Abstract
BackgroundIn-hospital progressive resistance training (PRT) has been shown to be an effective method of rehabilitation following hip surgery. The aim of this study was to assess whether a home-based PRT program would be beneficial in improving patients’ muscle strength and physical function compared to standard rehabilitation.MethodsSubjects (n = 49) either received home-based PRT rehabilitation (n = 25) or standard rehabilitation (n = 24) in a prospective single blinded randomized trial carried out over a two-year period. The primary outcome measure was the maximal voluntary contraction of the operated leg quadriceps (MVCOLQ) with secondary measures of outcome being the sit to stand score (ST), timed up and go (TUG), stair climb performance (SCP), the 6 min walk test (6MWT), and lean mass of the operated leg (LM).ResultsTwenty-six patients completed follow up at 1 year (n = 13 per group) for the final comparative analysis. All the outcome measures showed marked progressive improvements from the baseline measures at 9–12 months post op (Estimated effect (std error); p value)- MVCOLQ 26.50 (8.71) N p = 0.001; ST 1.37 (0.33) p = 0.0001; TUG −1.44 (0.45) s p =0.0001; SCP −3.41(0.80)s p = 0.0001; 6MWT 45.61 (6.10)m p = 0.0001; LM 20 (204)g p = 0.326) following surgery for both groups. Overall, there was no significant effect for participation in the exercise regime compared with standard care for all outcomes assessed.ConclusionsOverall, this study demonstrated that there is no significant difference between the two groups for participation in the home-based PRT exercise programme when compared to standard care for all outcomes.Trial registrationISRCTN 1309951. Registered February 2011.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-016-1023-x) contains supplementary material, which is available to authorized users.
Highlights
In-hospital progressive resistance training (PRT) has been shown to be an effective method of rehabilitation following hip surgery
Centre-based progressive resistance training (PRT) regimes for post- total hip replacement (THR) patients have been shown to improve objective measures of physical performance (e.g. 30 % higher sit to stand score, 30 % higher gait speed and 28 % higher stair climb performance [1]), but require patients to exercise under supervision making program delivery expensive [2]
The aim of this study was to perform a pilot study as proof of concept, assessing whether an inexpensive homebased PRT program with weekly supervision in the early post-operative phase after total hip replacement surgery was beneficial in improving muscle strength and physical function relative to standard rehabilitation at up to 1 year follow up
Summary
In-hospital progressive resistance training (PRT) has been shown to be an effective method of rehabilitation following hip surgery. Centre-based progressive resistance training (PRT) regimes for post- total hip replacement (THR) patients have been shown to improve objective measures of physical performance (e.g. 30 % higher sit to stand score, 30 % higher gait speed and 28 % higher stair climb performance [1]), but require patients to exercise under supervision making program delivery expensive [2]. Addressing these issues has led to the assessment of home-based rehabilitation programs; shown to be effective in improving function post-THR. The aim of this study was to perform a pilot study as proof of concept, assessing whether an inexpensive homebased PRT program with weekly supervision in the early post-operative phase after total hip replacement surgery was beneficial in improving muscle strength and physical function relative to standard rehabilitation at up to 1 year follow up
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