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Erschienen in: Clinical Orthopaedics and Related Research® 12/2008

01.12.2008 | Original Article

Short-term Recovery of Balance Control after Total Hip Arthroplasty

verfasst von: Vipul Lugade, MS, Virginia Klausmeier, MS, Brian Jewett, MD, Dennis Collis, MD, Li-Shan Chou, PhD

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 12/2008

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Abstract

Hip osteoarthritis leads to chronic pain and deteriorated joint function, which affect weightbearing and balance during gait. THA effectively restores hip function but it is not known whether THA restores balance during gait. We hypothesized patients would have greater frontal plane and smaller sagittal plane center of mass-center of pressure inclination angles preoperatively compared with control subjects, and THA would improve these inclination angles by 16 weeks postsurgery. Compared with control subjects, we observed greater frontal plane inclination angles and smaller sagittal plane angles preoperatively, indicating gait imbalance. These inclination angles were improved postoperatively, providing better balance control. Despite improvement, patients differed in frontal and sagittal plane inclination angles compared with control subjects. This suggests residual deficits in dynamic balance control in patients undergoing THA before and up to 4 months after surgery.
Literatur
1.
Zurück zum Zitat Arnold CM, Faulkner RA. The history of falls and the association of the timed up and go test to falls and near-falls in older adults with hip osteoarthritis. BMC Geriatr. 2007;7:17.PubMedCrossRef Arnold CM, Faulkner RA. The history of falls and the association of the timed up and go test to falls and near-falls in older adults with hip osteoarthritis. BMC Geriatr. 2007;7:17.PubMedCrossRef
2.
Zurück zum Zitat Beals RK, Tower SS. Periprosthetic fractures of the femur: an analysis of 93 fractures. Clin Orthop Relat Res. 1996;327:238–246.PubMedCrossRef Beals RK, Tower SS. Periprosthetic fractures of the femur: an analysis of 93 fractures. Clin Orthop Relat Res. 1996;327:238–246.PubMedCrossRef
3.
Zurück zum Zitat Bennett D, Humphreys L, O’Brien S, Kelly C, Orr JF, Beverland DE. Gait kinematics of age-stratified hip replacement patients: a large scale, long-term follow-up study. Gait Posture. 2008;28:194–200.PubMedCrossRef Bennett D, Humphreys L, O’Brien S, Kelly C, Orr JF, Beverland DE. Gait kinematics of age-stratified hip replacement patients: a large scale, long-term follow-up study. Gait Posture. 2008;28:194–200.PubMedCrossRef
4.
Zurück zum Zitat Bertocci GE, Munin MC, Frost KL, Burdett R, Wassinger CA, Fitzgerald SG. Isokinetic performance after total hip replacement. Am J Phys Med Rehabil. 2004;83:1–9.PubMedCrossRef Bertocci GE, Munin MC, Frost KL, Burdett R, Wassinger CA, Fitzgerald SG. Isokinetic performance after total hip replacement. Am J Phys Med Rehabil. 2004;83:1–9.PubMedCrossRef
5.
Zurück zum Zitat Boardman DL, Dorey F, Thomas BJ, Lieberman JR. The accuracy of assessing total hip arthroplasty outcomes: a prospective correlation study of walking ability and 2 validated measurement devices. J Arthroplasty. 2000;15:200–204.PubMedCrossRef Boardman DL, Dorey F, Thomas BJ, Lieberman JR. The accuracy of assessing total hip arthroplasty outcomes: a prospective correlation study of walking ability and 2 validated measurement devices. J Arthroplasty. 2000;15:200–204.PubMedCrossRef
6.
Zurück zum Zitat Chou LS, Kaufman KR, Brey RH, Draganich LF. Motion of the whole body’s center of mass when stepping over obstacles of different heights. Gait Posture. 2001;13:17–26.PubMedCrossRef Chou LS, Kaufman KR, Brey RH, Draganich LF. Motion of the whole body’s center of mass when stepping over obstacles of different heights. Gait Posture. 2001;13:17–26.PubMedCrossRef
7.
