대한물리치료과학회지 (Journal of Korean Physical Therapy Science)

  • 제30권1호
  • /
  • Pages.1-9
  • /
  • 2023
  • /
  • 2733-6441(pISSN)
  • /
  • 2733-645X(eISSN)
대한물리치료과학회 (Korean Physical Therapy Science)
권호 표지
DOI QR코드

DOI QR Code

발달성 엉덩관절 이형성증으로 인한 엉덩관절 전치환술 후 로봇치료가 환자의 기능에 미치는 영향: 사례연구

The effect of robotic therapy on patient function after total hip arthroplasty due to developmental dysplasia of the hip: a case study

  • 김소영 (남부대학교 일반대학원 물리치료학과) ;
  • 박치복 (남부대학교 물리치료학과) ;
  • 김병근 (남부대학교 물리치료학과)
  • So Yeong Kim (Dept. of Physical Therapy, Graduate School of Nambu University) ;
  • Chi Bok Park (Dept. of Physical Therapy, Nambu University) ;
  • Byeong Geun Kim (Dept. of Physical Therapy, Nambu University)
  • 투고 : 2022.08.03
  • 심사 : 2022.09.30
  • 발행 : 2023.03.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: The advantages of robotic therapy have recently been attempted several times in the rehabilitation of total hip arthroplasty (THA) patients. Therefore, this study also aims to report a case of how robot therapy affects the function of THA patients due to developmental dysplasia of the hip (DDH). Design: Case Study. Method: This study used the A-B-A' design. Period A is before robotic therapy, period B is robotic therapy, and period A' is after robotic therapy. The subjects performed physical therapy and occupational therapy for five days each during the baseline period A and A'. In intervention period B, robotic therapy was performed for five days along with the baseline intervention. This study was conducted for a total of fifteen days. The subjects' sit to stand (STS), timed up and go (TUG), and 10 metre walk (10MW) were evaluated. Result:: STS and TUG were significantly improved in periods B and A' compared to period A (p<0.05), and STS was significantly improved in period A' compared to period B (p<0.05). 10MW showed no significant improvement in periods B and A' compared to period A. Conclusions: This study confirmed that robot therapy was an effective intervention in improving the function of women in their 30s who underwent THA due to DDH. In the future, a study comparing the control group should be performed.

