Kantonsspital Liestal, Switzerland.
Int J Sports Med. 2011 Sep;32(9):725-32. doi: 10.1055/s-0031-1271696. Epub 2011 May 31.
The aim of this study was to investigate whether pre-operative, sensorimotor training results in improved physical function, quality of life, sensorimotor function and reduced disability in total hip replacement patients. 80 subjects awaiting total hip replacement at a Swiss hospital were recruited for this randomised controlled trial. The intervention group participated in a pre-operative home exercise sensorimotor training programme; the control group received no therapy. Primary outcome measure was physical function, secondary outcome measures were quality of life, disability and sensorimotor function. Outcomes were measured using generic and disease-specific questionnaires as well as objectively assessed balance ability. Measurements were taken one day before surgery and 10 days, 4 and 12 months after surgery. The intervention showed improved quality of life and sensorimotor function before surgery. These effects were lost following surgery. The intervention group experienced more disability at 4 months than the control group. At one year follow-up group-membership influenced quality of life scores depending on the measurement-time-point. It can be concluded that no useful effect was identified for a pre-operative sensory-motor training-programme. The psychological aspects following total hip replacement need to be considered in order to facilitate coping-strategies, reduce unrealistic expectations and increase satisfaction.
本研究旨在探讨术前感觉运动训练是否能改善全髋关节置换患者的身体功能、生活质量、感觉运动功能和减少残疾。瑞士一家医院的 80 名全髋关节置换患者参与了这项随机对照试验。干预组参加了术前家庭运动感觉训练计划；对照组未接受治疗。主要结局指标是身体功能，次要结局指标是生活质量、残疾和感觉运动功能。使用通用和疾病特异性问卷以及客观评估的平衡能力来测量结果。测量在手术前一天以及手术后 10 天、4 个月和 12 个月进行。干预组在术前改善了生活质量和感觉运动功能。这些效果在手术后消失了。干预组在 4 个月时比对照组更残疾。在 1 年随访时，组别的分组取决于测量时间点，影响生活质量评分。可以得出结论，术前感觉运动训练计划没有发现有用的效果。需要考虑全髋关节置换后的心理方面，以促进应对策略、减少不切实际的期望和提高满意度。