Zurück zum Zitat Chou LS, Kaufman KR, Hahn ME, Brey RH. Medio-lateral motion of the center of mass during obstacle crossing distinguishes elderly individuals with imbalance. Gait Posture. 2003;18:125–133.PubMedCrossRef Chou LS, Kaufman KR, Hahn ME, Brey RH. Medio-lateral motion of the center of mass during obstacle crossing distinguishes elderly individuals with imbalance. Gait Posture. 2003;18:125–133.PubMedCrossRef
8.
Zurück zum Zitat Cichy B, Wilk M, Sliwinski Z. Changes in gait parameters in total hip arthroplasty patients before and after surgery. Med Sci Monit. 2008;14:CR159–CR169.PubMed Cichy B, Wilk M, Sliwinski Z. Changes in gait parameters in total hip arthroplasty patients before and after surgery. Med Sci Monit. 2008;14:CR159–CR169.PubMed
9.
Zurück zum Zitat Ethgen O, Bruyère O, Richy F, Dardennes C, Reginster JY. Health-related quality of life in total hip and total knee arthroplasty: a qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004;86:963–974.PubMed Ethgen O, Bruyère O, Richy F, Dardennes C, Reginster JY. Health-related quality of life in total hip and total knee arthroplasty: a qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004;86:963–974.PubMed
10.
Zurück zum Zitat Franklin J, Malchau H. Risk factors for periprosthetic femoral fracture. Injury. 2007;38:655–660.PubMedCrossRef Franklin J, Malchau H. Risk factors for periprosthetic femoral fracture. Injury. 2007;38:655–660.PubMedCrossRef
11.
Zurück zum Zitat Grabiner MD, Troy KL. Attention demanding tasks during treadmill walking reduce step width variability in young adults. J Neuroeng Rehabil. 2005;2:25.PubMedCrossRef Grabiner MD, Troy KL. Attention demanding tasks during treadmill walking reduce step width variability in young adults. J Neuroeng Rehabil. 2005;2:25.PubMedCrossRef
12.
Zurück zum Zitat Grigg P, Finerman GA, Riley LH. Joint-position sense after total hip replacement. J Bone Joint Surg Am. 1973;55:1016–1025.PubMed Grigg P, Finerman GA, Riley LH. Joint-position sense after total hip replacement. J Bone Joint Surg Am. 1973;55:1016–1025.PubMed
13.
Zurück zum Zitat Hahn ME, Chou LS. Age-related reduction in sagittal plane center of mass motion during obstacle crossing. J Biomech. 2004;37:837–844.PubMedCrossRef Hahn ME, Chou LS. Age-related reduction in sagittal plane center of mass motion during obstacle crossing. J Biomech. 2004;37:837–844.PubMedCrossRef
14.
Zurück zum Zitat Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty: an end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969;51:737–755.PubMed Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty: an end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969;51:737–755.PubMed
15.
Zurück zum Zitat Hof AL, van Bockel RM, Schoppen T, Postema K. Control of lateral balance in walking: experimental findings in normal subjects and above-knee amputees. Gait Posture. 2007;25:250–258.PubMedCrossRef Hof AL, van Bockel RM, Schoppen T, Postema K. Control of lateral balance in walking: experimental findings in normal subjects and above-knee amputees. Gait Posture. 2007;25:250–258.PubMedCrossRef
16.
Zurück zum Zitat Karanjia PN, Ferguson JH. Passive joint position sense after total hip replacement surgery. Ann Neurol. 1983;13:654–657.PubMedCrossRef Karanjia PN, Ferguson JH. Passive joint position sense after total hip replacement surgery. Ann Neurol. 1983;13:654–657.PubMedCrossRef
17.
Zurück zum Zitat Karlson EW, Mandl LA, Aweh GN, Sangha O, Liang MH, Grodstein F. Total hip replacement due to osteoarthritis: the importance of age, obesity, and other modifiable risk factors. Am J Med. 2003;114:93–98.PubMedCrossRef Karlson EW, Mandl LA, Aweh GN, Sangha O, Liang MH, Grodstein F. Total hip replacement due to osteoarthritis: the importance of age, obesity, and other modifiable risk factors. Am J Med. 2003;114:93–98.PubMedCrossRef
18.
