Objective: To evaluate the influence of an interval training program for the u..." />Objective: To evaluate the influence of an interval training program for the u...">
Content » Vol 35, Issue 4

RECOVERY AFTER TOTAL HIP JOINT ARTHROPLASTY IN ELDERLY PATIENTS WITH OSTEOARTHRITIS: POSITIVE EFFECT OF UPPER LIMB INTERVAL-TRAINING

Jérôme Maire, Benoit Dugué, Anne-Françoise Faillenet-Maire, Nicolas Tordi, Bernard Parratte, Juhani Smolander, Jean-Denis Rouillon
A1 Laboratoire des Sciences du Sport UFRSTAPS Besançon France
A2 ORTON Orthopaedic Hospital Foundation for Invalids Helsinki Finland
A3 Minerva Institute for Medical Research Biomedicum Helsinki Finland
A4 Centre de Réadaptation Fonctionnelle Service de Rééducation Gériatrique Quingey France
A5 Service d'Exploration Fonctionnelle Neuro-Musculaire Centre Hospitalier Universitaire Besançon France

DOI: 10.1080/16501970306127

Abstract

Objective: To evaluate the influence of an interval training program for the upper limbs on cardiorespiratory fitness and walking ability in elderly patients after total hip joint arthroplasty. Design: A randomized controlled trial. After surgery, control and training groups started general rehabilitation. Training group combined it with an arm-interval exercise program (3 sessions of 30 minutes per week, for 6 weeks). Subjects: Patients were assigned randomly to control (n = 7) and training groups (n = 7). Methods: Incremental exercise tests were carried out until exhaustion on an arm crank ergometer 1 month before and 2 months after surgery. A 6-minute walk test was also performed 2 months after surgery. Results: <$>dot{V}O_{2}<$> peak increased significantly in the training group (p = 0.0424) and did not change in the control group. The difference in <$>dot{V}O_{2}<$> peak change between the groups was significant (p = 0.0362, +19.2% in the training group and -3.5% in the control group). In the walking test the training group covered a significantly longer distance than did the control group (p = 0.0055, 396.4 metres and 268.1 metres, respectively). Conclusion: These results stress the importance of physical training in a rehabilitation program after total hip joint arthroplasty and this should be considered for improving the current practices in rehabilitation.

Lay Abstract

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