Bahadori Shayan, Williams Jonathan Mark, Collard Sarah, Swain Ian
Orthopaedic Research Institute, Bournemouth University, Bournemouth, Dorset, UK.
Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, Dorset, UK.
Cyborg Bionic Syst. 2023 Nov 30;4:0069. doi: 10.34133/cbsystems.0069. eCollection 2023.
Individuals have increasingly high expectations of return to activity following total hip replacement (THR) surgery. The current literature demonstrates marked improvements in pain following THR. However, there is limited evidence showing objective improvement in daily activity. This randomized pilot trial aimed to determine the effect of an intervention where outdoor walking distance is used as a goal to increase daily activity of older adults using a commercial activity monitor at 3 to 6 months post THR. Findings suggested that the participants in the intervention group had higher activity levels after THR, compared to those in the control group. The Cohen's effect sizes were larger for the changes in the gait, Hip Disability and Osteoarthritis Outcome Score, and Psychosocial Impact of Assistive Devices Scale data in the intervention group in contrast to the control group. However, further research with a larger sample size is required to provide tangible evidence on the significance of the effect of the purposeful walk compared to step count.
对于全髋关节置换术（THR）后恢复活动，人们的期望越来越高。当前文献表明，THR后疼痛有显著改善。然而，仅有有限的证据显示日常活动有客观改善。这项随机试点试验旨在确定一种干预措施的效果，该干预措施以户外行走距离为目标，使用商业活动监测器，在THR术后3至6个月增加老年人的日常活动。研究结果表明，与对照组相比，干预组的参与者在THR后活动水平更高。与对照组相比，干预组在步态、髋关节残疾和骨关节炎结果评分以及辅助设备量表心理社会影响数据变化方面的科恩效应量更大。然而，需要进行更大样本量的进一步研究，以提供确凿证据，证明与步数相比，有目的行走效果的重要性。
