dc.contributor.author | Winther, Siri Bjørgen | |
dc.contributor.author | Foss, Olav A. | |
dc.contributor.author | Husby, Otto Schnell | |
dc.contributor.author | Wik, Tina Strømdal | |
dc.contributor.author | Klaksvik, Jomar | |
dc.contributor.author | Schnell Husby, Vigdis | |
dc.date.accessioned | 2019-03-18T15:41:13Z | |
dc.date.available | 2019-03-18T15:41:13Z | |
dc.date.created | 2018-07-09T13:13:12Z | |
dc.date.issued | 2018 | |
dc.identifier.citation | Acta Orthopaedica. 2018, 89 (3), 295-301. | nb_NO |
dc.identifier.issn | 1745-3674 | |
dc.identifier.uri | http://hdl.handle.net/11250/2590534 | |
dc.description.abstract | Background and purpose — Total hip arthroplasty (THA) patients have reduced muscle strength after rehabilitation. In a previous efficacy trial, 4 weeks’ early supervised maximal strength training (MST) increased muscle strength in unilateral THA patients <65 years. We have now evaluated muscle strength in an MST and in a conventional physiotherapy (CP) group after rehabilitation in regular clinical practice.
Patients and methods — 60 primary THA patients were randomized to MST or CP between August 2015 and February 2016. The MST group trained at 85–90% of their maximal capacity in leg press and abduction of the operated leg (4 × 5 repetitions), 3 times a week at a municipal physiotherapy institute up to 3 months postoperatively. The CP group followed a training program designed by their respective physiotherapist, mainly exercises performed with low or no external loads. Patients were tested pre- 3, 6, and 12 months postoperatively. Primary outcomes were abduction and leg press strength at 3 months. Other parameters evaluated were pain, 6-min walk test, Harris Hip Score (HHS) and Hip disability and Osteoarthritis Outcome Score (HOOS) Physical Function Short-form score.
Results — 27 patients in each group completed the intervention. MST patients were substantially stronger in leg press and abduction than CP patients 3 (43 kg and 3 kg respectively) and 6 months (30 kg and 3 kg respectively) postoperatively (p ≤ 0.002). 1 year postoperatively, no intergroup differences were found. No other statistically significant intergroup differences were found.
Interpretation — MST increases muscle strength more than CP in THA patients up to 6 months postoperatively, after 3 months’ rehabilitation in clinical practice. It was well tolerated by the THA patients and seems feasible to conduct within regular clinical practice. | nb_NO |
dc.language.iso | eng | nb_NO |
dc.publisher | Informa Healthcare | nb_NO |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.subject | Randomiserte kontrollerte studier | nb_NO |
dc.subject | Randomized controlled studies | nb_NO |
dc.title | A randomized controlled trial on maximal strength training in 60 patients undergoing total hip arthroplasty: Implementing maximal strength training into clinical practice | nb_NO |
dc.type | Journal article | nb_NO |
dc.type | Peer reviewed | nb_NO |
dc.description.version | publishedVersion | nb_NO |
dc.subject.nsi | VDP::Fysikalsk medisin og rehabilitering: 764 | nb_NO |
dc.subject.nsi | VDP::Physical medicine and rehabilitation: 764 | nb_NO |
dc.source.pagenumber | 295-301 | nb_NO |
dc.source.volume | 89 | nb_NO |
dc.source.journal | Acta Orthopaedica | nb_NO |
dc.source.issue | 3 | nb_NO |
dc.identifier.doi | 10.1080/17453674.2018.1441362 | |
dc.identifier.cristin | 1596370 | |
dc.description.localcode | © 2018 The Author(s). Published by Taylor & Francis on behalf of the Nordic Orthopedic Federation. This is an Open Access artic le distributed under the terms of the Creative Commons Attribution-Non-Commercial License (https://creativecommons.org/licenses/by/4.0) | nb_NO |
cristin.unitcode | 194,65,30,0 | |
cristin.unitcode | 194,65,35,0 | |
cristin.unitname | Institutt for nevromedisin og bevegelsesvitenskap | |
cristin.unitname | Institutt for psykisk helse | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |