Vișan Radu, Mihajlov Marjan, Luminița Malaete Alina, Baușic Alexandra Irma Gabriela
Department of Ortopedics and Traumatology, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Floreasca Emergency Clinical Hospital, 014461 Bucharest, Romania.
J Clin Med. 2025 May 26;14(11):3728. doi: 10.3390/jcm14113728.
Total hip joint arthroplasty (THA) is a common procedure aimed at alleviating pain and restoring mobility in patients with severe hip joint conditions, particularly osteoarthritis. While the surgery itself is effective, postoperative rehabilitation is crucial for long-term functional recovery. This study investigates the role of muscle deflection as an indicator of rehabilitation quality, focusing on hip movement improvements (abduction, extension, and flexion) over an 8-week recovery period. The objective is to assess whether muscle deflection measurements can serve as reliable metrics for evaluating recovery progress and functional outcomes. : The study involved post-THA patients from Euroclinic Hospital S.A. and Bucharest Emergency Clinical Hospital, who were divided into an experimental group (undergoing a specialized rehabilitation program) and a control group (receiving standard recovery protocols). Measurements of active range of motion (AROM), passive range of motion (PROM), and muscle deflection were taken using a handheld digital dynamometer (ActivForce 2) at different time points (2, 4, 6, and 8 weeks post-surgery). The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was also used to assess pain, physical difficulties, and joint stiffness. : The study found progressive improvements in AROM, PROM, and muscle deflection across all movements over the 8-week period. : The findings highlight the importance of structured physiotherapy in post-THA rehabilitation. The use of muscle deflection measurements provides an objective and quantifiable method for tracking patient progress. Future rehabilitation protocols could benefit from incorporating muscle deflection monitoring to tailor recovery programs and optimize patient outcomes. Standardizing rehabilitation exercises, including balance training and resistance exercises, may further enhance recovery and reduce long-term functional impairments.
全髋关节置换术（THA）是一种常见的手术，旨在缓解患有严重髋关节疾病（尤其是骨关节炎）患者的疼痛并恢复其活动能力。虽然手术本身是有效的，但术后康复对于长期功能恢复至关重要。本研究调查了肌肉偏斜作为康复质量指标的作用，重点关注8周恢复期内髋关节活动（外展、伸展和屈曲）的改善情况。目的是评估肌肉偏斜测量是否可以作为评估恢复进程和功能结果的可靠指标。：该研究涉及来自欧洲诊所医院股份公司和布加勒斯特急诊临床医院的全髋关节置换术后患者，他们被分为实验组（接受专门的康复计划）和对照组（接受标准恢复方案）。在不同时间点（术后2、4、6和8周）使用手持式数字测力计（ActivForce 2）测量主动活动范围（AROM）、被动活动范围（PROM）和肌肉偏斜。还使用西安大略和麦克马斯特大学骨关节炎指数（WOMAC）来评估疼痛、身体困难和关节僵硬情况。：研究发现，在8周期间，所有运动的AROM、PROM和肌肉偏斜都有逐步改善。：研究结果突出了结构化物理治疗在全髋关节置换术后康复中的重要性。使用肌肉偏斜测量提供了一种客观且可量化的方法来跟踪患者的进展。未来的康复方案可能会受益于纳入肌肉偏斜监测，以定制恢复计划并优化患者结果。标准化康复锻炼，包括平衡训练和阻力训练，可能会进一步促进恢复并减少长期功能障碍。
