アブストラクト
Japanese
| Title | 変形性股関節症患者の術前後における身体機能の変化について - 関節可動域と筋力における検討 - |
|---|---|
| Subtitle | 原著 |
| Authors | 佐藤江奈1, 菅谷知明2, 岩村佳世2, 長谷川信2, 田澤昌之2,3, 和田直樹2,3 |
| Authors (kana) | |
| Organization | 1群馬大学大学院保健学研究科, 2群馬大学医学部附属病院リハビリテーション部, 3群馬大学大学院医学系研究科リハビリテーション医学 |
| Journal | THE KITAKANTO MEDICAL JOURNAL |
| Volume | 70 |
| Number | 3 |
| Page | 193-198 |
| Year/Month | 2020 / 8 |
| Article | 原著 |
| Publisher | 北関東医学会 |
| Abstract | 「要旨」 【目的】 変形性股関節症患者の術前後の関節可動域および筋力について明らかにすること. 【対象と方法】 後外側進入法により人工股関節全置換術を施行した14名を対象とし, 股関節周囲の関節可動域(ROM)および筋力を術前, 術後1週, 術後2週で測定した. 術側と非術側の比較は対応のある差の検定を行い, 術前から術後2週の変化については分散分析および多重比較を行った. 【結果】 術前ROMでは股関節内転以外は非術側に対して術側が有意に低かったが, 術後2週では有意な差はなかった. 術側の股関節外転ROMは, 術後有意に改善した. 筋力は非術側に対して術側が術前, 術後2週ともに低かった. 術側の股関節屈曲, 伸展筋力は術後1週で有意に低下し, 術後2週で有意に改善した. 【結語】 術側ROMは術後2週で非術側程度に改善した. 術側筋力は術後2週で術前レベルに回復するが, 非術側に比べて有意に低かった. 術後1週の筋力は, 術前よりも低下していることを考慮し, 理学療法介入をするべきである. |
| Practice | 医学総合 |
| Keywords | 変形性股関節症, 人工股関節全置換術, 関節可動域, 筋力, hip osteoarthritis, total hip arthroplasty, range of motion, muscle strength |
English
| Title | Changes in Physical Function after Total Hip Arthroplasty for Patients with Hip Osteoarthritis - Analysis of the Range of Motion and Muscle Strength - |
|---|---|
| Subtitle | ORIGINALS |
| Authors | Ena Sato1, Tomoaki Sugaya2, Kayo Iwamura2, Makoto Hasegawa2, Masayuki Tazawa2,3, Naoki Wada2,3 |
| Authors (kana) | |
| Organization | 1Gunma University Graduate School of Health Sciences, 2Division of Rehabilitation Medicine, Gunma University Hospital, 3Department of Rehabilitation Medicine, Gunma University Graduate School of Medicine |
| Journal | The Kitakanto Medical Journal |
| Volume | 70 |
| Number | 3 |
| Page | 193-198 |
| Year/Month | 2020 / 8 |
| Article | Original article |
| Publisher | The Kitakanto Medical Society |
| Abstract | [Abstract] Objective: The purpose of this study was to evaluate the range of motion (ROM) and muscle strength as physical function after total hip arthroplasty (THA) using a posterolateral approach in hip osteoarthritis patients. Methods: Fourteen patients undergoing THA were assessed before, and 1 and 2 weeks after THA. Their ROM and isometric muscle strength were examined. Results: The preoperative ROM was significantly lower on the operative side than on the non-operative side, excluding hip adduction, but there was no significant difference 2 weeks after THA. The hip abduction ROM significantly improved 1 and 2 weeks after THA. The muscle strength before and 2 weeks after THA was lower on the operative side than on the non-operative side. There was a significant decrease in muscle strength during hip flexion and extension 1 week after THA, but it significantly improved 2 weeks after THA. Conclusion: The ROM on the operative side became similar to that on the non-operative side 2 weeks after THA. The muscle strength on the operative side recovered to the preoperative level 2 weeks after THA, but it was significantly lower than that on the non-operative side. Physical therapy should take into consideration that muscle strength 1 week after THA is lower than that before THA. |
| Practice | General medicine |
| Keywords | hip osteoarthritis, total hip arthroplasty, range of motion, muscle strength |
- 全文ダウンロード： 従量制、基本料金制の方共に770円(税込) です。
参考文献
- 1. 中塚洋一, 赤沢啓史, 三谷 茂. 30歳代の先天性股関節脱臼後の変股症の検討. Hip Joint 1995 ; 21 : 156-161.
