The Assessment of Static Balance in Patients after Total Hip Replacement in the Period of 2-3 Years after Surgery

Teresa Pop, Daniel Szymczyk, Joanna Majewska, Agnieszka Bejer, Joanna Baran, Arkadiusz Bielecki, Wojciech Rusek, Teresa Pop, Daniel Szymczyk, Joanna Majewska, Agnieszka Bejer, Joanna Baran, Arkadiusz Bielecki, Wojciech Rusek

Abstract

Introduction: The aim of this study was to assess static balance of patients after Total Hip Replacement (THR) compared with the age-matched, asymptomatic control group, considering the subject's gender and the time since the surgery.

Materials and methods: The Total Hip Replacement (THR) group consisted of 55 subjects (mean age: 56.3 ± 8.7 years) and the control group consisted of 48 subjects (mean age: 58 ± 6.2 years). For the assessment of static balance, a stabilometric force platform was used. All subjects performed two 30-second trials in the double-leg stance position with eyes opened and closed. In the study group, the stabilometric assessment was performed once within the period of 24 to 36 months after the surgery.

Results: Subjects from the study group had significantly increased mediolateral COP velocity in the test with eyes opened, as well as the values of most of the COP parameters (excluding COP path area) in the test with eyes closed, compared to the control group. Higher values of the selected COP parameters were observed in the male subjects from the study group.

Conclusion: In contrast to a number of papers, our study revealed some deficits in static balance in patients after THR up to 2-3 years after surgery.

