Augmented Rehabilitation Program for Patients 60 Years and Younger Following Total Hip Arthroplasty—Feasibility Study
Abstract
:1. Introduction
2. Methods
2.1. Study Design and Patients
2.2. Augmented Rehabilitation Program
2.3. Usual Post-Operative Care
2.4. Outcomes Measures
2.5. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Intervention (n = 14) | Control (n = 10) | p Value | |
---|---|---|---|
Demographics | |||
Age (years), mean ± SD | 51.9 ± 4.1 | 54.5 ± 5.2 | 0.184 |
Female, n (%) | 5 (35) | 3 (30) | 0.836 |
Employment Status, n (%) | |||
Employed | 10 (71%) | 6 (60) | 0.752 |
Unemployed | 1 (7%) | 0 (0) | 0.398 |
Disability | 2 (14%) | 1 (10) | 0.822 |
Retired | 1 (7%) | 3 (30) | 0.229 |
Marital Status, n (%) | |||
Married/ common-law | 12 (86) | 9 (90) | 0.999 |
Single/widowed/divorced | 2 (14) | 1 (10) | 0.822 |
Education (years of school), mean ± SD | 14 ± 2.3 | 14.1 ± 2.5 | 0.920 |
Living Status, living with, n (%) | |||
Alone | 1 (7) | 0 | 0.398 |
Spouse and/or others | 13 (93) | 10 (100) | 0.999 |
Medical | |||
BMI (kg/m2) mean ± SD | 27 ± 4.1 | 31.2 ± 5 | 0.034 |
Number of co-morbidity/person, median (25%ile, 75%ile) | 2 (1, 2) | 4 (3, 5) | 0.010 |
3 Most Prevalent Comorbidities | |||
Chronic Pain, n (%) | 8 (57) | 6 (60) | 0.999 |
Mental Health Problem, n (%) | 4 (29) | 5 (50) | 0.421 |
High Blood Pressure, n (%) | 4 (29) | 3 (30) | 0.999 |
Ambulation Status, n (%) | |||
Distance walk <1 block | 1 (7) | 0 (0) | 0.398 |
Distance walk 1–5 blocks | 4 (29) | 6 (60) | 0.263 |
Distance walk 6–10 blocks | 4 (29) | 1 (10) | 0.376 |
Distance walk unlimited | 5 (36) | 3 (30) | 0.836 |
Surgical characteristics | |||
Type of Arthroplasty, n (%) | |||
Non-cemented | 11 (79%) | 8 (80) | 0.999 |
Hybrid | 2 (14%) | 2 (20) | 0.999 |
Cemented | 1 (7%) | 0 (0) | 0.398 |
Surgical Approach, n (%) | |||
Antero-lateral hip | 2 (14) | 1 (10) | 0.822 |
Posterior-lateral hip | 9 (65) | 4 (40) | 0.448 |
Unknown | 3 (21) | 5 (50) | 0.261 |
Intervention (n = 14) Mean ± SD | Control (n = 10) Mean ± SD | |||||
---|---|---|---|---|---|---|
Physical activity Measures | Baseline | Follow-up | p-value | Baseline | Follow-up | p-value |
Waking wearing time (Hrs/day) | 14.9± 1.5 | 14.7± 1.4 | 0.658 | 15.6 ± 1.4 | 15.3 ± 1.2 | 0.782 |
Sleeping time (Hrs/day) | 5.8 ± 1.9 | 4.7 ± 1.1 | 0.058 | 6.0 ± 1.0 | 5.2 ± 1.0 | 0.050 |
Step (counts/day) | 4156 ± 2460 | 6596 ± 3325 | 0.005 | 5282 ± 2720 | 5855 ± 2031 | 0.439 |
Stationary time (Hrs/day) | 10.8 ± 2.1 | 10.1 ± 2.1 | 0.120 | 10.5 ± 2.3 | 10.5 ± 1.8 | 0.906 |
Mild Activity (Hrs/day) | 2.9 ± 1.2 | 3.1 ± 0.9 | 0.496 | 3.6 ± 1 | 3.6 ± 1.4 | 0.889 |
MVPA (Hrs/day) | 1.1 ± 1 | 1.6 ± 1.4 | 0.085 | 1.5 ± 1.1 | 1.3 ± 0.7 | 0.463 |
Weekly Number of bouts ≥10 min at MVPA | 14.8 ± 14.6 | 21.0 ± 29.2 | 0.286 | 20.4 ± 16.5 | 11.3 ± 8.6 | 0.110 |
Duration of MVPA bout | 13.0 ± 4.1 | 16.9 ± 13.4 | 0.402 | 15.1 ± 3.9 | 18.4 ± 10.6 | 0.100 |
DEE (kcal/day) | 2184 ± 470 | 2227 ± 446 | 0.531 | 2686 ± 768 | 2546 ± 714 | 0.316 |
All PAEE > 3 METs (kcal/day) | 322 ± 252 | 445 ± 261 | 0.073 | 557 ± 474 | 477 ± 285 | 0.506 |
Intervention (n = 14) Mean ± SD | Control (n = 10) Mean ± SD | p-Value for Group Effect * | |||||||
---|---|---|---|---|---|---|---|---|---|
HOOS Scores | Baseline | Follow-Up | p-Value | Baseline | Follow-Up | p-Value | Baseline | Follow-Up | Mean Change |
Pain | 74.2 ± 20.2 | 91.7 ± 8.6 | 0.005 | 80.6 ± 18 | 83.6 ± 14.5 | 0.387 | 0.436 | 0.141 | 0.029 |
Symptom | 63.9 ± 14.3 | 82.9 ± 9.7 | <0.001 | 78.5 ± 18.4 | 84.5 ± 10.9 | 0.250 | 0.040 | 0.305 | 0.037 |
ADL | 73.1 ± 16.3 | 89.1 ± 7.7 | 0.003 | 74.3 ± 18.5 | 83.1 ± 13.1 | 0.022 | 0.873 | 0.172 | 0.207 |
Sport | 42.0 ± 26.1 | 79.9 ± 16.7 | <0.001 | 43.8 ± 29.2 | 57.5 ± 26.0 | 0.312 | 0.876 | 0.017 | 0.117 |
Hip QoL | 42.9 ± 19.0 | 63.4 ± 17.7 | 0.007 | 53.8 ± 22.5 | 61.3 ± 18.6 | 0.161 | 0.212 | 0.777 | 0.122 |
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Negm, A.M.; Yavarai, M.; Jhangri, G.S.; Haennel, R.; Jones, C.A. Augmented Rehabilitation Program for Patients 60 Years and Younger Following Total Hip Arthroplasty—Feasibility Study. Healthcare 2022, 10, 1274. https://doi.org/10.3390/healthcare10071274
Negm AM, Yavarai M, Jhangri GS, Haennel R, Jones CA. Augmented Rehabilitation Program for Patients 60 Years and Younger Following Total Hip Arthroplasty—Feasibility Study. Healthcare. 2022; 10(7):1274. https://doi.org/10.3390/healthcare10071274
Chicago/Turabian StyleNegm, Ahmed M., Milad Yavarai, Gian S. Jhangri, Robert Haennel, and C. Allyson Jones. 2022. "Augmented Rehabilitation Program for Patients 60 Years and Younger Following Total Hip Arthroplasty—Feasibility Study" Healthcare 10, no. 7: 1274. https://doi.org/10.3390/healthcare10071274