Browse > Article
http://dx.doi.org/10.18857/jkpt.2022.34.3.104

Effects of Squat Exercise according to Weight Support on Balance and Gait in Patients after Total Hip Replacement: a Pilot Study  

Kim, So Yeong (Department of Physical Therapy, Nambu University)
Cho, Woon Su (Department of Physical Therapy, Nambu University)
Kim, Byeong Geun (Department of Physical Therapy, Nambu University)
Publication Information
The Journal of Korean Physical Therapy / v.34, no.3, 2022 , pp. 104-109 More about this Journal
Abstract
Purpose: The purpose of this pilot study is to identify the problems and stability of a study to investigate "Effects of Squat Exercise according to Weight Support on Balance and Gait in Patients after Total Hip Replacement." before proceeding with the study. Methods: Twenty-two rehabilitation patients after THR surgery who met the selection criteria participated. The study subjects were randomly assigned to a squat group using a slider or a squat group using a reformer. The interventions were applied for two weeks. The patients were assessed using Berg balance scale (BBS), Timed up and go test (TUG), and 10-meter walking test (10MW). Results: Although twenty-two study subjects participated in this study, eight study subjects participated dropouts occurred during the study period. There was a significant difference within the group in BBS and TUG in two groups (p<0.05). The difference between the two groups was not significant in all outcome measures (p>0.05). The largest effect size was 1.21 and the smallest effect size was 0.39, all from the BBS. Conclusion: This pilot study suggest that it is feasible with minor adjustment to conduct a larger scale, powered RCT to examine the efficacy of squat exercise according to weight support with patients after THR.
Keywords
Total hip replacement; Rehabilitation; Squat; Pilot study;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Hurkmans HL, Bussmann JB, Selles RW et al. The difference between actual and prescribed weight bearing of total hip patients with a trochanteric osteotomy: long-term vertical force measurements inside and outside the hospital. Arch Phys Med Rehabil. 2007;88(2):200-6.   DOI
2 Johansen A, Grose C, Havelock W. Hip fractures in the winter-using the national hip fracture database to examine seasonal variation in incidence and mortality. Injury. 2020;51(4):1011-4.   DOI
3 Stevinson C, Ernst E. A pilot study of Hypericum perforatum for the treatment of premenstrual syndrome. Br J Obstet Gynaecol. 2000;107(7):870-6.   DOI
4 Tsang HF, Chan LWC, Cho WCS et al. An update on COVID-19 pandemic: the epidemiology, pathogenesis, prevention and treatment strategies. Expert Rev Anti Infect Ther. 2021;19(7):877-88.   DOI
5 Lee SY, Jung SH, Lee SU et al. Effect of balance training after hip fracture surgery: a systematic review and meta-analysis of randomized controlled studies. J Gerontol A Biol Sci Med Sci. 2019;74(10):1679-85.   DOI
6 Hagino H, Furukawa K, Fujiwara S et al. Recent trends in the incidence and lifetime risk of hip fracture in Tottori, Japan. Osteoporos Int. 2009;20(4):543-8.   DOI
7 Schenkman M, Berger RA, Riley PO et al. Whole-body movements during rising to standing from sitting. Phys Ther. 1990;70:638-48.   DOI
8 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.   DOI
9 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.
10 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.   DOI
11 Harada S, Hamai S, Gondo H et al. Squatting after total hip arthroplasty: patient-reported outcomes and in vivo three-dimensional kinematic study. J Arthroplasty. 2022;37(4):734-41.   DOI
12 Kamel HK, Iqbal MA, Mogallapu R et al. Time to ambulation after hip fracture surgery: relation to hospitalization outcomes. J Gerontol A Bio Sci Med Sci. 2003;58(11):1042-5.