Zurück zum Zitat Keppel G, Wickens T. Design and Analysis: A Researcher’s Handbook. Upper Saddle River, NJ: Pearson Prentice Hall; 2004. Keppel G, Wickens T. Design and Analysis: A Researcher’s Handbook. Upper Saddle River, NJ: Pearson Prentice Hall; 2004.
19.
Zurück zum Zitat Laupacis A, Bourne R, Rorabeck C, Feeny D, Wong C, Tugwell P, Leslie K, Bullas R. The effect of elective total hip replacement on health-related quality of life. J Bone Joint Surg Am. 1993;75:1619–1626.PubMed Laupacis A, Bourne R, Rorabeck C, Feeny D, Wong C, Tugwell P, Leslie K, Bullas R. The effect of elective total hip replacement on health-related quality of life. J Bone Joint Surg Am. 1993;75:1619–1626.PubMed
20.
Zurück zum Zitat Lee HJ, Chou LS. Detection of gait instability using the center of mass and center of pressure inclination angles. Arch Phys Med Rehabil. 2006;87:569–575.PubMedCrossRef Lee HJ, Chou LS. Detection of gait instability using the center of mass and center of pressure inclination angles. Arch Phys Med Rehabil. 2006;87:569–575.PubMedCrossRef
21.
Zurück zum Zitat Lindahl H, Garellick G, Regnér H, Herberts P, Malchau H. Three hundred and twenty-one periprosthetic femoral fractures. J Bone Joint Surg Am. 2006;88:1215–1222.PubMedCrossRef Lindahl H, Garellick G, Regnér H, Herberts P, Malchau H. Three hundred and twenty-one periprosthetic femoral fractures. J Bone Joint Surg Am. 2006;88:1215–1222.PubMedCrossRef
22.
Zurück zum Zitat Lindahl H, Oden A, Garellick G, Malchau H. The excess mortality due to periprosthetic femur fracture: a study from the Swedish national hip arthroplasty register. Bone. 2007;40:1294–1298.PubMedCrossRef Lindahl H, Oden A, Garellick G, Malchau H. The excess mortality due to periprosthetic femur fracture: a study from the Swedish national hip arthroplasty register. Bone. 2007;40:1294–1298.PubMedCrossRef
23.
Zurück zum Zitat Lindemann U, Becker C, Unnewehr I, Muche R, Aminin K, Dejnabadi H, Nikolaus T, Puhl W, Huch K, Dreinhöfer KE. Gait analysis and WOMAC are complementary in assessing functional outcome in total hip replacement. Clin Rehabil. 2006;20:413–420.PubMedCrossRef Lindemann U, Becker C, Unnewehr I, Muche R, Aminin K, Dejnabadi H, Nikolaus T, Puhl W, Huch K, Dreinhöfer KE. Gait analysis and WOMAC are complementary in assessing functional outcome in total hip replacement. Clin Rehabil. 2006;20:413–420.PubMedCrossRef
24.
Zurück zum Zitat Loizeau J, Allard P, Duhaime M, Landjerit B. Bilateral gait patterns in subjects fitted with a total hip prosthesis. Arch Phys Med Rehabil. 1995;76:552–557.PubMedCrossRef Loizeau J, Allard P, Duhaime M, Landjerit B. Bilateral gait patterns in subjects fitted with a total hip prosthesis. Arch Phys Med Rehabil. 1995;76:552–557.PubMedCrossRef
25.
Zurück zum Zitat MacKinnon CD, Winter DA. Control of whole body balance in the frontal plane during human walking. J Biomech. 1993;26:633–644.PubMedCrossRef MacKinnon CD, Winter DA. Control of whole body balance in the frontal plane during human walking. J Biomech. 1993;26:633–644.PubMedCrossRef
26.