References

    1. Danielsson L., Lindberg H. Prevalence of coxarthrosis in an urban population during four decades. Clinical Orthopaedics and Related Research. 1997;(342):106–110.
    1. Felson D. T., Zhang Y. An update on the epidemiology of knee and hip osteoarthritis with a view to prevention. Arthritis & Rheumatism. 1998;41(8):1343–1355. doi: 10.1002/1529-0131(199808)41:8<1343::aid-art3>;2-9.
    1. Hopman-Rock M., Odding E., Hofman A., Kraaimaat F. W., Bijlsma J. W. J. Differences in health status of older adults with in the hip or knee only and with additional mobility restricting conditions. The Journal of Rheumatology. 1997;24(12):2416–2423.
    1. Geurts A. C. H., Mulder T. W., Nienhuis B., Mars P., Rijken R. A. J. Postural organization in patients with hereditary motor and sensory neuropathy. Archives of Physical Medicine and Rehabilitation. 1992;73(6):569–572.
    1. Arokoski M. H., Haara M., Helminen H. J., Arokoski J. P. Physical function in men with and without hip osteoarthritis. Archives of Physical Medicine and Rehabilitation. 2004;85(4):574–581. doi: 10.1016/j.apmr.2003.07.011.
    1. Nevitt M. C., Cummings S. R., Kidd S., Black D. Risk factors for recurrent nonsyncopal falls. A prospective study. Journal of the American Medical Association. 1989;261(18):2663–2668. doi: 10.1001/jama.1989.03420180087036.
    1. Robbins A. S., Rubenstein L. Z., Josephson K. R., Schulman B. L., Osterweil D., Fine G. Predictors of falls among elderly people: results of two population-based studies. JAMA Internal Medicine. 1989;149(7):1628–1633. doi: 10.1001/archinte.149.7.1628.
    1. Bennett D., Humphreys L., O'Brien S., Orr J., Beverland D. E. Temporospatial parameters of hip replacement patients ten years post-operatively. International Orthopaedics. 2009;33(5):1203–1207. doi: 10.1007/s00264-008-0641-9.
    1. Johanson N. A., Charlson M. E., Szatrowski T. P., Ranawat C. S. A self-administered hip-rating questionnaire for the assessment of outcome after total hip replacement. The Journal of Bone & Joint Surgery—American Volume. 1992;74(4):587–597. doi: 10.2106/00004623-199274040-00015.
    1. Laupacis A., Bourne R., Rorabeck C., et al. The effect of elective total hip replacement on health-related quality of life. The Journal of Bone & Joint Surgery. 1993;75(11):1619–1626. doi: 10.2106/00004623-199311000-00006.
    1. Foucher K. C., Hurwitz D. E., Wimmer M. A. Do gait adaptations during stair climbing result in changes in implant forces in subjects with total hip replacements compared to normal subjects? Clinical Biomechanics. 2008;23(6):754–761. doi: 10.1016/j.clinbiomech.2008.02.006.
    1. Lamontagne M., Beaulieu M. L., Varin D., Beaulé P. E. Lower-limb joint mechanics after total hip arthroplasty during sitting and standing tasks. Journal of Orthopaedic Research. 2012;30(10):1611–1617. doi: 10.1002/jor.22127.
    1. Shrader M. W., Bhowmik-Stoker M., Jacofsky M. C., Jacofsky D. J. Gait and stair function in total and resurfacing hip arthroplasty: A pilot study. Clinical Orthopaedics and Related Research. 2009;467(6):1476–1484. doi: 10.1007/s11999-009-0791-0.
    1. Talis V. L., Grishin A. A., Solopova I. A., Oskanyan T. L., Belenky V. E., Ivanenko Y. P. Asymmetric leg loading during sit-to-stand, walking and quiet standing in patients after unilateral total hip replacement surgery. Clinical Biomechanics. 2008;23(4):424–433. doi: 10.1016/j.clinbiomech.2007.11.010.
    1. D'Aubigne R. M., Postel M. Function al results of hip arthroplasty with acrylic prosthesis. The Journal of Bone & Joint Surgery. 1954;36(3):451–475. doi: 10.2106/00004623-195436030-00001.
    1. Harris W. H. 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. The Journal of Bone & Joint Surgery. 1969;51(4):737–755. doi: 10.2106/00004623-196951040-00012.
    1. Lindemann U., Becker C., Unnewehr I., et al. Gait analysis and WOMAC are complementary in assessing functional outcome in total hip replacement. Clinical Rehabilitation. 2006;20(5):413–420. doi: 10.1191/0269215506cr958oa.
    1. Nantel J., Termoz N., Vendittoli P.-A., Lavigne M., Prince F. Gait patterns after total hip arthroplasty and surface replacement arthroplasty. Archives of Physical Medicine and Rehabilitation. 2009;90(3):463–469. doi: 10.1016/j.apmr.2008.08.215.
    1. Calo L., Rabini A., Picciotti P. M., et al. Postural control in patients with total hip replacement. European Journal of Physical and Rehabilitation Medicine. 2009;45(3):327–334.
    1. McChesney J. W., Woollacott M. H. The effect of age-related declines in proprioception and total knee replacement on postural control. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences. 2000;55(11):M658–M666. doi: 10.1093/gerona/55.11.M658.
    1. Missaoui B., Portero P., Bendaya S., Hanktie O., Thoumie P. Posture and equilibrium in orthopedic and rheumatologic diseases. Neurophysiologie Clinique/Clinical Neurophysiology. 2008;38(6):447–457. doi: 10.1016/j.neucli.2008.09.004.
    1. Mengshoel A. M., Clarke-Jenssen A.-C., Fredriksen B., Paulsen T. Clinical examination of balance and stability in rheumatoid arthritis patients. Physiotherapy. 2000;86(7):342–347. doi: 10.1016/S0031-9406(05)60627-X.
    1. Sturnieks D. L., Tiedemann A., Chapman K., Munro B., Murray S. M., Lord S. R. Physiological risk factors for falls in older people with lower limb arthritis. The Journal of Rheumatology. 2004;31(11):2272–2279.
