DOI QR코드

DOI QR Code

Effect of exercise using a Reformer on Balance and Gait after Total Hip Replacement-Preliminary study

  • Young-Ju Jeun (Dept. of Health Administration, Chosun College of Science & Technology)
  • Received : 2024.10.14
  • Accepted : 2024.11.06
  • Published : 2024.11.29

Abstract

The purpose of this study was to determine whether exercise using a reformer has a positive effect on balance and walking ability in patients undergoing total hip arthroplasty due to aging. In this study, 30 patients were randomly assigned to the experimental group and 15 patients to the control group using random tables. As an intervention method, the experimental group exercised with a reformer for 6 weeks and the control group did slide exercise. As measuring tools, the stand-up and walk test was used to measure balance ability, and the 10-meter walk test was used measure walking ability. Independent sample tests were conducted for each group analysis, and corresponding sample tests were conducted for in-group analysis. As a result of this study, there was a notable change in the balance in the group comparison of the experimental group(p<0.05). There were notable changes in gait in the experimental group and the control group(p<0.05). There was a statistically notable change in the balance and gait after intervention in the experimental group(p<0.05). These results suggest that the group applying the reformer has a positive effect on the balance and gait ability of patients undergoing total hip replacement.

본 연구의 목적은 노화로 인한 고관절 전치환술 받은 환자를 대상으로 리포머를 이용한 운동이 균형과 보행 능력에 긍정적인 영향을 주는지 알아보고자 한다. 본 연구는 병원에 입원 중인 환자를 30명을 난수표를 이용하여 무작위로 실험군 15명, 대조군 15명을 배정하였다. 중재 방법으로 실험군은 6주간 리포머를 이용한 운동을, 대조군은 슬라이드 운동을 하였다. 측정 도구는 균형은 일어나서 걸어가기 검사, 보행은 10미터 보행 검사를 하였다. 각 군 간 분석은 독립 표본 검정, 그룹 내 분석은 대응 표본 검정을 하였다. 본 연구 결과, 실험군의 군 내 비교에서 균형에서 긍정적인 변화가 나타났다(p<0.05). 보행은 실험군과 대조군에서 군 내 긍정적인 변화가 나타났다 (p<0.05). 군 간에서는 중재 후 균형과 보행에서 실험군에서 긍정적인 변화가 나타났다(p<0.05). 이러한 결과는 리포머를 적용한 고관절 전치환술 받은 환자의 균형과 보행 능력에 유의미한 변화가 생긴 것으로 긍정적인 영향을 미친 것으로 판단한다.

