Application effect of preoperative muscle strength training combined with postoperative BIODEX balance training in treatment of patients with total hip arthroplasty

ZHANG Zhanlei; CHEN Guo; YONG Fujuan; ZHANG Shangshang; BI Mengna; WANG Yichen; MA Zou

doi:10.7619/jcmp.20233508

Journal of Clinical Medicine in Practice > 2024 > 28(2): 84-87. > DOI: 10.7619/jcmp.20233508

ZHANG Zhanlei, CHEN Guo, YONG Fujuan, ZHANG Shangshang, BI Mengna, WANG Yichen, MA Zou. Application effect of preoperative muscle strength training combined with postoperative BIODEX balance training in treatment of patients with total hip arthroplasty[J]. Journal of Clinical Medicine in Practice, 2024, 28(2): 84-87. DOI: 10.7619/jcmp.20233508

Citation:

PDF (635 KB)

Application effect of preoperative muscle strength training combined with postoperative BIODEX balance training in treatment of patients with total hip arthroplasty

Department of Geriatric Orthopedics, Sichuan Provincial Orthopedic Hospital, Chengdu, Sichuan, 610000

More Information

Received Date: November 02, 2023
Revised Date: January 03, 2024
Available Online: January 25, 2024

Graphical Abstract

Abstract

Abstract

Objective
To observe the effect of preoperative muscle strength training combined with postoperative BIODEX balance function training in improving the motor function of patients with total hip arthroplasty (THA).
Methods
A total of 110 patients with THA from January 2021 to December 2022 were selected as research objects, and were divided into observation group and control group by the simple randomization method, with 55 cases in each group. The control group received conventional postoperative rehabilitation training, while the observation group was treated with muscle strength training and BIODEX balance function training. Imaging indicators (acetabular abduction angle, anterior inclination angle, proportion of acetabular cup in safe zone, and centering rate of femoral prosthesis) at 5 days after surgery were compared between two groups; the joint motor function (Harris score for hip joint), balance ability [Berg Balance Scale (BBS)] and daily activity ability [Activities of Daily Life Scale (ADL)] before treatment and one month after treatment were compared between the two groups.
Results
There were no significant differences in acetabular abduction angle, anterior inclination angle, proportion of acetabular cup in safe zone and centering rate of femoral prosthesis between the two groups at 5 days after surgery (P>0.05); after one month of treatment, the Harris score for hip joint, the BBS score and ADL score in both group increased significantly, and the scores in the observation group were significantly higher than those in the control group (P < 0.05).
Conclusion
Preoperative muscle strength training combined with postoperative BIODEX balance function training shows a significant therapeutic effect, which can effectively improve the hip motor function and enhance the balance control ability in patients with THA.
- muscle strength training,
- BIODEX balance training,
- total hip arthroplasty,
- balance ability,
- femoral prosthesis

FullText(HTML)

References (20)

