Abstract:
:Total hip arthroplasty (THA) has revolutionized the care of patients with end-stage joint disease, leading to pain relief, functional recovery, and substantial improvement in quality of life. However, long-term studies indicate persistence of impairment and functional limitation after THA, and the optimal rehabilitation protocols are largely unknown. The aim of this paper was to systematically review the controlled trials published on the effectiveness of physical exercise programs after THA. Nine studies were retrieved from MEDLINE and reviewed. Results show that the physical exercise protocols most frequently used after THA in the early postoperative phase are neither supported nor denied by clinical controlled trials. Convincing evidence for the effectiveness of single interventions in addition to usual exercise programs exists for each of the three following options: treadmill training with partial body-weight support, unilateral resistance training of the quadriceps muscle (operated side), and arm-interval exercises with an arm ergometer. In the late postoperative phase (operation interval > 8 weeks) exercise programs consistently improve both impairment and ability to function. Weight-bearing exercises with hip-abductor eccentric strengthening may be the crucial component of the late-phase protocols. Substantial limitations were found in the nine studies, including small sample size, patient selection, heterogeneity of outcome assessments, and potential sources of variability not investigated. Despite limitations, we conclude that three main suggestions emerge from controlled trials on physical exercise after THA: early postoperative protocols should include additive interventions whose effectiveness has been shown. Late postoperative programs are useful and should comprise weight-bearing exercises with hip-abductor eccentric strengthening.
journal_name
Eur J Phys Rehabil Medjournal_title
European journal of physical and rehabilitation medicineauthors
Di Monaco M,Vallero F,Tappero R,Cavanna Asubject
Has Abstractpub_date
2009-09-01 00:00:00pages
303-17issue
3eissn
1973-9087issn
1973-9095pii
R33092038journal_volume
45pub_type
杂志文章,评审abstract::The purpose of this article was to describe the use of noninvasive inspiratory and expiratory muscle aids to prevent chest wall deformities including pectus excavatum, to prevent respiratory complications of vertebral surgery, to prevent acute and long-term ventilatory insufficiency and failure in children with paraly...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Mobility limitations are frequent in patients with multiple sclerosis (MS), and could already be present in patients with so-called mild neurological disability (Expanded Disability Status Scale≤4). Assessing mobility in these patients is therefore of paramount importance. Timed Up-and-Go Test (TUG) and 2-Mi...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.18.05366-2
更新日期:2019-08-01 00:00:00
abstract:AIM:The aim of this paper was to determine whether the injection of alcohol or phenol into the tibialis posterior nerve relive the symptoms and signs of ankle plantar flexor spasticity. METHODS:Twenty patients with hemiplegic stroke were included. Patients were randomly assigned to receive a single treatment of alcoho...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:In patients affected by multiple sclerosis (MS) the disabilities increase during the progression of the disease, with a negative impact on quality of life. Rehabilitation improves motor performances, but remains unclear the role of psychological variables on motor recovery. AIM:The aim of this study was to ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.16.04158-7
更新日期:2017-02-01 00:00:00
abstract:INTRODUCTION:Stroke may result in decreased trunk muscle strength and limited trunk coordination, frequently determining loss of autonomy due to the trunk impairment. Furthermore, sitting balance has been repeatedly identified as an important predictor of motor and functional recovery after stroke. Given the importance...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.23736/S1973-9087.18.05178-X
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Exercise programmes have important role in prevention of falls, but to date, we have little knowledge about the effects of Adapted Physical Activity programme on balance of older women. AIM:The aim of this study was to investigate the effects of an Adapted Physical Activity programme on balance, risk of fal...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Very few studies have investigated the influence of single activities of daily living (ADL) at admission as possible predictors of functional outcome after rehabilitation. AIM:The aim of the current study was to investigate admission functional status and performance of basic ADLs as assessed by Functional ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
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更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Studies have shown that positive recovery expectations are associated with positive health outcomes in patients with chronic low back pain (CLBP) such as return to work (RTW) and the time to RTW. AIM:To compare the predictive value for RTW in CLBP using different subsets of the Örebro Musculoskeletal Pain S...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.17.04398-2
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Despite the growing evidence about the use of robotic gait training in neurorehabilitation, there is a scant literature about the combined effects of this innovative technological approach and a first‑line treatment for focal spasticity as botulinum toxin type A. In particular, to the best of our knowledge, ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2016-12-01 00:00:00
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journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.17.04802-X
更新日期:2018-08-01 00:00:00
abstract:INTRODUCTION:Adult scoliosis (AS) is the most common spine deformity in adults. Back pain is the main symptom leading patients to seek medical consultation. Stabilization exercise has been shown effective for reducing back pain. No literature review has examined the effects of such exercises in adults with scoliosis. T...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.23736/S1973-9087.17.05062-6