Keywords

References

  1. Korea Statistics, 2021.
  2. NwHur, CbChoi, WsUhm and ScBae, "Hur, N. W., Choi, C. B., Uhm, W. S., & Bae, S. C. (2008). The prevalence and trend of arthritis in Korea: results from Korea National Health and Nutrition Examination Surveys," The journal of the Korean rheumatism association, Vol. 15, No. 1, pp. 11-26, March 2008. DOI : 10.4078/jkra.2008.15.1.11
  3. American Academy of Orthopaedic Surgeons, 2009
  4. G. Lewinnek, J. Kelsey, A, White, and N. Kreiger, "The significance and a comparative analysis of the epidemiology of hip fractures," Clinical Orthopaedics and Related Research (1976-2007), Vol. 152, pp. 35-43. 1980.
  5. A. Wengler, U. Nimptsch. and T. Mansky,"Hip and knee replacement in Germany and the USA: analysis of individual inpatient data from German and US hospitals for the years 2005 to 2011", Deutsches Arzteblatt International, Vol 28, pp. 23-24, June 2014. DOI : 10.3238/arztebl.2014.0407
  6. LeBlanc, Kim Edward, Herbert L. Muncie Jr, and Leanne L. LeBlanc. "Hip fracture: diagnosis, treatment, and secondary prevention."American family physician 89.12 : 945-951.par (2014).
  7. JhHan, "Effectiveness of 8 Weeks of Application of Aqua Complexed Exercise on Lower Limbs Muscular Strength, Pain Relief and Balance after Total Knee Arthroplasty," Korea University. Master Thesis. 2010.
  8. P. Weerapong, P. Hume, and G. Kolt, "The mechanisms of massage and effects on performance, muscle recovery and injury prevention," Sports medicine, Vol. 35, pp. 235-256, September 2012. https://doi.org/10.2165/00007256-200535030-00004
  9. HkChung, KhKim and HsLee, "A Study on Emotional State of Preoperative Patients and Postoperative Pain (patients with abdominal surgery who received IV-PCA)". Journal of Korean Academy of Fundamentals of Nursing, Vol. 9, No. 2, pp. 288-299, 2002
  10. MKim, HLee, SLee, HKim, and MPark, "The Effects of Supporting Surfaces and Visual Existence on the Balance Ability when Exercising Squat," Korean Society of Integrative Medicine, Vol. 2, No. 3, pp. 63-78, June 2013. DOI : 10.15268/ksim.2018.6.2.077
  11. M. Roller, A. Kachingwe, J. Beling, D. Ickes, D. A. Cabot, and G Shrier, "Pilates Reformer exercises for fall risk reduction in older adults: A randomized controlled trial, Journal of bodywork and movement therapies, Vol. 22, No.4, pp. 983-998. October 2018. DOI : 10.1016/j.jbmt.2017.09.00
  12. SsShin, and YEun, "Shin, S. S., & Eun, Y. (2015). Relationships among pain, depression, health behavior, and activities of daily living in older adults after femur fracture surgery," Journal of muscle and joint health, Vol. 22, No. 1, pp. 1-22, April 2015.
  13. SyKim, and WsCho, "Effects of Gait Training Using a Robot for Balance in Total Hip Arthroplasty Patients after Bilateral Avascular Necrosis: A Case Study," The Korea Physical Therapy Association, Vol. 33, No. 5, pp. 231-237, October 2021. DOI : 10.18857/jkpt.2021.33.5.231
  14. JaLee, "Admission Factors Influencing Activities of Daily Living in Nursing Home Residents Admitted from Acute Care Hospitals," Journal of Korean Gerontological Nursing, Vol. 10, No.1, pp. 68-76. 2008.
  15. ShYang, "Effective Squat Posture to Improve Elderly's Quality of Life," Journal of Korea Entertainment Industry Association, Vol. 12, No. 8, pp. 161-168, December 2018. DOI : 10.21184/jkeia.2018.12.12.8.161
  16. SyKim, and WsCho, "Effects of Gait Training Using a Robot for Balance in Total Hip Arthroplasty Patients after Bilateral Avascular Necrosis: A Case Study,". The Korea Physical Therapy Association, Vol. 33, No.5, pp. 231-237. October 2021. DOI : 10.18857/jkpt.2021.33.5.231
  17. Wu, Jia-Qi, Lin-Bo Mao, and Jian Wu. "Efficacy of exercise for improving functional outcomes for patients undergoing total hip arthroplasty: A meta-analysis. "Medicine 98.10 .par (2019).
  18. V. Husby, J. Helgerud, S. Bjrgen, O. Husby, P. Benum, and J. Hoff, "Early maximal strength training is an efficient treatment for patients operated with total hip arthroplasty," Archives of Physical Medicine and Rehabilitation, Vol. 90, No. 10, pp. 1658-1667. October 2009. DOI : 10.21184/jkeia.2018.12.12.8.161
  19. A. Selseth, M. Dayton, M. Cordova, C. Ingersoll, and M. Merrick, "Quadriceps concentric EMG activity is greater than eccentric EMG activity during the lateral step-up exercise," Journal of Sport Rehabilitation, Vol. 9, No. 2, pp.124-134, 2000. DOI :10.1123/jsr.9.2.124
  20. ShKim, MhKim and HjKim, "Effects of Jump Rope and Squat Exercise on Power and Balance Ability," The Korean Entertainment Industry Association, Vol. 9, No. 2, pp. 125-131, June 2015.
  21. MwKim, HtLee, JhPark, JiSeo, BsHeo, and YjKim, "A Study on Impact of Squat Exercise on Foot Pressure with different loads," Jounal of Fisheries & Marine Sciences Education, Vol. 2, No. 4, pp. 891-897, June 2012.
  22. WlKim, JJang, SBKang, JhLee, and KsYoon, "Comparative Analysis of Primary Total Hip Arthroplasty (THA) Performed with Conventional or Single-incision, Minimally Invasive (MIS) Direct Lateral Approach," Hip And Pelvis, Vol. 20(, No. 3, pp.203-208. May 2008. DOI : 10.5371/jkhs.2008.20.3.203
  23. Y. Hu, D. Zou, Q. Sun, M. Jiang, H. Li, H, T. Tsai, and J. Zhang, "Postoperative Hip Center Position Associated With the Range of Internal Rotation and Extension During Gait in Hip Dysplasia Patients After Total Hip Arthroplasty. Frontiers in Bioengineering and Biotechnology, Vol.10, February 2022. DOI : 10.3389/fbioe.2022.831647
  24. M. Ewen, S, Stewart, A. Clair Gibson, N. Shankar, and C. Nick, A, "Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis," Gait & Posture, Vol. 36, No. 1, pp. 1-6, May 2012. DOI : 10.1016/j.gaitpost.2011.12.024
  25. S. Kolk, M. Minten, G van Bon, W. Rijnen, A. Geurts, N. Verdonschot, and V. Weerdesteyn, "Gait and gait-related activities of daily living after total hip arthroplasty: a systematic review," Clinical biomechanics, Vol. 29, No. 6, pp. 705-718. June 2014. DOI : /10.1016/j.clinbiomech.2014.05.008