Zurück zum Zitat Majewski M, Bischoff-Ferrari HA, Grüneberg C, Dick W, Allum JH. Improvements in balance after total hip replacement. J Bone Joint Surg Br. 2005;87:1337–1343.PubMedCrossRef Majewski M, Bischoff-Ferrari HA, Grüneberg C, Dick W, Allum JH. Improvements in balance after total hip replacement. J Bone Joint Surg Br. 2005;87:1337–1343.PubMedCrossRef
27.
Zurück zum Zitat McCrory JL, White SC, Lifeso RM. Vertical ground reaction force: objective measures of gait following hip arthroplasty. Gait Posture. 2001;14:104–109.PubMedCrossRef McCrory JL, White SC, Lifeso RM. Vertical ground reaction force: objective measures of gait following hip arthroplasty. Gait Posture. 2001;14:104–109.PubMedCrossRef
28.
Zurück zum Zitat McGraw B, McClenaghan BA, Williams HG, Dickerson J, Ward DS. Gait and postural stability in obese and nonobese prepubertal boys. Arch Phys Med Rehabil. 2000;81:484–489.PubMedCrossRef McGraw B, McClenaghan BA, Williams HG, Dickerson J, Ward DS. Gait and postural stability in obese and nonobese prepubertal boys. Arch Phys Med Rehabil. 2000;81:484–489.PubMedCrossRef
29.
Zurück zum Zitat Mitchell S, McCaskie A, Francis R, Peaston R, Birrell F, Lingard E. The need for a falls prevention programme for patients undergoing hip and knee replacement surgery. J Orthop Nursing. 2007;11:98–103.CrossRef Mitchell S, McCaskie A, Francis R, Peaston R, Birrell F, Lingard E. The need for a falls prevention programme for patients undergoing hip and knee replacement surgery. J Orthop Nursing. 2007;11:98–103.CrossRef
30.
Zurück zum Zitat Mont MA, Seyler TM, Ragland PS, Starr R, Erhart J, Bhave A. Gait analysis of patients with resurfacing hip arthroplasty compared with hip osteoarthritis and standard total hip arthroplasty. J Arthroplasty. 2007;22:100–108.PubMedCrossRef Mont MA, Seyler TM, Ragland PS, Starr R, Erhart J, Bhave A. Gait analysis of patients with resurfacing hip arthroplasty compared with hip osteoarthritis and standard total hip arthroplasty. J Arthroplasty. 2007;22:100–108.PubMedCrossRef
31.
Zurück zum Zitat Nahit ES, Silman AJ, Macfarlane GJ. The occurrence of falls among patients with a new episode of hip pain. Ann Rheum Dis. 1998;57:166–168.PubMedCrossRef Nahit ES, Silman AJ, Macfarlane GJ. The occurrence of falls among patients with a new episode of hip pain. Ann Rheum Dis. 1998;57:166–168.PubMedCrossRef
32.
Zurück zum Zitat Nallegowda M, Singh U, Bhan S, Wadhwa S, Handa G, Dwivedi SN. Balance and gait in total hip replacement: a pilot study. Am J Phys Med Rehabil. 2003;82:669–677.PubMedCrossRef Nallegowda M, Singh U, Bhan S, Wadhwa S, Handa G, Dwivedi SN. Balance and gait in total hip replacement: a pilot study. Am J Phys Med Rehabil. 2003;82:669–677.PubMedCrossRef
33.
Zurück zum Zitat Namba RS, Paxton L, Fithian DC, Stone ML. Obesity and perioperative morbidity in total hip and total knee arthroplasty patients. J Arthroplasty. 2005;20(7 suppl 3):46–50.PubMedCrossRef Namba RS, Paxton L, Fithian DC, Stone ML. Obesity and perioperative morbidity in total hip and total knee arthroplasty patients. J Arthroplasty. 2005;20(7 suppl 3):46–50.PubMedCrossRef
34.