    1. Aydoğ E., Bal A., Aydoğ S. T., Çakci A. Evaluation of dynamic postural balance using the biodex stability system in rheumatoid arthritis patients. Clinical Rheumatology. 2006;25(4):462–467. doi: 10.1007/s10067-005-0074-4.
    1. Hassan B. S., Mockett S., Doherty M. Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Annals of the Rheumatic Diseases. 2001;60(6):612–618. doi: 10.1136/ard.60.6.612.
    1. Eyvazov K., Eyvazov B., Basar S., Nasto L. A., Kanatli U. Effects of total hip arthroplasty on spinal sagittal alignment and static balance: a prospective study on 28 patients. European Spine Journal. 2016;25(11):3615–3621. doi: 10.1007/s00586-016-4696-9.
    1. Amiridis I., Hatzitaki V., Arabatzi F. Age-induced modifications of static postural control in humans. Neuroscience Letters. 2003;350(3):137–140. doi: 10.1016/S0304-3940(03)00878-4.
    1. Bisson E. J., McEwen D., Lajoie Y., Bilodeau M. Effects of ankle and hip muscle fatigue on postural sway and attentional demands during unipedal stance. Gait & Posture. 2011;33(1):83–87. doi: 10.1016/j.gaitpost.2010.10.001.
    1. Quagliarella L., Sasanelli N., Monaco V., et al. Relevance of orthostatic posturography for clinical evaluation of hip and knee joint arthroplasty patients. Gait & Posture. 2011;34(1):49–54. doi: 10.1016/j.gaitpost.2011.03.010.
    1. Majewski M., Bischoff-Ferrari H. A., Grüneberg C., Dick W., Allum J. H. J. Improvements in balance after total hip replacement. The Journal of Bone & Joint Surgery—British Volume. 2005;87(10):1337–1343. doi: 10.1302/0301-620x.87b10.16605.
    1. Trudelle-Jackson E., Smith S. S. Effects of a late-phase exercise program after total hip arthroplasty: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation. 2004;85(7):1056–1062. doi: 10.1016/j.apmr.2003.11.022.
    1. Szymanski C., Thouvarecq R., Dujardin F., Migaud H., Maynou C., Girard J. Functional performance after hip resurfacing or total hip replacement: A comparative assessment with non-operated subjects. Orthopaedics & Traumatology: Surgery & Research. 2012;98(1):1–7. doi: 10.1016/j.otsr.2011.10.006.
    1. Holnapy G., Kiss R. M. Impact of the method of exposure in total hip arthroplasty on balancing ability in response to sudden unidirectional perturbation in the first six months of the postoperative period. Journal of Electromyography & Kinesiology. 2013;23(3):727–733. doi: 10.1016/j.jelekin.2013.01.005.
    1. Rasch A., Byström A. H., Dalén N., Martinez-Carranza N., Berg H. E. Persisting muscle atrophy two years after replacement of the hip. The Journal of Bone & Joint Surgery (British Volume) 2009;91(5):583–588. doi: 10.1302/0301-620X.91B5.21477.
    1. Melchiorri G., Viero V., Triossi T., et al. Late isometric assessment of hip abductor muscle and its relationship with functional tests in elderly women undergoing replacement of unilateral hip joint. American Journal of Physical Medicine & Rehabilitation. 2015;94(10):758–767. doi: 10.1097/PHM.0000000000000243.
    1. Rasch A., Dalén N., Berg H. E. Muscle strength, gait, and balance in 20 patients with hip osteoarthritis followed for 2 years after THA. Acta Orthopaedica. 2010;81(2):183–188. doi: 10.3109/17453671003793204.
    1. Scoppa F., Capra R., Gallamini M., Shiffer R. Clinical stabilometry standardization: basic definitions—acquisition interval—sampling frequency. Gait & Posture. 2013;37(2):290–292. doi: 10.1016/j.gaitpost.2012.07.009.
    1. Carpenter M. G., Frank J. S., Winter D. A., Peysar G. W. Sampling duration effects on centre of pressure summary measures. Gait & Posture. 2001;13(1):35–40. doi: 10.1016/s0966-6362(00)00093-x.
    1. Shih C.-H., Du Y.-K., Lin Y.-H., Wu C.-C. Muscular recovery around the hip joint after total hip arthroplasty. Clinical Orthopaedics and Related Research. 1994;(302):115–120.
    1. Mont M. A., Seyler T. M., Ragland P. S., Starr R., Erhart J., Bhave A. Gait analysis of patients with resurfacing hip arthroplasty compared with hip osteoarthritis and standard total hip arthroplasty. The Journal of Arthroplasty. 2007;22(1):100–108. doi: 10.1016/j.arth.2006.03.010.
    1. Mancini M., Horak F. B. The relevance of clinical balance assessment tools to differentiate balance deficits. European Journal of Physical and Rehabilitation Medicine. 2010;46(2):239–248.
    1. Nagy E., Feher-Kiss A., Barnai M., Domján-Preszner A., Angyan L., Horvath G. Postural control in elderly subjects participating in balance training. European Journal of Applied Physiology. 2007;100(1):97–104. doi: 10.1007/s00421-007-0407-x.
    1. Wykman A., Goldie I. Postural stability after total hip replacement. International Orthopaedics. 1989;13(4):235–238. doi: 10.1007/BF00268504.
    1. Nallegowda M., Singh U., Bhan S., Wadhwa S., Handa G., Dwivedi S. N. Balance and gait in total hip replacement: a pilot study. American Journal of Physical Medicine & Rehabilitation. 2003;82(9):669–677. doi: 10.1097/01.phm.0000083664.30871.c8.
    1. Nantel J., Termoz N., Centomo H., Lavigne M., Vendittoli P.-A., Prince F. Postural balance during quiet standing in patients with total hip arthroplasty and surface replacement arthroplasty. Clinical Biomechanics. 2008;23(4):402–407. doi: 10.1016/j.clinbiomech.2007.10.011.

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