References

[1]	陆纯德. 全髋关节置换治疗髋部复杂性骨折切开复位内固定术后并发创伤性骨性融合疗效研究[J]. 陕西医学杂志, 2019, 48(10): 1333-1335, 1359. doi: 10.3969/j.issn.1000-7377.2019.10.024
[2]	朱永良, 陈东阳. 微创直接前方入路全髋关节置换术治疗老年股骨颈骨折的效果及对患者早期骨代谢的影响[J]. 实用临床医药杂志, 2023, 27(6): 55-59. doi: 10.7619/jcmp.20223697
[3]	AKINCI O, TURGUT A. Long-term results of total hip arthroplasty with step-cut osteotomy in crowe type Ⅳ dysplastic hips[J]. Indian J Orthop, 2021, 56(4): 672-679.
[4]	HAMMAMI N, JDIDI H, KHEZAMI M A, et al. Isokinetic strengthening and neuromuscular electrical stimulation protocol impact on physical performances, functional status and quality of life in knee osteoarthritis overweight/obese women[J]. Knee, 2022, 39: 106-115. doi: 10.1016/j.knee.2022.09.004
[5]	李蕊, 侯雪婷. Biodex平衡训练系统对脑梗死偏瘫患者动静态平衡和跌倒风险的影响[J]. 临床医学研究与实践, 2021, 6(34): 155-157.
[6]	陈永杰, 谭伦, 张红庆, 等. 直接前入路与经典后外侧入路行全髋关节置换术后的假体位置和临床疗效的比较[J]. 广西医学, 2021, 43(5): 556-560.
[7]	涂刚成, 毛华晋, 汪盛玉, 等. 骨水泥强化股骨近端防旋髓内钉内固定治疗股骨转子间骨折对髋关节功能恢复的影响[J]. 中国临床医生杂志, 2022, 50(3): 344-347.
[8]	刘晓霞, 刘晓洁, 单宝玉, 等. 针灸联合交替垂直振动训练对脑卒中偏瘫患者平衡功能、血液流变学以及生活质量的影响[J]. 现代生物医学进展, 2021, 21(6): 1099-1102.
[9]	韩倩倩, 张耀国, 公维军, 等. 下肢任务导向性训练联合认知训练对慢性期脑卒中运动及生活自理能力的影响[J]. 脑与神经疾病杂志, 2022, 30(8): 505-509.
[10]	王月虹, 汪恒兰, 谢玉清, 等. 回授法结合动机性访谈在全髋关节置换术后康复训练中的效果评价[J]. 中国康复医学杂志, 2021, 36(7): 845-848.
[11]	GRAPPIOLO G, CAMERA F L, DELLA ROCCA A, et al. Total hip arthroplasty with a monoblock conical stem and subtrochanteric transverse shortening osteotomy in Crowe type Ⅳ dysplastic hips[J]. Int Orthop, 2019, 43(1): 77-83.
[12]	HASEBE Y, AKASAKA K, OTSUDO T, et al. Effects of incorporating elliptical trainer exercise during rehabilitation on physical function and self-reported outcomes after total hip arthroplasty: a randomized controlled trial[J]. J Phys Ther Sci, 2022, 34(3): 230-235.
[13]	朱天红, 马明晶. 分阶段康复训练对髋关节置换术患者关节功能与生活质量的影响[J]. 现代中西医结合杂志, 2020, 29(16): 1805-1808.
[14]	朱亮, 刘莉, 张建梅, 等. 术前预康复对全髋关节置换术后功能锻炼及运动耐力的影响[J]. 现代预防医学, 2021, 48(5): 957-960.
[15]	CHEN L X, CHEN G L. The effect of resistance training on the function after hip replacement: a meta-analysis of randomized controlled trials[J]. Z Orthop Unfall, 2021, 159(4): 383-390.
[16]	王虹, 王晶, 陈丹英. 加强核心肌力训练对胸腰椎压缩性骨折患者腰椎活动度及日常生活能力的影响[J]. 临床医学研究与实践, 2023, 8(4): 49-51.
[17]	杨长贵, 李爱东, 蔡思敏, 等. 平衡训练系统对帕金森病平衡障碍和跌倒的影响[J]. 临床和实验医学杂志, 2018, 17(24): 2646-2649.
[18]	郑国良, 庄至坤, 徐福东, 等. Biodex步态评估训练系统对全膝关节置换术后膝关节功能影响的研究[J]. 现代医药卫生, 2019, 35(21): 3354-3356.
[19]	付孝翠, 顾浩, 孙丹, 等. 等速运动系统不同测试模式对膝关节本体感觉功能评估的信度研究[J]. 中国康复医学杂志, 2021, 36(1): 103-105.
[20]	鹿钦雪, 徐宁, 杨英兰, 等. 髋关节撞击综合征: 神经-肌肉、周围肌及核心肌的肌力训练[J]. 中国组织工程研究, 2022, 26(5): 786-791.

