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首页> 外文期刊>Medical science monitor : >Changes in gait parameters in total hip arthroplasty patients before and after surgery
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Changes in gait parameters in total hip arthroplasty patients before and after surgery

机译：全髋关节置换术患者手术前后步态参数的变化

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Background The ideal outcome in total hip arthroplasty (THA) with endoprosthesis is the elimination of pain and the recovery of a normal range of movement in the affected hip joint, which is essential in order to improve the gait and restore the quality of life. In rehabilitation programs aimed at teaching patients to walk after THA, it is of particular importance to restore proper gait rhythm, speed, and fluidity of motion. Material and Method We examined 30 patients with degenerative changes of the hip joint (11 men, 19 women), who had been referred for THA in the period 2002--2004 due to unilateral degeneration of the hip joint. Pedobarography was used to record the distribution of force on the foot in each patient just before and again one month after surgery, along with clinical tests to measure the range of motion (ROM) for both lower extremities. The body mass index (BMI) was also measured. Results Static measurements showed that before surgery there was no statistically significant asymmetry between the affected and healthy lower limbs in respect to maximum foot-ground pressure. One month after surgery, however, we found some asymmetry, caused by reduced load on the operated limb. After THA there was a slight increase in step length in both limbs, but asymmetry in step length persisted. Conclusions One month after THA with endoprosthesis we observed slight improvement in step length and increased asymmetry in load-bearing in the affected limbs.
机译：背景技术内置假体的全髋关节置换术（THA）的理想结果是消除疼痛并恢复患髋关节的正常运动范围，这对于改善步态和恢复生活质量至关重要。在旨在教导患者THA行走的康复计划中，恢复适当的步态节奏，速度和运动的流畅性尤为重要。材料和方法我们检查了30例髋关节退行性变化的患者（11例男性，19例女性），他们在2002--2004年期间因髋关节单侧变性而被推荐进行THA。术前和术后一个月使用Pedobarography记录每位患者脚上的力量分布，并进行临床测试以测量下肢的运动范围（ROM）。还测量了体重指数（BMI）。结果静态测量结果表明，在手术前受影响的和健康的下肢之间在最大脚底压力方面没有统计学上的显着不对称性。然而，手术后一个月，我们发现由于手术肢体负荷减少而引起的一些不对称性。 THA后，两肢步长略有增加，但步长不对称仍然存在。结论THA术后1个月内，我们发现受累肢体的步长略有改善，负重的不对称性增加。

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