ĐÁNH GIÁ KẾT QUẢ CỦA BÀI TẬP BƯỚC TRONG PHỤC HỒI CHỨC NĂNG GIAI ĐOẠN SỚM CHO BỆNH NHÂN SAU THAY KHỚP HÁNG NHÂN TẠO TOÀN BỘ

Abstract

Objective: This study aimed to evaluate the effect of stepping exercises in addition to conventional physical therapy on recovery of muscle strength and walking speed after total hip replacement surgery. Design: Prospective study on 61 patients with total hip arthroplasty within 6 weeks after joint replacement. Patients were divided into 2 groups, the control group consisted of 30 patients treated with conventional physical therapy, the stepping group, including 31 patients was treated with conventional physical therapy and stepping exercises. Both groups assessed lower limb muscle strength using a hand-held dynamometer, assessed walking speed using the 6-minute walk test and the WOMAC at 3 time points: 1 week, 3 weeks and 6 weeks after surgery. Results: To lower limb muscle strength, hip abduction and knee extension muscle strength in the stepping group were greater than the control group at 6 weeks after surgery, with p respectively 0,01 and 0.03. There were no significant differences between the two study groups in hip extension, hip flexion and knee flexion strength, walking speed in the 6-minute walk test and WOMAC. Conclusion: Stepping exercises facilitate the recovery of hip abduction and knee extension strength in the early rehabilitation phase for total hip arthroplasty.