Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 10 , Pages 1658-1667 , October 2009

Early Maximal Strength Training Is an Efficient Treatment for Patients Operated With Total Hip Arthroplasty

  • Vigdis S. Husby, MSc

      Affiliations

    • Faculty of Health Education and Social Work, Sør-Trøndelag University College, Trondheim, Norway
    • Faculty of Medicine, Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway
    • Department of Orthopaedics, St. Olav's University Hospital, Trondheim, Norway
    • Corresponding Author InformationReprint requests to Vigdis S. Husby, MSc, Sør-Trøndelag University College, Ranheimsveien 10, NO-7004, Trondheim, Norway
    • ,
  • Jan Helgerud, PhD

      Affiliations

    • Faculty of Medicine, Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway
    • Hokksund Medical Rehabilitation Centre, Hokksund, Norway
    • ,
  • Siri Bjørgen, MSc

      Affiliations

    • Faculty of Medicine, Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway
    • ,
  • Otto S. Husby, PhD, MD

      Affiliations

    • Faculty of Health Education and Social Work, Sør-Trøndelag University College, Trondheim, Norway
    • Faculty of Medicine, Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway
    • Department of Orthopaedics, St. Olav's University Hospital, Trondheim, Norway
    • ,
  • Pål Benum, PhD, MD

      Affiliations

    • Department of Orthopaedics, St. Olav's University Hospital, Trondheim, Norway
    • ,
  • Jan Hoff, PhD

      Affiliations

    • Faculty of Medicine, Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway
    • Department of Physical Medicine and Rehabilitation, St. Olav‘s University Hospital, Trondheim, Norway