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:In the Facioscapulohumeral muscular dystrophy (FSHD), the association of ankle muscle impairment with knee, hip and abdominal weakness causes complex alterations of static (postural) and dynamic (walking) balance, increasing the risk of recurrent falls. Stereophotogrammetric system and body-worn gyroscopes w...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2012-09-01 00:00:00
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journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,meta分析,评审
doi:
更新日期:2014-02-01 00:00:00
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journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
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更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a well-known questionnaire used to evaluate disability. We can not only evaluate disability but also obtain additional information by using the standardized WHODAS 2.0 scores. AIM:To predict the institutionalization of the pati...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.17.04615-9
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Although the use of patient-reported outcome measures to assess Health-Related Quality of Life (HRQoL) has been advocated, it is still open to debate which patient-reported outcome measure should be preferred to evaluate HRQoL after stroke. AIM:To compare the measurement properties (including concurrent val...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.21.06335-8
更新日期:2021-01-15 00:00:00
abstract:BACKGROUND:Management of chronic mechanical neck pain (CMNP) still represents a challenge. A patient-oriented (Pa-O) therapeutic approach could be considered as the one in which therapies are scheduled at the start of each therapeutic session according to the patient's current physical status, and differs from a prescr...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2013-06-01 00:00:00
abstract::In the context of the White Book of Physical and Rehabilitation Medicine (PRM), this paper deals with the education of PRM physicians in Europe. To acquire the wide field of competence needed, specialists in Physical and Rehabilitation Medicine have to undergo a well organised and appropriately structured training of ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.23736/S1973-9087.18.05153-5
更新日期:2018-04-01 00:00:00
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journal_title:European journal of physical and rehabilitation medicine
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更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:Myofascial trigger points (MTrPs) are commonly observed in the neck, parascapular region, and upper back muscles of patients with cervical pathology. AIM:To assess the frequency of latent and active myofascial trigger point (aMTrP) in the neck and upper back muscles in patients with cervical radiculopathy a...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
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更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:There has been an increase in the use of questionnaires as tools for the subjective evaluation of patients with neuro-musculoskeletal problems. AIM:To analyse the psychometric properties of the questionnaires published in Italian for the evaluation of cervical and lumbar spine pain and related dysfunction. ...
journal_title:European journal of physical and rehabilitation medicine
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更新日期:2020-12-01 00:00:00
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journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,多中心研究
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更新日期:2019-04-01 00:00:00
abstract:AIM:Since 2007 we have been focusing our attention to EJPRM as the best available clinical evidence as offered by the Cochrane Collaboration. Due to the absence of a specific Rehabilitation Group (only a Field does exist), some reviews in the field of PRM are not easy to find. Consequently, the EJPRM lists and presents...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2009-12-01 00:00:00
abstract::One of the objectives of the Professional Practice Committee (PPC) of the Physical and Rehabilitation Medicine (PRM) Section of the Union of European Medical Specialists (UEMS) is the development of the field of competence of PRM physicians in Europe. To achieve this objective, UEMS PRM Section PPC has adopted a syste...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2013-10-01 00:00:00
abstract:AIM:In the last 40 years, physical and rehabilitation medicine (PRM) has made significant steps forward in Europe with the foundation of the European Federation of Physical Medicine and Rehabilitation (EFPMR) (1963) which gave rise to the European Society of Physical and Rehabilitation Medicine (ESPRM) (2004) the Europ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 历史文章,杂志文章
doi:
更新日期:2010-06-01 00:00:00
abstract::Parkinson disease (PD) is a progressive, neurodegenerative movement disorder that is often accompanied by impaired balance and walking and reduced quality of life (QoL). Recent studies indicate that dance may be an effective alternative to traditional exercise for addressing these areas of concern to individuals with ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:It is believed that treatment with low temperature can reduce pain perception in chronic pain patients, including chronic low back pain patients. AIM:To evaluate the effects of a two-week repeated intervention of -67 °C cryo-chamber in patients with chronic low back pain. DESIGN:A prospective randomized do...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
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更新日期:2015-04-01 00:00:00
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journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2010-06-01 00:00:00
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journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
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更新日期:2011-09-01 00:00:00
abstract:AIM:Since 2007 we focused our attention as EJPRM to the best available clinical evidence as offered by the Cochrane Collaboration. Due to the absence of a specific Rehabilitation Group (only a Field exists), reviews of PRM interest are in different groups and not easy to find. Consequently, the EJPRM offer the service ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
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更新日期:2011-03-01 00:00:00