Objectives: Hip arthroplasty is the most important surgical method for the treatment of hip fractures and necrosis in the femoral head. Limb function recovery is an important criterion to reflect the efficacy of surgery and the quality for life of patients. Postoperative rehabilitation exercises are crucial for limb function recovery. Otago exercise programme (OEP) is a safe, effective, practical, and economical rehabilitation exercise, which has been proven to prevent falls, improve limb function and walking ability, and lower limb strength. This study aims to explore the effect of OEP on limb function rehabilitation in elderly patients with hip arthroplasty for femoral neck fractures.
Methods: A total of 77 elderly patients with hip arthroplasty for femoral neck fractures who met the criteria for inclusion and exclusion were enrolled for this study. They were randomly divided into a control group ( n =39) and an intervention group ( n =38). The control group was given routine rehabilitation training, and the intervention group performed OEP on the basis of the control group. Time get up and go test (TGUT), five times sit to stand test (FTSST), 10-meter walking test (10MWT), Harris Hip Score (HHS), Daily Activity Scale (Barthel index), and the Mos 36-Item Short Form Health Survey (SF-36) were used before the intervention, at discharge, and the 12th week after discharge.
Results: Before the intervention, there were no differences in TGUT, FTSST, 10MWT, HHS score, Barthel index, and SF-36 score between the 2 groups (all P >0.05). At the discharge after the intervention, there was no difference in TGUT between the 2 groups ( P >0.05), but the FTSST and 10MWT in the control group were longer than those in the intervention group (both P <0.05), and the HHS score, Barthel index, and SF-36 score in the control group were lower than those in the intervention group ( P <0.05). At the 12th week after discharge, TGUT, FTSST, 10MWT, HHS score, Barthel index, and SF-36 score in the intervention group were better than those in the control group ( P <0.05).
Conclusions: OEP can effectively promote limb stability and hip function recovery in elderly patients with hip arthroplasty for femoral neck fractures, improve daily mobility and quality of life, and it is suitable for clinical application.
目的 : 髋关节置换术是治疗髋部骨折和股骨头坏死最主要的手术方法。肢体功能恢复是反映手术疗效和患者生活质量的一个重要标准，术后康复锻炼对肢体功能恢复至关重要。奥塔戈运动(Otage exercise programme，OEP)是一项安全、有效、实用及经济的康复运动，已被证实可预防患者跌倒，提升肢体功能、步行能力、下肢力量等。本研究旨在探讨OEP对老年股骨颈骨折髋关节置换术患者肢体功能康复的效果。 方法 : 将符合纳入和排除标准的77例老年股骨颈骨折髋关节置换术患者作为研究对象，随机分为对照组( n =39)和干预组( n =38)。对照组给予常规康复训练，干预组在常规康复训练的基础上实施OEP。在干预前、出院时、出院后12周采用计时起立行走测试时间(time get up and go test，TGUT)、5次坐立测试时间(five times sit to stand test，FTSST)、10 m步行测试时间(10-meter walking test，10MWT)、髋关节功能量表(Harris Hip Score，HHS)、日常活动能力量表的Barthel指数(Barthel index)、中文版简易健康调查表(the Mos 36-Item Short Form Health Survey，SF-36)进行评价。 结果 : 干预前，2组TGUT、FTSST、10MWT、HHS评分、Barthel指数、SF-36评分差异均无统计学意义(均 P >0.05)；出院时，两组TGUT差异无统计学意义( P >0.05)，但对照组FTSST和10MWT均长于干预组(均 P <0.05)，对照组HHS评分、Barthel指数、SF-36评分均低于干预组(均 P <0.05)；出院后12周，干预组TGUT、FTSST、10MWT、HHS评分、Barthel指数、SF-36评分均优于对照组(均 P <0.05)。 结论 : OEP能够有效促进老年股骨颈骨折髋关节置换术患者肢体功能和髋关节功能恢复，提高日常活动能力和生活质量，适合在临床推广使用。.
Keywords: Otage exercise programme; functional recovery; hip arthroplasty; the elderly.