Zurück zum Zitat Nankaku M, Tsuboyama T, Kakinoki R, Kawanabe K, Kanzaki H, Mito Y, Nakamura T. Gait analysis of patients in early stages after total hip arthroplasty: effect of lateral trunk displacement on walking efficiency. J Orthop Sci. 2007;12:550–554.PubMedCrossRef Nankaku M, Tsuboyama T, Kakinoki R, Kawanabe K, Kanzaki H, Mito Y, Nakamura T. Gait analysis of patients in early stages after total hip arthroplasty: effect of lateral trunk displacement on walking efficiency. J Orthop Sci. 2007;12:550–554.PubMedCrossRef
35.
Zurück zum Zitat Nantel J, Termoz N, Centomo H, Lavigne M, Vendittoli PA, Prince F. Postural balance during quiet standing in patients with total hip arthroplasty and surface replacement arthroplasty. Clin Biomech (Bristol, Avon). 2008;23:402–407. Nantel J, Termoz N, Centomo H, Lavigne M, Vendittoli PA, Prince F. Postural balance during quiet standing in patients with total hip arthroplasty and surface replacement arthroplasty. Clin Biomech (Bristol, Avon). 2008;23:402–407.
36.
Zurück zum Zitat Ogden CL, Fryar CD, Carroll MD, Flegal KM. Mean body weight, height, and body mass index, United States 1960–2002. Adv Data. 2004;347:1–17.PubMed Ogden CL, Fryar CD, Carroll MD, Flegal KM. Mean body weight, height, and body mass index, United States 1960–2002. Adv Data. 2004;347:1–17.PubMed
37.
Zurück zum Zitat Pai YC, Patton J. Center of mass velocity-position predictions for balance control. J Biomech. 1997;30:347–354.PubMedCrossRef Pai YC, Patton J. Center of mass velocity-position predictions for balance control. J Biomech. 1997;30:347–354.PubMedCrossRef
38.
Zurück zum Zitat Perron M, Malouin F, Moffet H, McFadyen BJ. Three-dimensional gait analysis in women with a total hip arthroplasty. Clinical Biomech (Bristol, Avon). 2000;15:504–515.CrossRef Perron M, Malouin F, Moffet H, McFadyen BJ. Three-dimensional gait analysis in women with a total hip arthroplasty. Clinical Biomech (Bristol, Avon). 2000;15:504–515.CrossRef
39.
Zurück zum Zitat Perry J. Gait Analysis: Normal and Pathological Function. Thorofare, NJ: Slack Inc; 1992. Perry J. Gait Analysis: Normal and Pathological Function. Thorofare, NJ: Slack Inc; 1992.
40.
Zurück zum Zitat Prudham D, Evans JG. Factors associated with falls in the elderly: a community study. Age Ageing. 1981;10:141–146.PubMed Prudham D, Evans JG. Factors associated with falls in the elderly: a community study. Age Ageing. 1981;10:141–146.PubMed
41.
Zurück zum Zitat Robbins AS, Rubenstein LZ, Josephson KR, Schulman BL, Osterweil D, Fine G. Predictors of falls among elderly people: results of two population-based studies. Arch Intern Med. 1989;149:1628–1633.PubMedCrossRef Robbins AS, Rubenstein LZ, Josephson KR, Schulman BL, Osterweil D, Fine G. Predictors of falls among elderly people: results of two population-based studies. Arch Intern Med. 1989;149:1628–1633.PubMedCrossRef
42.
Zurück zum Zitat Salaffi F, Carotti M, Grassi W. Health-related quality of life in patients with hip or knee osteoarthritis: comparison of generic and disease-specific instruments. Clin Rheumatol. 2005;24:29–37.PubMedCrossRef Salaffi F, Carotti M, Grassi W. Health-related quality of life in patients with hip or knee osteoarthritis: comparison of generic and disease-specific instruments. Clin Rheumatol. 2005;24:29–37.PubMedCrossRef
43.
Zurück zum Zitat Sliwinski MM, Sisto SA, Batavia M, Chen B, Forrest GF. Dynamic stability during walking following unilateral total hip arthroplasty. Gait Posture. 2004;19:141–147.PubMedCrossRef Sliwinski MM, Sisto SA, Batavia M, Chen B, Forrest GF. Dynamic stability during walking following unilateral total hip arthroplasty. Gait Posture. 2004;19:141–147.PubMedCrossRef
44.
Zurück zum Zitat Spyropoulos P, Pisciotta JC, Pavlou KN, Cairns MA, Simon SR. Biomechanical gait analysis in obese men. Arch Phys Med Rehabil. 1991;72:1065–1070.PubMed Spyropoulos P, Pisciotta JC, Pavlou KN, Cairns MA, Simon SR. Biomechanical gait analysis in obese men. Arch Phys Med Rehabil. 1991;72:1065–1070.PubMed
45.
Zurück zum Zitat Steultjens MP, Dekker J, van Baar ME, Oostendorp RA, Bijlsma JW. Muscle strength, pain and disability in patients with osteoarthritis. Clin Rehabil. 2001;15:331–341.PubMedCrossRef Steultjens MP, Dekker J, van Baar ME, Oostendorp RA, Bijlsma JW. Muscle strength, pain and disability in patients with osteoarthritis. Clin Rehabil. 2001;15:331–341.PubMedCrossRef
46.
Zurück zum Zitat Sturnieks DL, Tiedemann A, Chapman K, Munro B, Murray SM, Lord SR. Physiological risk factors for falls in older people with lower limb arthritis. J Rheumatol. 2004;31:2272–2279.PubMed Sturnieks DL, Tiedemann A, Chapman K, Munro B, Murray SM, Lord SR. Physiological risk factors for falls in older people with lower limb arthritis. J Rheumatol. 2004;31:2272–2279.PubMed
47.
Zurück zum Zitat Wall JC, Ashburn A, Klenerman L. Gait analysis in the assessment of functional performance before and after total hip replacement. J Biomed Eng. 1981;3:121–127.PubMedCrossRef Wall JC, Ashburn A, Klenerman L. Gait analysis in the assessment of functional performance before and after total hip replacement. J Biomed Eng. 1981;3:121–127.PubMedCrossRef
48.
Zurück zum Zitat Woltring HJ. A FORTRAN package for generalized, cross-validatory spline smoothing and differentiation. Adv Eng Software. 1986;8:104–113. Woltring HJ. A FORTRAN package for generalized, cross-validatory spline smoothing and differentiation. Adv Eng Software. 1986;8:104–113.
49.
Zurück zum Zitat Wu CC, Au MK, Wu SS, Lin LC. Risk factors for postoperative femoral fracture in cementless hip arthroplasty. J Formos Med Assoc. 1999;98:190–194.PubMed Wu CC, Au MK, Wu SS, Lin LC. Risk factors for postoperative femoral fracture in cementless hip arthroplasty. J Formos Med Assoc. 1999;98:190–194.PubMed
50.
Zurück zum Zitat Wykman A, Olsson E. Walking ability after total hip replacement: a comparison of gait analysis in unilateral and bilateral cases. J Bone Joint Surg Br. 1992;74:53–56.PubMed Wykman A, Olsson E. Walking ability after total hip replacement: a comparison of gait analysis in unilateral and bilateral cases. J Bone Joint Surg Br. 1992;74:53–56.PubMed
51.
Zurück zum Zitat Zhan C, Kaczmarek R, Loyo-Berrios N, Sangl J, Bright RA. Incidence and short-term outcomes of primary and revision hip replacement in the United States. J Bone Joint Surg Am. 2007;89:526–533.PubMedCrossRef Zhan C, Kaczmarek R, Loyo-Berrios N, Sangl J, Bright RA. Incidence and short-term outcomes of primary and revision hip replacement in the United States. J Bone Joint Surg Am. 2007;89:526–533.PubMedCrossRef
Metadaten
Titel
Short-term Recovery of Balance Control after Total Hip Arthroplasty
verfasst von
Vipul Lugade, MS
Virginia Klausmeier, MS
Brian Jewett, MD
Dennis Collis, MD
Li-Shan Chou, PhD
Publikationsdatum
01.12.2008
Verlag
Springer-Verlag
Erschienen in
Clinical Orthopaedics and Related Research® / Ausgabe 12/2008
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-008-0488-9

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