Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 8 , Pages 1442-1447 , August 2008

A Targeted Home- and Center-Based Exercise Program for People After Total Hip Replacement: A Randomized Clinical Trial

Preliminary results presented to the Australian Health Outcomes Conference, August 2005, Canberra, Australia.

  • Mary P. Galea, PhD

      Affiliations

    • Rehabilitation Sciences Research Centre, University of Melbourne, Parkville, Victoria, Australia
    • School of Physiotherapy, University of Melbourne, Parkville, Victoria, Australia
    • Austin Health, Heidelberg, Victoria, Australia.
    • Corresponding Author InformationCorrespondence to Mary P. Galea, PhD, School of Physiotherapy, University of Melbourne, Parkville, Victoria 3010, Australia
    • ,
  • Pazit Levinger, PhD

      Affiliations

    • Rehabilitation Sciences Research Centre, University of Melbourne, Parkville, Victoria, Australia
    • ,
  • Noel Lythgo, PhD

      Affiliations

    • Rehabilitation Sciences Research Centre, University of Melbourne, Parkville, Victoria, Australia
    • School of Physiotherapy, University of Melbourne, Parkville, Victoria, Australia
    • ,
  • Chris Cimoli, BAppSci (Physio)

      Affiliations

    • Austin Health, Heidelberg, Victoria, Australia.
    • ,
  • Robert Weller, MBBS, FRAFM

      Affiliations

    • Austin Health, Heidelberg, Victoria, Australia.
    • ,
  • Elizabeth Tully, PhD

      Affiliations

    • School of Physiotherapy, University of Melbourne, Parkville, Victoria, Australia
    • ,
  • Joan McMeeken, MSc

      Affiliations

    • School of Physiotherapy, University of Melbourne, Parkville, Victoria, Australia
    • ,
  • Roger Westh, MBBS, FRACS

      Affiliations

    • Austin Health, Heidelberg, Victoria, Australia.

