Featured Research

from universities, journals, and other organizations

Walking skills program improves physical function following hip replacement surgery

Date:
December 19, 2011
Source:
Wiley-Blackwell
Summary:
Researchers in Norway report that patients who receive walking skills training following total hip arthroplasty for osteoarthritis show improved physical function. The physical therapy program displayed a positive effect on walking distance and stair climbing which continued 12 months following hip replacement surgery.

Researchers in Norway report that patients who receive walking skills training following total hip arthroplasty for osteoarthritis show improved physical function. The physical therapy program displayed a positive effect on walking distance and stair climbing which continued 12 months following hip replacement surgery. Results of the study appear in Arthritis Care & Research, a journal published by Wiley-Blackwell on behalf of the American College of Rheumatology (ACR).

Osteoarthritis (OA) is a joint disease where loss of cartilage in affected joints such as the knees, hips, fingers or spine causes pain and stiffness that can be disabling. In some cases, the only treatment option for OA is total replacement of the joint, known as arthroplasty. The World Health Organization (WHO) estimates that 10% of men and 18% of women 60 years of age and older suffer from OA. In the U.S., the National Hospital Discharge Survey reported that 230,000 Americans had hip replacement surgery in 2007.

Previous research reported pain relief, a return to daily functioning, and maintaining an active lifestyle to be high priorities for hip replacement patients. Yet despite improvements in pain and mobility following surgery, several studies have shown patients with hip replacements had more walking impairment compared to healthy peers, and displayed poorer hip flexibility and muscle strength in their affected hip. "Physical therapy, particularly exercises that increase strength and improve walking, is a major component of patient rehabilitation following hip arthroplasty," said Kristi Elisabeth Heiberg, a Ph.D. candidate at the University of Oslo in Norway and lead author of the current study.

To investigate the effects of a walking skills training program on walking, stair-climbing, balance, physical function, and pain, the research team recruited participants undergoing total hip arthroplasty at two hospitals in the Oslo area. Patients were enrolled consecutively from October 2008 through March 2010, with 68 patients randomized to either a training group (35) or in the control group (33). Participants had a mean age of 66 years, with 35 women and 33 men taking part in the study.

Participants in the training group engaged in 12 sessions that were led by a physical therapist twice a week. Each 70 minute session was solely performed in weight-bearing positions and included physical activities such as sitting to standing, walking over obstacles, walking with turns, and climbing stairs. The aim of the training program was to improve patients' flexibility, strength, coordination, balance, and walking endurance following surgery.

Results show those who took part in the walking program displayed significant improvement in physical performance measures and self-reported physical functioning at five months following surgery compared to the control group. Compared to baseline measures (3 months post surgery), 66% of subjects in the training group and 15% in the control group improved their walking distance to 164 feet (50 meters) or more by the fifth month following hip replacement surgery. At 12 months post surgery the training group showed greater improvement in walking distance and stair climbing abilities than the control. "The training program was well tolerated by patients and no complications were reports," concludes Ms. Heiberg. "Our findings suggest physical rehabilitation helps improve mobility and function in patients who received hip replacements."


Story Source:

The above story is based on materials provided by Wiley-Blackwell. Note: Materials may be edited for content and length.


Journal Reference:

  1. Kristi Elisabeth Heiberg, Vigdis Bruun-Olsen, Arne Ekeland, Anne Marit Mengshoel. Effect of a walking skill training programme in patients who have undergone total hip arthroplasty − with follow-up one year after surgery. Arthritis Care & Research, 2011; DOI: 10.1002/acr.20681

Cite This Page:

Wiley-Blackwell. "Walking skills program improves physical function following hip replacement surgery." ScienceDaily. ScienceDaily, 19 December 2011. <www.sciencedaily.com/releases/2011/12/111215095231.htm>.
Wiley-Blackwell. (2011, December 19). Walking skills program improves physical function following hip replacement surgery. ScienceDaily. Retrieved July 26, 2014 from www.sciencedaily.com/releases/2011/12/111215095231.htm
Wiley-Blackwell. "Walking skills program improves physical function following hip replacement surgery." ScienceDaily. www.sciencedaily.com/releases/2011/12/111215095231.htm (accessed July 26, 2014).

Share This




More Health & Medicine News

Saturday, July 26, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Beatings and Addiction: Pakistan Drug 'clinic' Tortures Patients

Beatings and Addiction: Pakistan Drug 'clinic' Tortures Patients

AFP (July 24, 2014) A so-called drugs rehab 'clinic' is closed down in Pakistan after police find scores of ‘patients’ chained up alleging serial abuse. Duration 03:05 Video provided by AFP
Powered by NewsLook.com
Too Few Teens Receiving HPV Vaccination, CDC Says

Too Few Teens Receiving HPV Vaccination, CDC Says

Newsy (July 24, 2014) The Centers for Disease Control and Prevention is blaming doctors for the low number of children being vaccinated for HPV. Video provided by Newsy
Powered by NewsLook.com
New Painkiller Designed To Discourage Abuse: Will It Work?

New Painkiller Designed To Discourage Abuse: Will It Work?

Newsy (July 24, 2014) The FDA approved Targiniq ER on Wednesday, a painkiller designed to keep users from abusing it. Like any new medication, however, it has doubters. Video provided by Newsy
Powered by NewsLook.com
Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Newsy (July 24, 2014) Sheik Umar Khan has treated many of the people infected in the Ebola outbreak, and now he's become one of them. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins