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全髋关节置换术后肌肉力量的恢复:一项叙述性综述。

Recovery of Muscular Strength Following Total Hip Replacement: A Narrative Review.

作者信息

Singh Gursimran, Dhaniwala Nareshkumar, Jadawala Vivek H, Suneja Anmol, Batra Nitish

机构信息

Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Aug 28;16(8):e68033. doi: 10.7759/cureus.68033. eCollection 2024 Aug.

DOI:10.7759/cureus.68033
PMID:39347149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11433519/
Abstract

This narrative review analyzes muscle strength recovery following total hip replacement (THR) and looks at various factors affecting postoperative muscle function restoration. The review synthesizes evidence from various studies regarding the timing and degree of muscular strength recovery, different rehabilitation protocols, and patient-specific variables such as age, preoperative physical condition, and comorbidities, among others. Overall, it appears that THR is associated with improved hip function and quality of life, but this usually takes a long time due to individualized physical therapy interventions. In addition, postoperative rehabilitation has been found not to exist without any personal factors involved such as age or gender whereby for instance senior citizens have no alternative but to go for THR surgery, making their lower limbs weaker than those who are younger. Based on the findings in this review on muscle recovery after THR surgeries, one may conclude that this endeavor should begin as early as possible and include regular resistance training programs with performance-focused functional training after surgery. In addition, more longitudinal studies should be conducted regarding post-surgical outcomes comparing other traditional medical practices.

摘要

这篇叙述性综述分析了全髋关节置换术(THR)后肌肉力量的恢复情况,并探讨了影响术后肌肉功能恢复的各种因素。该综述综合了来自各种研究的证据,这些研究涉及肌肉力量恢复的时间和程度、不同的康复方案,以及患者的个体变量,如年龄、术前身体状况和合并症等。总体而言,全髋关节置换术似乎与髋关节功能和生活质量的改善相关,但由于个体化的物理治疗干预,这一过程通常需要很长时间。此外,研究发现术后康复不存在不涉及任何个人因素的情况,例如年龄或性别,例如老年人别无选择只能接受全髋关节置换手术,这使得他们的下肢比年轻人更虚弱。基于本综述中关于全髋关节置换手术后肌肉恢复的研究结果,可以得出结论,这一努力应尽早开始,并包括术后定期进行以表现为重点的功能训练的阻力训练计划。此外,应该进行更多关于手术结果的纵向研究,以比较其他传统医疗方法。

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本文引用的文献

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Eur J Sport Sci. 2024 Jul;24(7):938-949. doi: 10.1002/ejsc.12114. Epub 2024 May 12.
2
A Prospective Randomized Controlled Trial Assessing the Impact of Preoperative Combined with Postoperative Progressive Resistance Training on Muscle Strength, Gait, Balance and Function in Patients Undergoing Total Hip Arthroplasty.一项前瞻性随机对照试验评估了术前联合术后渐进性抗阻训练对全髋关节置换术后患者肌肉力量、步态、平衡和功能的影响。
Clin Interv Aging. 2024 May 8;19:745-760. doi: 10.2147/CIA.S453117. eCollection 2024.
3
Effects of exercise therapy on the balance and gait after total hip arthroplasty: a systematic review and meta-analysis.运动疗法对全髋关节置换术后平衡和步态的影响:一项系统评价和荟萃分析。
J Exerc Rehabil. 2023 Aug 22;19(4):190-197. doi: 10.12965/jer.2346290.145. eCollection 2023 Aug.
4
Effects of early home-based strength and sensory-motor training after total hip arthroplasty: study protocol for a multicenter randomized controlled trial.全髋关节置换术后早期家庭强化力量和感觉运动训练的效果:一项多中心随机对照试验的研究方案。
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