c3db15dd5ddc13fa1c42023-08-02T02:30:53ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532019-08-0143447448210.5535/arm.2019.43.4.4744107The Effect of Simultaneous Antigravity Treadmill Training and Electrical Muscle Stimulation After Total Hip Arthroplasty: Short Follow-Up TimeYukio Mikami0Naoya Orita1Takuma Yamasaki2Yoshiichiro Kamijo3Hiroaki Kimura4Nobuo Adachi5 Department of Rehabilitation Medicine, Hiroshima University Hospital, Hiroshima, Japan Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan Department of Rehabilitation Medicine, Wakayama Medical University, Wakayama, Japan Department of Rehabilitation Medicine, Hiroshima University Hospital, Hiroshima, Japan Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, JapanObjective 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.http://www.e-arm.org/upload/pdf/arm-2019-43-4-474.pdfAnti-gravity treadmillLow frequency electrical stimulation deviceHip osteoarthritisTotal hip arthroplasty
spellingShingle Yukio Mikami
Naoya Orita
Takuma Yamasaki
Yoshiichiro Kamijo
Hiroaki Kimura
Nobuo Adachi
The Effect of Simultaneous Antigravity Treadmill Training and Electrical Muscle Stimulation After Total Hip Arthroplasty: Short Follow-Up Time
Annals of Rehabilitation Medicine
Anti-gravity treadmill
Low frequency electrical stimulation device
Hip osteoarthritis
Total hip arthroplasty
title The Effect of Simultaneous Antigravity Treadmill Training and Electrical Muscle Stimulation After Total Hip Arthroplasty: Short Follow-Up Time
title_full The Effect of Simultaneous Antigravity Treadmill Training and Electrical Muscle Stimulation After Total Hip Arthroplasty: Short Follow-Up Time
title_fullStr The Effect of Simultaneous Antigravity Treadmill Training and Electrical Muscle Stimulation After Total Hip Arthroplasty: Short Follow-Up Time
title_full_unstemmed The Effect of Simultaneous Antigravity Treadmill Training and Electrical Muscle Stimulation After Total Hip Arthroplasty: Short Follow-Up Time
title_short The Effect of Simultaneous Antigravity Treadmill Training and Electrical Muscle Stimulation After Total Hip Arthroplasty: Short Follow-Up Time
title_sort effect of simultaneous antigravity treadmill training and electrical muscle stimulation after total hip arthroplasty short follow up time
topic Anti-gravity treadmill
Low frequency electrical stimulation device
Hip osteoarthritis
Total hip arthroplasty
url http://www.e-arm.org/upload/pdf/arm-2019-43-4-474.pdf
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