13 Siebens HC, Sharkey P, Aronow HU et al. Outcomes and weight-bearing status during rehabilitation after arthroplasty for hip fractures. PM&R. 2012;4(8):548-55.   DOI
14 Hesse S, Werner C, Seibel H et al. Treadmill training with partial bodyweight support after total hip arthroplasty: a randomized controlled trial. Arch Phys Med Rehabil. 2003;84(12):1767-73.   DOI
15 Hsiao PC, Chen TJ, Li CY et al. Risk factors and incidence of repeat osteoporotic fractures among the elderly in Taiwan: a population-based cohort study. Medicine. 2015;94(7):e532.   DOI
16 Chie WC, Yang RS, Liu JP et al. High incidence rate of hip fracture in Taiwan: estimated from a nationwide health insurance database. Osteoporos Int. 2004;15(12):998-1002.   DOI
17 Van der Velde RY, Wyers CE, Curtis EM et al. Secular trends in fracture incidence in the UK between 1990 and 2012. Osteoporos Int. 2016;27(11):3197-206.   DOI
18 Nguyen ND, Ahlborg HG, Center JR et al. Residual lifetime risk of fractures in women and men. J Bone Miner Res. 2007;22(6):781-8.   DOI
19 LeBlanc KE, Muncie Jr HL, LeBlanc LL. Hip fracture: diagnosis, treatment, and secondary prevention. Am Fam Physician. 2014;89(12):945-51.
20 Yoo JI, Kim HH, Ha YC et al. Osteosarcopenia in patients with hip fracture is related with high mortality. J Korean Med Sci. 2018;33(4):e27.   DOI
21 Kuru T, Olcar HA. Effects of early mobilization and weight bearing on postoperative walking ability and pain in geriatric patients operated due to hip fracture: a retrospective analysis. Turk J Med Sci. 2020;50(1):117-25.
22 Adunsky A, Arad M, Levi R et al. Five-year experience with the 'Sheba' model of comprehensive orthogeriatric care for elderly hip fracture patients. Disabil Rehabil. 2005;27(18-19):1123-7.   DOI
23 Lee SY, Yoon BH, Beom J et al. Effect of lower-limb progressive resistance exercise after hip fracture surgery: a systematic review and meta-analysis of randomized controlled studies. J Am Med Dir Assoc. 2017;18(12):1096-e19-26.   DOI
24 Johanson GA, Brooks GP. Initial scale development: sample size for pilot studies. Educ Psychol Meas. 2010;70(3):394-400.   DOI
25 Browne RH. On the use of a pilot sample for sample size determination. Stat Med. 1995;14(17):1933-40.   DOI
26 Monaghan B, Cunningham P, Harrington P et al. Randomised controlled trial to evaluate a physiotherapy-led functional exercise programme after total hip replacement. Physiotherapy. 2017;103(3):283-8.   DOI
27 Trudelle-Jackson E, Smith SS. Effects of a late-phase exercise program after total hip arthroplasty: a randomized controlled trial. Arch Phys Med Rehabil. 2004;85(7):1056-62.   DOI
28 Komiyama K, Hamai S, Hara D et al. Dynamic hip kinematics during squatting before and after total hip arthroplasty. J Orthop Surg Res. 2018;13(1):162.   DOI
29 Thabane L, Ma J, Chu R et al. A tutorial on pilot studies: the what, why and how. BMC Med Res Methodol. 2010;10:1.   DOI
30 In J. Introduction of a pilot study. Korean J Anesthesiol. 2017;70(6):601-5.   DOI
31 Ross-McGill H, Hewison J, Hirst J et al. Antenatal home blood pressure monitoring: a pilot randomized controlled trial. Br J Obstet Gynaecol. 2000;107(2):217-21.   DOI
32 Turcot K, Armand S, Fritschy D et al. Sit-to-stand alterations in advanced knee osteoarthritis. Gait Posture. 2012;36:68-72.   DOI
33 Winther SB, Foss OA, Husby OS et al. A randomized controlled trial on maximal strength training in 60 patients undergoing total hip arthroplasty. Acta Orthopaedica. 2018;89(3):295-301.   DOI
34 Bernasek TL, Thatimatla NK, Levering M et al. Effect of immediate full weight bearing on abductor repair and clinical function after THA through a modified Hardinge approach. Orthopedics. 2013;36(3):e266-70.