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一项可行性研究,旨在使用市售活动监测器,对全髋关节置换术后老年人进行有距离目标的有目的步行干预进行评估。

A feasibility study to evaluate a purposeful walk intervention with a distance goal using a commercially available activity monitor in elderly people post total hip replacement surgery.

作者信息

Bahadori Shayan, Williams Jonathan Mark, Collard Sarah, Swain Ian

机构信息

Orthopaedic Research Institute, Bournemouth University, Bournemouth, UK.

Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.

出版信息

J Rehabil Assist Technol Eng. 2023 Aug 22;10:20556683231195927. doi: 10.1177/20556683231195927. eCollection 2023 Jan-Dec.

Abstract

INTRODUCTION

Total hip replacement (THR) is performed in an increasing number of individuals around the world and while improvements in pain reduction and long-term enhancement of muscle strength are well documented, the improvement in daily activity does not follow the same trend. This study aimed to determine the feasibility of a 5-week intervention where a personalised outdoor walking distance is monitored using a commercial activity monitor (Fitbit Charge 4).

METHOD

Data was collected on gait and activities of daily living using patient reported outcome measures. Following the completion of the intervention period, participants took part in a semi-structured interview to voice their opinion on the use of the activity monitor, their experiences, and any challenges in order to assess the feasibility of the intervention. All quantitative data were presented descriptively, using appropriate summary statistics. Interviews were analysed using thematic analysis.

RESULTS

Five participants who had undergone total hip replacement surgery within the postoperative period of 3 to 6 months were recruited from the local community.

CONCLUSION

The findings suggest that the intervention was feasible and that it encouraged all participants to increase their daily activity. Therefore, it can be concluded that a follow-up effectiveness trial is warranted.

摘要

引言

全球范围内接受全髋关节置换术(THR)的人数日益增多。虽然在减轻疼痛和长期增强肌肉力量方面的改善已有充分记录,但日常活动能力的改善却未呈现相同趋势。本研究旨在确定一项为期5周的干预措施的可行性,该干预措施使用商业活动监测器(Fitbit Charge 4)监测个性化的户外步行距离。

方法

使用患者报告的结局指标收集步态和日常生活活动数据。在干预期结束后,参与者参加了一次半结构化访谈,以表达他们对活动监测器使用情况、体验以及遇到的任何挑战的看法,从而评估干预措施的可行性。所有定量数据均采用适当的汇总统计进行描述性呈现。访谈采用主题分析法进行分析。

结果

从当地社区招募了5名在术后3至6个月内接受全髋关节置换手术的参与者。

结论

研究结果表明该干预措施是可行的,并且鼓励了所有参与者增加日常活动。因此,可以得出结论,有必要进行后续的有效性试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ab/10447967/c5e1da64b9cd/10.1177_20556683231195927-fig1.jpg

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