[1]	WANG Aiying, ZHANG Xiaopeng, ZHANG Xin, FAN Lin. Relationships of serum levels of endocan, interleukin-1α and YKL-40 with disease severity and prognosis in children with recurrent respiratory infection[J]. Journal of Clinical Medicine in Practice, 2025, 29(6): 7-12. DOI: 10.7619/jcmp.20243261
[2]	FANG Hua, LIU Xiang, CHEN Jiang, WANG Guobing. Expression and clinical value of G-protein coupled receptor 15 ligand in systemic lupus erythematosus[J]. Journal of Clinical Medicine in Practice, 2024, 28(24): 57-62, 67. DOI: 10.7619/jcmp.20242016
[3]	MIN Li, WANG Jin, DONG Xiangyu. Value of human cartilage glycoprotein-39 and N-terminal prohormone of brain natriuretic peptide in coronary artery injury in children with Kawasaki disease[J]. Journal of Clinical Medicine in Practice, 2024, 28(3): 1-5. DOI: 10.7619/jcmp.20233640
[4]	CHEN Li, JI Huijuan, REN Libin, ZHANG Hongfeng, SUO Xiaohui, LIU Hongfeng, XIA Limin. Effect of alkylation repair protein B homolog 5 on drug resistance of K562/adriamycin cells by regulating enhancer of Zeste homolog 2[J]. Journal of Clinical Medicine in Practice, 2022, 26(7): 87-92. DOI: 10.7619/jcmp.20213953
[5]	XU Gang. Value of combined detection of urinary albumin-to-creatinine ratio, β₂ microglobulin and retinol binding protein in early diagnosis of diabetic nephropathy[J]. Journal of Clinical Medicine in Practice, 2020, 24(21): 86-89. DOI: 10.7619/jcmp.202021025
[6]	MIAO Yuli, YANG Weixia, FU Xin, SHI Congyan. Correlation between serum human epididymis protein 4, carbohydrate antigen 125, human cartilage glycoprotein 39 levels and pathological features in patients with ovarian cancer[J]. Journal of Clinical Medicine in Practice, 2020, 24(4): 26-30. DOI: 10.7619/jcmp.202004007
[7]	NIE Jingtao. Efficacy of fangji huangqi decoction in treatment of patients with primary nephrotic syndrome in edema period and its influence on 24 h urinary protein,serum albumin and blood lipid[J]. Journal of Clinical Medicine in Practice, 2017, (1): 48-51. DOI: 10.7619/jcmp.201701014
[8]	ZHANG Huayong, LIANG Jun, XU Zhiye, HUA Bingzhu. Effect of urine protein to creatinine ratio on assessment of proteinuria in patients with lupus nephritis[J]. Journal of Clinical Medicine in Practice, 2016, (23): 47-49. DOI: 10.7619/jcmp.201623014
[9]	DING Xiaolian, LIU Lianye. Influence of liposome prostaglandin vector agent on levels of β2-MG and TXB2 in patients with diabetic nephropathy[J]. Journal of Clinical Medicine in Practice, 2015, (7): 50-52. DOI: 10.7619/jcmp.201507014
[10]	LIU Yan, FAN Jiangtao, LI Dahai. Application of YKL-40 protein detection in the diagnosis of ovarian cancer[J]. Journal of Clinical Medicine in Practice, 2015, (3): 88-91. DOI: 10.7619/jcmp.201503026

Cited By

Cited by

Periodical cited type(1)

吴晓文，李军，尧国胜，韦凌云，黄高. 不同人工肝治疗在急性肝衰竭治疗中的临床疗效对比研究. 智慧健康. 2024(25): 96-98+101 .

Other cited types(2)

Get Citation

PDF

XML

Article views (121) PDF downloads (9) Cited by(3)

Turn off MathJax

Article Contents

Abstract

References

Application effect of preoperative muscle strength training combined with postoperative BIODEX balance training in treatment of patients with total hip arthroplasty

Abstract

References

Related Articles

Cited by

Periodical cited type(1)

Other cited types(2)

Catalog

Application effect of preoperative muscle strength training combined with postoperative BIODEX balance training in treatment of patients with total hip arthroplasty

Abstract

References

Related Articles

Cited by

Periodical cited type(1)

Other cited types(2)

Catalog

Export File

Citation

Format

Content