키워드

참고문헌

  1. 전민호, 이진화. 뇌질환 환자의 로봇 재활치료. 대한의사협회지. 2013;56(1):23-29. 
  2. 최용길, 이상열. (2021). 클램운동 시 허리불안정성 유무가 골반 돌림 및 엉덩관절 벌림근 근활성도에 미치는 영향. 대한물리치료과학회지, 2021;28(1):23-32. 
  3. Calabro RS, Sorrentino G, Cassio A, et al. Robotic-assisted gait rehabilitation following stroke: a systematic review of current guidelines and practical clinical recommendations. Eur J Phys Rehabil Med. 2021;57(3):460-71.  https://doi.org/10.23736/S1973-9087.21.06887-8
  4. Duarte M, Fukuchi CA, Fukuchi RK,. Effects of walking speed on gait biomechanics in healthy participants: a systematic review and meta-analysis. Syst Rev. 2019;8(1):153. 
  5. Gill SD, de Morton NA, Burney HM. An investigation of the validity of six measures of physical function in people awaiting joint replacement surgery of the hip or knee. Clin Rehabil. 2012;26(10):945-51.  https://doi.org/10.1177/0269215511434993
  6. Gonzalez A, Garcia L, Kilby J, et al. Robotic devices for paediatric rehabilitation: a review of design features. Biomed Eng Online 2021;20(1):89. 
  7. Hesse S, Werner C, Seibel H, et al. Treadmill training with partial body-weight support after total hip arthroplasty: a randomized controlled trial. Arch Phys Med Rehabil. 2003;84(12):1767-73.  https://doi.org/10.1016/S0003-9993(03)00434-9
  8. Hollman JH, Beckman BA, Brandt RA, et al. Minimum detectable change in gait velocity during acute rehabilitation following hip fracture. J Geriatr Phys Ther. 2008;31(2):53-6.  https://doi.org/10.1519/00139143-200831020-00003
  9. Holm B, Thorborg K, Husted H, et al. Surgery-induced changes and early recovery of hip-muscle strength, leg-press power, and functional performance after fast-track total hip arthroplasty: a prospective cohort study. PLoS One. 2013;8(4):e62109. 
  10. Kalron A, Tawil H, Peleg-Shani S, et al. Effect of telerehabilitation on mobility in people after hip surgery: a pilot feasibility study. International journal of rehabilitation research. Int J Rehabil Res. 2018;41(3):244-50.  https://doi.org/10.1097/MRR.0000000000000296
  11. Kim SY, Kim BG, Cho WS, et al. Effects of gait training using a robot for balance in total hip arthroplasty patients after bilateral avascular necrosis: a case study. J Kor Phys Ther. 2021;33(5):231-7.  https://doi.org/10.18857/jkpt.2021.33.5.231
  12. Koseki K, Mutsuzaki H, Yoshikawa K, et al. Gait training using the honda walking assistive device® in a patient who underwent total hip arthroplasty: a single-subject study. Medicina (Kaunas). 2019;55(3):69. 
  13. Kotlarsky P, Haber R, Bialik V, et al. Developmental dysplasia of the hip: what has changed in the last 20 years? World J Orthop. 2015;6(11):886-901.  https://doi.org/10.5312/wjo.v6.i11.886
  14. Lai KA, Lin CJ, Su FC. Gait analysis of adult patients with complete congenital dislocation of the hip. J Formos Med Assoc. 1997;96(9):740-4. 
  15. Marchisio AE, Ribeiro TA, Umpierres CSA, et al. Accelerated rehabilitation versus conventional rehabilitation in total hip arthroplasty (ARTHA): a randomized double blinded clinical trial. Rev Col Bras Cir. 2020;47:e20202548. 
  16. Masaracchio M, Hanney WJ, Liu X, et al. Timing of rehabilitation on length of stay and cost in patients with hip or knee joint arthroplasty: A systematic review with meta-analysis. PLos One. 2017;12(6):e0178295. 
  17. Matheis C, Stoggl T. Strength and mobilization training within the first week following total hip arthroplasty. J Bodyw Mov Ther. 2018;22(5):519-27.  https://doi.org/10.1016/j.jbmt.2017.06.012
  18. Mekki M, Delgado AD, Fry A, et al. Robotic Rehabilitation and Spinal Cord Injury: a Narrative Review. Neurotherapeutics. 2018;15(3):604-17.  https://doi.org/10.1007/s13311-018-0642-3
  19. Mikkelsen LR, Mechlenburg I, Soballe K, et al. Effect of early supervised progressive resistance training compared to unsupervised home-based exercise after fast-track total hip replacement applied to patients with preoperative functional limitations. A single-blinded randomised controlled trial. Osteoarthritis Cartilage. 2014;22(12):2051-58.  https://doi.org/10.1016/j.joca.2014.09.025
  20. Min KH, Beom JW, Kim BR, et al. Clinical practice guideline for postoperative rehabilitation in older patients with hip fractures. Ann Rehabil Med. 2021;45(3):225-59.  https://doi.org/10.5535/arm.21110
  21. Okoro T, Ramavath A, Howarth J, et al. What does standard rehabilitation practice after total hip replacement in the UK entail? results of a mixed methods study. BMC Musculoskelet Disord. 2013;14:91. 
  22. Piscitelli P, Iolascon G, Di Tanna G, et al. Socioeconomic burden of total joint arthroplasty for symptomatic hip and knee osteoarthritis in the Italian population: a 5-year analysis based on hospitalization records. Arthritis Care Res (Hoboken). 2012;64(9):1320-27.  https://doi.org/10.1002/acr.21706
  23. Reardon K, Galea M, Dennett X, et al. Quadriceps muscle wasting persists 5 months after total hip arthroplasty for osteoarthritis of the hip: a pilot study. Intern Med J. 2001;31(1):7-14.  https://doi.org/10.1046/j.1445-5994.2001.00007.x
  24. Rohner E, Mayfarth A, Sternitzke C, et al. Mobile Robot-Based Gait Training after Total Hip Arthroplasty (THA)Improves Walking in Biomechanical Gait Analysis. J Clin Med. 2021;10(11):2416. 
  25. Roos EM. Effectiveness and practice variation of rehabilitation after joint replacement. Curr Opin Rheumatol. 2003;15(2):160-2.  https://doi.org/10.1097/00002281-200303000-00014
  26. Schmitz MR, Murtha AS, Clohisy JC, et al. Developmental Dysplasia of the Hip in Adolescents and Young Adults. J Am Acad Orthop Surg. 2020;28(3):91-101.  https://doi.org/10.5435/JAAOS-D-18-00533
  27. Tanabe J, Amimoto K, Sakai K, et al. Effects of kinesthetic illusion induced by visual stimulation on the ankle joint for sit-to-stand in a hemiparesis stroke patient: ABA' single-case design. J Phys Ther Sci 2022;34(1):65-70.  https://doi.org/10.1589/jpts.34.65
  28. Thomas SR. A review of long-term outcomes for late presenting developmental hip dysplasia. Bone Joint J. 2015;97-B(6):729-33.  https://doi.org/10.1302/0301-620X.97B6.35395
  29. Tsukagoshi R, Tateuchi H, Fukumoto Y, et al. Functional performance of female patients more than 6 months after total hip arthroplasty shows greater improvement with weight-bearing exercise than with non-weight-bearing exercise. Randomized controlled trial. Eur J Phys Rehabil Med. 2014;50(6):665-75. 
  30. Wang Y. Current concepts in developmental dysplasia of the hip and total hip arthroplasty. Arthroplasty 2019;1(1):2.
  31. Warenczak A, Lisinski P. Does total hip replacement impact on postural stability? BMC Musculoskelet Disord. 2019;20(1):229. 
  32. Wedge JH, Wasylenko MJ. The natural history of congenital dislocation of the hip: a critical review. Clin Orthop Relat Res. 1978;137:154-162.  https://doi.org/10.1097/00003086-197811000-00024
  33. Wedge JH, Wasylenko MJ. The natural history of congenital disease of the hip. J Bone Joint Surg Br. 1979;61-B(3):334-8.  https://doi.org/10.1302/0301-620X.61B3.158025
  34. Winther SB, Foss OA, Klaksvik J, et al. Increased muscle strength limits postural sway during daily living activities in total hip arthroplasty patients. Am J Phys Med Rehabil. 2020;99(7):608-12.  https://doi.org/10.1097/PHM.0000000000001382
  35. Yang S, Zusman N, Lieberman E, et al. Developmental dysplasia of the hip. Pediatrics. 2019;143(1):e20181147. 
  36. Yuksel E, Unver B, Kalkan S, et al. Reliability and minimal detectable change of the 2-minute walk test and timed up and go test in patients with total hip arthroplasty. Hip Int. 2021;31(1):43-9.  https://doi.org/10.1177/1120700019888614