References 

  1. Murray MP, Brewer BJ, Gore DR, Zuege RC. Kinesiology after McKee-Farrar total hip replacement (A two-year follow-up of one hundred cases). J Bone Joint Surg Am. 1975;57:337–342
  2. Wilcock GK. Benefits of total hip replacement to older patients and the community. Br Med J. 1978;2:37–39
  3. Laupacis A, Bourne R, Rorabeck C, et al. The effect of elective total hip replacement on health-related quality of life. J Bone Joint Surg Am. 1993;75:1619–1626
  4. March LM, Cross MJ, Lapsley H, et al. Outcomes after hip or knee replacement surgery for osteoarthritis (A prospective cohort study comparing patients' quality of life before and after surgery with age-related population norms). Med J Aust. 1999;171:235–238
  5. Iyengar KP, Nadkarni JB, Ivanovic N, Mahale A. Targeted early rehabilitation at home after total hip and knee joint replacement: does it work?. Disabil Rehabil. 2007;29:495–502
  6. Reardon K, Galea M, Dennett X, Choong P, Byrne E. Quadriceps muscle wasting persists 5 months after total hip arthroplasty for osteoarthritis of the hip: a pilot study. Intern Med J. 2001;31:7–14
  7. Murray MP, Gore DR, Brewer BJ, Gardner GM, Sepic SB. A comparison of the functional performance of patients with Charnley and Muller total hip replacement (A two-year follow-up of eighty-nine cases). Acta Orthop Scand. 1979;50:563–569
  8. Victor CR. Rehabilitation after hip replacement: a one year follow up. Int J Rehabil Res. 1987;10(4 Suppl 5):162–167
  9. Sicard-Rosenbaum L, Light KE, Behrman AL. Gait, lower extremity strength, and self-assessed mobility after hip arthroplasty. J Gerontol A Biol Sci Med Sci. 2002;57:M47–M51
  10. Madsen MS, Ritter MA, Morris HH, et al. The effect of total hip arthroplasty surgical approach on gait. J Orthop Res. 2004;22:44–50
  11. Perron M, Malouin F, Moffet H, McFadyen BJ. Three-dimensional gait analysis in women with a total hip arthroplasty. Clin Biomech (Bristol, Avon). 2000;15:504–515
  12. McCrory JL, White SC, Lifeso RM. Vertical ground reaction forces: objective measures of gait following hip arthroplasty. Gait Posture. 2001;14:104–109
  13. Shakoor N, Hurwitz DE, Block JA, Shott S, Case JP. Asymmetric knee loading in advanced unilateral hip osteoarthritis. Arthritis Rheum. 2003;48:1556–1561
  14. Miki H, Sugano N, Hagio K, et al. Recovery of walking speed and symmetrical movement of the pelvis and lower extremity joints after unilateral THA. J Biomech. 2004;37:443–455
  15. Hill K, Schwarz J, Flicker L, Carroll S. Falls among healthy, community-dwelling, older women: a prospective study of frequency, circumstances, consequences and prediction accuracy. Aust N Z J Public Health. 1999;23:41–48
  16. Carter SE, Campbell EM, Sanson-Fisher RW, Gillespie WJ. Accidents in older people living at home: a community-based study assessing prevalence, type, location and injuries. Aust N Z J Public Health. 2000;24:633–636
  17. Hauer K, Specht N, Schuler M, Bärtsch P, Oster P. Intensive physical training in geriatric patients after severe falls and hip surgery. Age Ageing. 2002;31:49–57
  18. Gilbey HJ, Ackland TR, Wang AW, Morton AR, Trouchet T, Trapper J. Exercise improves early functional recovery after total hip arthroplasty. Clin Orthop Relat Res. 2003;Mar(408):193–200
  19. Erickson B, Perkins M. Interdisciplinary team approach in the rehabilitation of hip and knee arthroplasties. Am J Occup Ther. 1994;48:439–445
  20. Sashika H, Matsuba Y, Watanabe Y. Home program of physical therapy: effect on disabilities of patients with total hip arthroplasty. Arch Phys Med Rehabil. 1996;77:273–277
  21. Drabsch T, Loveniosse J, Fowler V, Adams R, Drabsch P. Effect of task-specific training on walking and sit-to-stand after total hip replacement. Aust J Physiother. 1998;44:193–197
  22. Jan MH, Hung JY, Lin JC, Wang SF, Liu TK, Tang PF. Effects of a home program on strength, walking speed, and function after total hip replacement. Arch Phys Med Rehabil. 2004;85:1943–1951
  23. Cummings SR, Phillips SL, Wheat ME, et al. Recovery of function after hip fracture (The role of social supports). J Am Geriatr Soc. 1988;36:801–806
  24. Mossey JM, Mutran E, Knott K, Craik R. Determinants of recovery 12 months after hip fracture: the importance of psychosocial factors. Am J Public Health. 1989;79:279–286
  25. Magaziner J, Simonsick EM, Kashner TM, Hebel JR, Kenzora JE. Predictors of functional recovery one year following hospital discharge for hip fracture: a prospective study. J Gerontol. 1990;45:M101–M107
  26. Marottoli RA, Berkman LF, Cooney LM. Decline in physical function following hip fracture. J Am Geriatr Soc. 1992;40:861–866
  27. Mahomed NN, Koo Seen Lin MJ, Levesque J, Lan S, Bogoch ER. Determinants and outcomes of inpatient versus home based rehabilitation following elective hip and knee replacement. J Rheumatol. 2000;27:1753–1758
  28. Siggeirsdottir K, Olafsson O, Jonsson H, Iwarsson S, Gudnason V, Jonsson BY. Short hospital stay augmented with education and home-based rehabilitation improves function and quality of life after hip replacement: randomized study of 50 patients with 6 months of follow-up. Acta Orthop. 2005;76:555–562
  29. Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39:142–148
  30. Margaria R, Aghemo P, Rovelli E. Measurement of muscular power (anaerobic) in man. J Appl Physiol. 1966;21:1662–1664
  31. Rikli R, Jones J. Development and validation of a functional fitness test for community residing older adults. J Aging Phys Activity. 1999;7:129–161
  32. Bellamy N. Pain assessment in osteoarthritis: experience with the WOMAC osteoarthritis index. Semin Arthritis Rheum. 1989;18(4 Suppl 2):14–17
  33. Hawthorne G, Richardson J, Osborne R. The Assessment of Quality of Life (AQoL) instrument: a psychometric measure of health-related quality of life. Qual Life Res. 1999;8:209–224
  34. Hawthorne G, Richardson J, Day NA. A comparison of the Assessment of Quality of Life (AQoL) with four other generic utility instruments. Ann Med. 2001;33:358–370
  35. Cutlip RG, Mancinelli C, Huber F, Di Pasquale J. Evaluation of an instrumented walkway for measurement of the kinematic parameters of gait. Gait Posture. 2000;12:134–138
  36. Webster KE, Wittwer JE, Feller JA. Validity of the GAITRite walkway system for the measurement of averaged and individual step parameters of gait. Gait Posture. 2005;22:317–321
  37. Wang AW, Gilbey HJ, Ackland TR. Perioperative exercise programs improve early return of ambulatory function after total hip arthroplasty: a randomized, controlled trial. Am J Phys Med Rehabil. 2002;81:801–806
  38. Potter JM, Evans AL, Duncan G. Gait speed and activities of daily living function in geriatric patients. Arch Phys Med Rehabil. 1995;76:997–999
  39. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319:1701–1707
  40. Wolfson L, Whipple R, Amerman P, Tobin JN. Gait assessment in the elderly: a gait abnormality rating scale and its relation to falls. J Gerontol. 1990;45:M12–M19
  41. Judge JO, Davis RB, Ounpuu S. Step length reductions in advanced age: the role of ankle and hip kinetics. J Gerontol A Biol Sci Med Sci. 1996;51:M303–M312
  42. White SC, Lifeso RM. Altering asymmetric limb loading after hip arthroplasty using real-time dynamic feedback when walking. Arch Phys Med Rehabil. 2005;86:1958–1963

 Supported by Arthritis Australia and the National Arthritis and Musculoskeletal Health Initiative.No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.Reprints are not available from the author.Published online June 30, 2008 at www.archives-pmr.org

PII: S0003-9993(08)00305-5

doi: 10.1016/j.apmr.2007.11.058

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 8 , Pages 1442-1447 , August 2008

Article Tools