Early Maximal Strength Training Is an Efficient Treatment for Patients Operated With Total Hip Arthroplasty
Abstract
Husby VS, Helgerud J, Bjørgen S, Husby OS, Benum P, Hoff J. Early maximal strength training is an efficient treatment for patients operated with total hip arthroplasty.
Objective
To compare muscle strength, work efficiency, gait patterns, and quality of life in patients undergoing total hip arthroplasty (THA) randomly assigned to either maximal strength training or a conventional rehabilitation program.
Design
A randomized controlled study.
Setting
Research laboratory, rehabilitation center, and physical therapy clinic.
Participants
Patients (N=24) with osteoarthritis as the main reason for THA were randomly assigned to perform maximal strength training (n=12) or conventional rehabilitation (n=12).
Interventions
The maximal strength training group (STG) performed maximal strength training in leg press and abduction with the operated leg only 5 times a week for 4 weeks in addition to the conventional rehabilitation program. The conventional rehabilitation group (CRG) received supervised physical therapy 3 to 5 times a week for 4 weeks.
Main Outcome Measures
1-repetition maximum (1RM) leg press strength, 1RM abduction strength, rate of force development (RFD), work efficiency, gait patterns, and quality of life.
Results
1RM increased in the bilateral leg press (P<.002) and in the operated leg separately (P<.002) in the STG compared with the CRG. 1RM abduction strength in the operated leg (P<.002) and the healthy leg (P<.002) increased in the STG compared with the CRG. RFD increased in the STG compared with the CRG (Pg=.030), followed by a trend towards increased peak force in the STG (Pg=.053) (Pg = probability for differences between groups). Work efficiency tended to improve in the STG compared with the CRG (P=.065). No differences in gait patterns were revealed between the groups after the training intervention.
Conclusions
Early maximal strength training 1 week postoperatively is feasible and an efficient treatment to regain muscular strength for patients who have undergone THA, demonstrated by a significantly larger increase in muscular strength and a trend towards a better work efficiency in the STG compared with the CRG.
aFaculty of Health Education and Social Work, Sør-Trøndelag University College, Trondheim, Norway
bFaculty of Medicine, Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway
cDepartment of Physical Medicine and Rehabilitation, St. Olav‘s University Hospital, Trondheim, Norway
dDepartment of Orthopaedics, St. Olav's University Hospital, Trondheim, Norway
eHokksund Medical Rehabilitation Centre, Hokksund, Norway
Reprint requests to Vigdis S. Husby, MSc, Sør-Trøndelag University College, Ranheimsveien 10, NO-7004, Trondheim, Norway
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.
ABSTRACT