References 

  1. Trudelle-Jackson E, Smith SS. Effects of a late-phase exercise program after total hip arthroplasty: a randomized controlled trial. Arch Phys Med Rehabil. 2004;85:1056–1062
  2. Canadian Joint Replacement Registry (CJRR) (2006 report: hip and knee replacements in Canada). Ottawa: Canadian Institute for Health Information; 2006;
  3. Khan F, Ng L, Gonzales S, Hale T, Turner-Stokes L. Multidisciplinary rehabilitation programmes following joint replacement at the hip and knee in chronic arthropathy [review]. The Cochrane Library. 2009;(1):1–36
  4. World Health Organization. Accessed January 31, 2009 http://www.who.int/dietphysicalactivity/media/en/gsfs_obesity.pdf
  5. Foucher KC, Hurwitz DE, Wimmer MA. Preoperative gait adaptations persist one year after surgery in clinically well-functioning total hip replacement patients. J Biomech. 2007;40:3432–3437
  6. Unlu E, Eksioglu E, Aydog E, Aydog ST, Atay G. The effect of exercise on hip muscle strength, gait speed and cadence in patients with total hip arthroplasty: a randomized controlled study. Clin Rehabil. 2007;21:706–711
  7. Brown M, Hislop HJ, Waters RL, Porell D. Walking efficiency before and after total hip replacement. Phys Ther. 1980;60:1259–1263
  8. Frost KL, Bertocci GE, Wassinger CA, Munin MC, Burdett RG, Fitzgerald SG. Isometric performance following total hip arthroplasty and rehabilitation. J Rehabil Res Dev. 2006;43:435–444
  9. 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
  10. Borja F, Latta LL, Stinchfield FE, Obreron L. Abductor muscle performance in total hip arthroplasty with and without trochanteric osteotomy (Radiographic and mechanical analyses). Clin Orthop Relat Res. 1985;(197):181–190
  11. Long WT, Dorr LD, Healy B, Perry J. Functional recovery of noncemented total hip arthroplasty. Clin Orthop Relat Res. 1993;(288):73–77
  12. Baker AS, Bitounis VC. Abductor function after total hip replacement (An electromyographic and clinical review). J Bone Joint Surg Br. 1989;71:47–50
  13. Downing ND, Clark DI, Hutchinson JW, Colclough K, Howard PW. Hip abductor strength following total hip arthroplasty: a prospective comparison of the posterior and lateral approach in 100 patients. Acta Orthop Scand. 2001;72:215–220
  14. 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
  15. Johnston JJ, Noble PC, Hurwitz DE, Andriacchi TP. Biomechanics of the hip. In:  Callaghan JJ,  Rosenberg A,  Rubash HE editor. The adult hip. 2nd ed.. Philadelphia: Lippincott, Williams & Wilkins; 2007;p. 81–90
  16. Campos GE, Luecke TJ, Wendeln HK, et al. Muscular adaptations in response to three different resistance-training regimens: specificity of repetition maximum training zones. Eur J Appl Physiol. 2002;88:50–60
  17. Dons B, Bollerup K, Bonde-Petersen F, Hancke S. The effect of weight-lifting exercise related to muscle fibre composition and muscle cross-sectional area in humans. Eur J Appl Physiol. 1979;40:95–106
  18. McDonagh MJ, Davies CT. Adaptive response of mammalian skeletal muscle to exercise with high loads. Eur J Appl Physiol Occup Physiol. 1984;52:139–155
  19. Behm DG. Neuromuscular implications and applications of resistance training. J Strength Cond Res. 1995;9:264–274
  20. Hoff J, Gran A, Helgerud J. Maximal strength training improves aerobic endurance performance. Scand J Med Sci Sports. 2002;12:288–295
  21. Hoff J, Helgerud J, Wisløff U. Maximal strength training improves work economy in trained female cross-country skiers. Med Sci Sports Exerc. 1999;31:870–877
  22. Hoff J, Tjønna AE, Steinshamn S, Høydal M, Richardson RS, Helgerud J. Maximal strength training of the legs in COPD: a therapy for mechanical inefficiency. Med Sci Sports Exerc. 2007;39:220–226
  23. Karlsen T, Helgerud J, Støylen A, Lauritsen N, Hoff J. Maximal strength training restores walking mechanical efficiency in heart patients. Int J Sports Med. 2009;30:337–342
  24. Østerås H, Helgerud J, Hoff J. Maximal strength-training effects on force-velocity and force-power relationships explain increases in aerobic performance in humans. Eur J Appl Physiol. 2002;88:255–263
  25. 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
  26. Munin MC, Rudy TE, Glynn NW, Crossett LS, Rubash HE. Early inpatient rehabilitation after elective hip and knee arthroplasty. JAMA. 1998;279:847–852
  27. Roach KE, Ally D, Finnerty B, et al. The relationship between duration of physical therapy services in the acute care setting and change in functional status in patients with lower-extremity orthopedic problems. Phys Ther. 1998;78:19–24
  28. Suetta C, Magnusson SP, Rosted A, et al. Resistance training in the early postoperative phase reduces hospitalization and leads to muscle hypertrophy in elderly hip surgery patients—a controlled, randomized study. J Am Geriatr Soc. 2004;52:2016–2022
  29. Andersen LL, Magnusson SP, Nielsen M, Haleem J, Poulsen K, Aagaard P. Neuromuscular activation in conventional therapeutic exercises and heavy resistance exercises: implications for rehabilitation. Phys Ther. 2006;86:683–697
  30. Hauer K, Specht N, Schuler M, Bartsch P, Oster P. Intensive physical training in geriatric patients after severe falls and hip surgery. Age Ageing. 2002;31:49–57
  31. Shih CH, Du YK, Lin YH, Wu CC. Muscular recovery around the hip joint after total hip arthroplasty. Clin Orthop Relat Res. 1994;(302):115–120
  32. Trudelle-Jackson E, Emerson R, Smith S. Outcomes of total hip arthroplasty: a study of patients one year postsurgery. J Orthop Sports Phys Ther. 2002;32:260–267
