Total hip arthroplasty in the elderly: impact on functional performance
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| Format: | Artículo científico |
| Langue: | en |
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Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia
2011
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| author | Rita C. Guedes |
| author_facet | Rita C. Guedes |
| contents | Total hip arthroplasty in the elderly: impact on functional performance Rita C. Guedes João M. D. Dias Rosângela C. Dias Viviane S. Borges Lygia P. Lustosa Nayza M. B. Rosa Salud hip Aged gait arthroplasty osteoarthritis Objectives: To compare gait and functional performance parameters in elderly subjects who had or had not total hip arthroplasty (THA). Methods: Our sample comprised 23 elderly subjects (72±6.5 years of age) with a mean of 2.6±1.3 years following THA, named the arthroplasty group (AG) and 23 asymptomatic elderly subjects (70.1±5.9 years of age), named the control group (CG). Case and control subjects were paired by gender, age, body mass index and level of physical activity. The GAITRite® system was used to analyze variousgait parameters in four situations: usual speed (US), fast speed (FS), slow speed (SS) and dual task (DT); the Dynamic Gait Index (DGI) and Timed Up and Go test (TUG) methods were used to evaluate functional capacity. The statistical analyses were carried out using the Shapiro-Wilk test, Student¿s-t-tests for independent samples, chi-square tests, ANOVA for repeated measurements and paired Student¿s-t-tests. Results: The AG had the worst results for gait speed (AG=1.18±0.13 and CG=1.39±0.09; p=0.012), symmetry index (SI) of step length (AG=3.60±1.01 and CG=1.12±0.59; p=0.000), SI of step time (AG=-2.65±0.92 and CG=0.99±0.74; p=0.000), SI of stance phase (AG=-2.55 and CG=-1.04±0.50; p=0.005), SI of single support phase (AG=-2.17±0.78 and CG=1.21±0.51; p=0.003), DGI AG=20.04±1.91 and CG=21.69±1.45; p=0.001) and TUG (AG=14.67±1.94 and CG=10.08±1.49; p=0.001). Conclusion: Elderly subjects with a history of THA had changes in gait parameters and lower performance in TUG test even 2.6±1,3 years after surgery, which suggests functional impairment. 2011 artículo científico 1413-3555 https://www.redalyc.org/articulo.oa?id=235018432007 en http://www.redalyc.org/revista.oa?id=2350 Revista Brasileira de Fisioterapia application/pdf Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia Revista Brasileira de Fisioterapia (Brasil) Num.2 Vol.15 |
| format | Artículo científico |
| id | redalyc_235018432007 |
| institution | Redalyc |
| language | en |
| publishDate | 2011 |
| publisher | Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia |
| spellingShingle | Total hip arthroplasty in the elderly: impact on functional performance Rita C. Guedes Salud hip Aged gait arthroplasty osteoarthritis Total hip arthroplasty in the elderly: impact on functional performance Rita C. Guedes João M. D. Dias Rosângela C. Dias Viviane S. Borges Lygia P. Lustosa Nayza M. B. Rosa Salud hip Aged gait arthroplasty osteoarthritis Objectives: To compare gait and functional performance parameters in elderly subjects who had or had not total hip arthroplasty (THA). Methods: Our sample comprised 23 elderly subjects (72±6.5 years of age) with a mean of 2.6±1.3 years following THA, named the arthroplasty group (AG) and 23 asymptomatic elderly subjects (70.1±5.9 years of age), named the control group (CG). Case and control subjects were paired by gender, age, body mass index and level of physical activity. The GAITRite® system was used to analyze variousgait parameters in four situations: usual speed (US), fast speed (FS), slow speed (SS) and dual task (DT); the Dynamic Gait Index (DGI) and Timed Up and Go test (TUG) methods were used to evaluate functional capacity. The statistical analyses were carried out using the Shapiro-Wilk test, Student¿s-t-tests for independent samples, chi-square tests, ANOVA for repeated measurements and paired Student¿s-t-tests. Results: The AG had the worst results for gait speed (AG=1.18±0.13 and CG=1.39±0.09; p=0.012), symmetry index (SI) of step length (AG=3.60±1.01 and CG=1.12±0.59; p=0.000), SI of step time (AG=-2.65±0.92 and CG=0.99±0.74; p=0.000), SI of stance phase (AG=-2.55 and CG=-1.04±0.50; p=0.005), SI of single support phase (AG=-2.17±0.78 and CG=1.21±0.51; p=0.003), DGI AG=20.04±1.91 and CG=21.69±1.45; p=0.001) and TUG (AG=14.67±1.94 and CG=10.08±1.49; p=0.001). Conclusion: Elderly subjects with a history of THA had changes in gait parameters and lower performance in TUG test even 2.6±1,3 years after surgery, which suggests functional impairment. 2011 artículo científico 1413-3555 https://www.redalyc.org/articulo.oa?id=235018432007 en http://www.redalyc.org/revista.oa?id=2350 Revista Brasileira de Fisioterapia application/pdf Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia Revista Brasileira de Fisioterapia (Brasil) Num.2 Vol.15 |
| title | Total hip arthroplasty in the elderly: impact on functional performance |
| topic | Salud hip Aged gait arthroplasty osteoarthritis |
| url | https://www.redalyc.org/articulo.oa?id=235018432007 |