- 2. 河村都容市, 嶋 良宗, 上好昭孝ら. 変形性股関節症に対する和医大式股関節用S字型装具. 日本義肢装具研究会会報 1983 ; 24 : 133-141.
- 3. 村瀬鎮雄. 変形性股関節症の発症および悪化因子. 総合リハ 2001 ; 29 : 201-206.
- 4. Sato T, Yamaji T, Inose H, et al. Effect of a modified S-form hip brace, WISH type, for patients with painful osteoarthritis of the hip : a role in daily walking as a hip muscle exercise. Rheumatol Int 2008 ; 28 : 419-428.
- 5. 河村都容市, 島 良宗, 上好昭孝. 変形性股関節症に対する和医大式股関節用S字型装具. 日本義肢装具研究会々報 1983 ; 24 : 133-141.
残りの17件を表示する
- 6. Chougle A, Hemmady MV, Hodgkinson JP. Long-term sur-vival of the acetabular component after total hip arthroplasty with cement in patients with developmental dysplasia of the hip. JBJS Am 2006 ; 88 : 71-79.
- 7. Lane NE. Clinical practice. Osteoarthritis of the hip. N Engl J Med 2007 ; 357 : 1413-1421.
- 8. Laupacis A, Bourne R, Rorabeck C, et al. The effect of elec-tive total hip replacement on health-related quality of life. J Bone Joint Surg Am 1993 ; 75 : 1619-1626.
- 9. Gilbey HJ, Ackland TR, Wang AW, et al. Exercise improves early functional recovery after total hip arthroplasty. Clin Orthop Relat Res 2003 ; 408 : 193-200.
- 10. 田中義孝. 変形性股関節症および人工股関節置換術例の歩行分析. 日整会誌 1993 ; 67 : 1001-1013.
- 11. Edmunds CT, Boscainos PJ. Effect of surgical approach for total hip replacement on hip function using harris hip scores and trendelenburg's test. A retrospective analysis. Surgeon 2011 ; 9 : 124-129.
- 12. Jameson SS, Mason J, Baker P, et al. A comparison of surgi-cal approaches for primary hip arthroplasty : A cohort study of patient reported outcome measures(PROMs)and early revi-sion using linked national databases. J Arthroplasty 2014 ; 29 : 1248-1255.
- 13. Thorborg K, Petersen J, Magnusson SP, et al. Clinical assess-ment of hip strength using a hand-held dynamometer is reli-able. Scand J Med Sci Sports 2010 ; 20 : 493-501.
- 14. Sato E, Yamaji T, Sato T, et al. Effect of the WISH-type hip brace on postural control in patients with osteoarthritis of the hip : Evaluation using the cross test. Kitakanto Med J 2016 ; 66 : 103-110.
- 15. Birrell F, Croft P, Cooper C, et al. Predicting radiographic hip osteoarthritis from range of movement. Rheumatology(Oxford) 2001 ; 40 : 506-512.
- 16. Arokoski MH, Haara M, Helminen HJ, et al. Physical func-tion in men with and without hip osteoarthritis. Arch Phys Med Rehabil 2004 ; 85 : 574-581.
- 17. 河村都容市 : 変形性股関節症に対する和医大式股関節用S字型装具の開発に関する研究. 日整会誌 1983 ; 57 : 1665-1679.
- 18. Rasch A, Bystrom AH, Dalen N, et al. Reduced muscle radiological density, cross-sectional area, and strength of major hip and knee muscles in 22 patients with hip osteoar-thritis. Acta Orthop 2007 ; 78 : 505-510.
- 19. Arokoski MH, Arokoski JP, Haara M, et al. Hip muscle strength and muscle cross sectional area in men with and without hip osteoarthritis. J Rheumatol 2002 ; 29 : 2185-2195.
- 20. 齋藤真紀子, 佐竹將宏. 人工股関節全置換術前後の身体機能と歩行時の体幹・骨盤傾斜角度の経時的変化筋腱温存法とDall法との比較. 理学療法科学 2018 ; 33 : 569-576.
- 21. 北村雅子, 浅野由美, 天田裕子ら. 人工股関節全置換術施行患者における健側股関節の外転筋力の推移. Hip Joint 2011 ; 37 : 85-87.
- 22. Judd DL, Dennis DA, Thomas AC, et al. Muscle strength and functional recovery during the first year after THA. Clin Orthop Relat Res 2014 ; 472 : 654-664.