  33. American Association of Anesthesiologists. http://www.asahq.org/clinical/physicalstatus.htmAccessed January 31, 2009
  34. Frndak PA, Mallory TH, Lombardi AV. Translateral surgical approach to the hip (The abductor muscle “split”). Clin Orthop Relat Res. 1993;(295):135–141
  35. Hardinge K. The direct lateral approach to the hip. J Bone Joint Surg Br. 1982;64:17–19
  36. McGrory BJ, Morrey BF, Cahalan TD, An KN, Cabanela ME. Effect of femoral offset on range of motion and abductor muscle strength after total hip arthroplasty. J Bone Joint Surg Br. 1995;77:865–869
  37. Knuttgen HG. Strength training and aerobic exercise: comparison and contrast. J Strength Cond Res. 2007;21:973–978
  38. Adamson M, Macquaide N, Helgerud J, Hoff J, Kemi OJ. Unilateral arm strength training improves contralateral peak force and rate of force development. Eur J Appl Physiol. 2008;103:553–559
  39. Zatsiorsky VM. Biomechanics of strength and strength training. In:  Komi PV editors. Strength and power in sport (The encyclopedia of sports medicine III). Oxford, UK: Blackwell Science; 2003;p. 439–444
  40. Suetta C, Aagaard P, Rosted A, et al. Training-induced changes in muscle CSA, muscle strength, EMG, and rate of force development in elderly subjects after long-term unilateral disuse. J Appl Physiol. 2004;97:1954–1961
  41. Hurkmans HL, Bussmann JB, Selles RW, et al. Validity of the Pedar Mobile system for vertical force measurement during a seven-hour period. J Biomech. 2006;39:110–118
  42. Kernozek TW, Zimmer KA. Reliability and running speed effects of in-shoe loading measurements during slow treadmill running. Foot Ankle Int. 2000;21:749–752
  43. Perry J. Gait analysis (Normal and pathological function). In: New York: Slack; 1992;p. 6
  44. Helgerud J, Høydal K, Wang E, et al. Aerobic high-intensity intervals improve VO2max more than moderate training. Med Sci Sports Exerc. 2007;39:665–671
  45. McArdle WD, Katch FI, Katch VL. Exercise physiology (Energy, nutrition and human performance). In:  Darcy P editors. 5th ed.. Philadelphia: Lippincott Williams & Wilkins; 2001;p. 202–204
  46. Åstrand P-O, Rodahl K, Dahl HA, Strømme SB. Textbook of work physiology (Physiological bases of exercise). In: 4th ed.. New York: Human Kinetics; 2003;p. 242
  47. Borg G. Perceived exertion as an indicator of somatic stress. Scand J Rehabil Med. 1970;2:92–98
  48. Ware JE, Sherbourne CD. The MOS 36-Item Short-Form Health Survey (SF-36) (I. Conceptual framework and item selection). Med Care. 1992;30:473–483
  49. Loge JH, Kaasa S, Hjermstad MJ, Kvien TK. Translation and performance of the Norwegian SF-36 Health Survey in patients with rheumatoid arthritis (I. Data quality, scaling assumptions, reliability, and construct validity). J Clin Epidemiol. 1998;51:1069–1076
  50. D'Aubigne RM, Postel M. Functional results of hip arthroplasty with acrylic prosthesis. J Bone Joint Surg Am. 1954;36:451–475
  51. Winer B. Statistical principles in experimental design. 2nd ed.. New York: McGraw-Hill; 1971;
  52. Wigerstad-Lossing I, Grimby G, Jonsson T, Morelli B, Peterson L, Renstrom P. Effects of electrical muscle stimulation combined with voluntary contractions after knee ligament surgery. Med Sci Sports Exerc. 1988;20:93–98
  53. Appell HJ. Muscular atrophy following immobilisation (A review). Sports Med. 1990;10:42–58
  54. Bishop D, Jenkins DG, Mackinnon LT, McEniery M, Carey MF. The effects of strength training on endurance performance and muscle characteristics. Med Sci Sports Exerc. 1999;31:886–891
  55. Nakao M, Inoue Y, Murakami H. Longitudinal study of the effect of high intensity weight training on aerobic capacity. Eur J Appl Physiol Occup Physiol. 1995;70:20–25
  56. Loizeau J, Allard P, Duhaime M, Landjerit B. Bilateral gait patterns in subjects fitted with a total hip prosthesis. Arch Phys Med Rehabil. 1995;76:552–557
  57. Vaz MD, Kramer JF, Rorabeck CH, Bourne RB. Isometric hip abductor strength following total hip replacement and its relationship to functional assessments. J Orthop Sports Phys Ther. 1993;18:526–531
  58. Boden H, Adolphson P. No adverse effects of early weight bearing after uncemented total hip arthroplasty: a randomized study of 20 patients. Acta Orthop Scand. 2004;75:21–29
  59. Kishida Y, Sugano N, Sakai T, et al. Full weight-bearing after cementless total hip arthroplasty. Int Orthop. 2001;25:25–28
  60. Thien TM, Ahnfelt L, Eriksson M, Stromberg C, Karrholm J. Immediate weight bearing after uncemented total hip arthroplasty with an anteverted stem: a prospective randomized comparison using radiostereometry. Acta Orthop. 2007;78:730–738
  61. Kotzar GM, Davy DT, Berilla J, Goldberg VM. Torsional loads in the early postoperative period following total hip replacement. J Orthop Res. 1995;13:945–955
  62. Fayers PM, Machin D. Quality of life (Assessment, analysis and interpretation). In: Chichester, England: John Wiley & Sons; 2000;p. 66
  63. Mahomed NN, Davis AM, Hawker G, et al. Inpatient compared with home-based rehabilitation following primary unilateral total hip or knee replacement: a randomized controlled trial. J Bone Joint Surg Am. 2008;90:1673–1680
  64. Galea MP, Levinger P, Lythgo N, et al. A targeted home- and center-based exercise program for people after total hip replacement: a randomized clinical trial. Arch Phys Med Rehabil. 2008;89:1442–1447

 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.

 Clinical Trials ID: 00638417.

PII: S0003-9993(09)00400-6

doi: 10.1016/j.apmr.2009.04.018

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 10 , Pages 1658-1667 , October 2009

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