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单次高强度训练对全髋关节置换术后早期患者侧方躯干运动及步态功能的即时影响:一项非随机对照试验

Immediate Effects of Single-Session High-Velocity Training for Lateral Trunk Movement on Gait Function in Early Postoperative Patients after Total Hip Arthroplasty: A Nonrandomized Controlled Trial.

作者信息

Honma Keisuke, Yano Yuki, Yamamoto Saki, Ohmine Toshimitsu, Wanaka Hideyuki, Senzaki Kazuma, Kanayama Atsuki, Oonishi Hiroyuki, Iwata Akira

机构信息

Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, Habikino 583-8555, Japan.

Department of Rehabilitation, Tominaga Hospital, Osaka 556-0017, Japan.

出版信息

Healthcare (Basel). 2022 Jan 28;10(2):256. doi: 10.3390/healthcare10020256.

Abstract

BACKGROUND

Total Hip Arthroplasty (THA) is an effective method for relieving pain and improving gait function. However, THA patients demonstrate slow gait speed at discharge. Rehabilitation programs after THA require the immediate improvement of gait speed early in the postoperative period. To examine the immediate effects of seated side tapping training (SSTT), which focuses on lateral trunk movement and movement velocity, on gait function in early postoperative THA patients, the methods were as follows: The SSTT group performed five repetitions of a task in which they moved their trunks laterally to alternately touch markers to their left and right side as quickly as possible 10 times in a seated position. One set of SSTT lasted approximately 3 min. The control group rested in a seated position for 10 min.

RESULTS

Significant interactions were observed for gait speed, stride time, and stride time coefficient of variability. The SSTT group demonstrated significant pre-post-intervention improvement in gait speed, stride time, and coefficient of variability.

CONCLUSIONS

SSTT improved both gait speed and gait stability and can be performed easily and safely. Therefore, single-session high-velocity trunk training may be an effective method to improve gait function immediately in early postoperative THA patients.

摘要

背景

全髋关节置换术(THA)是缓解疼痛和改善步态功能的有效方法。然而,THA患者出院时步态速度较慢。THA后的康复计划需要在术后早期立即提高步态速度。为了研究以躯干侧方运动和运动速度为重点的坐位侧方轻拍训练(SSTT)对THA术后早期患者步态功能的即时影响,方法如下:SSTT组在坐位下尽可能快地将躯干向侧方移动,交替触碰其左侧和右侧的标记物,重复该任务10次,共进行5组。一组SSTT持续约3分钟。对照组在坐位休息10分钟。

结果

在步态速度、步幅时间和步幅时间变异系数方面观察到显著的交互作用。SSTT组在干预前后的步态速度、步幅时间和变异系数方面有显著改善。

结论

SSTT提高了步态速度和步态稳定性,且操作简便安全。因此,单次高强度躯干训练可能是立即改善THA术后早期患者步态功能的有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f34b/8871938/4565acdf8041/healthcare-10-00256-g001.jpg

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