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Total hip arthroplasty in the elderly: impact on functional performance.
Guedes, Rita C; Dias, João M D; Dias, Rosângela C; Borges, Viviane S; Lustosa, Lygia P; Rosa, Nayza M B.
Afiliação
  • Guedes RC; Centro Universitário de Belo Horizonte, Belo Horizonte, MG, Brazil. ritadecassiaguedes@yahoo.com.br
Rev Bras Fisioter ; 15(2): 123-30, 2011.
Article em En, Pt | MEDLINE | ID: mdl-21789362
OBJECTIVES: To compare gait and functional performance parameters in elderly subjects who had or had not total hip arthroplasty (THA). METHODS: Our sample comprised 23 elderly subjects (72±6.5 years of age) with a mean of 2.6±1.3 years following THA, named the arthroplasty group (AG) and 23 asymptomatic elderly subjects (70.1±5.9 years of age), named the control group (CG). Case and control subjects were paired by gender, age, body mass index and level of physical activity. The GAITRite® system was used to analyze various gait parameters in four situations: usual speed (US), fast speed (FS), slow speed (SS) and dual task (DT); the Dynamic Gait Index (DGI) and Timed Up and Go test (TUG) methods were used to evaluate functional capacity. The statistical analyses were carried out using the Shapiro-Wilk test, Student's-t-tests for independent samples, chi-square tests, ANOVA for repeated measurements and paired Student's-t-tests. RESULTS: The AG had the worst results for gait speed (AG=1.18±0.13 and CG=1.39±0.09; p=0.012), symmetry index (SI) of step length (AG=3.60±1.01 and CG=1.12±0.59; p=0.000), SI of step time (AG=-2.65±0.92 and CG=0.99±0.74; p=0.000), SI of stance phase (AG=-2.55 and CG=-1.04±0.50; p=0.005), SI of single support phase (AG=-2.17±0.78 and CG=1.21±0.51; p=0.003), DGI (AG=20.04±1.91 and CG=21.69±1.45; p=0.001) and TUG (AG=14.67±1.94 and CG=10.08±1.49; p=0.001). CONCLUSION: Elderly subjects with a history of THA had changes in gait parameters and lower performance in TUG test even 2.6±1,3 years after surgery, which suggests functional impairment.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artroplastia de Quadril / Marcha Limite: Aged / Female / Humans / Male Idioma: En / Pt Revista: Rev Bras Fisioter Assunto da revista: MEDICINA FISICA / REABILITACAO Ano de publicação: 2011 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artroplastia de Quadril / Marcha Limite: Aged / Female / Humans / Male Idioma: En / Pt Revista: Rev Bras Fisioter Assunto da revista: MEDICINA FISICA / REABILITACAO Ano de publicação: 2011 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil