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Volume 43 Number 4, July/August 2006
Pages 445 — 450

Abstract - Influence of a 6-week arm exercise program on walking ability and health status after hip arthroplasty: A 1-year follow-up pilot study

Jérôme Maire, PhD;1 Benoit Dugué, PhD;1-3* Anne-Françoise Faillenet-Maire, MD;4 Juhani Smolander, PhD;5 Nicolas Tordi, PhD;1 Bernard Parratte, PhD;6 Céline Grange, PhD;1 Jean-Denis Rouillon, MD, PhD1

1Laboratoire des Sciences du Sport, Université de Franche-Comté, Besançon, France; 2Laboratory of Exercise-Induced Physiological Adaptations (EA 3813), University of Poitiers, Poitiers, France; 3Minerva Foundation Institute for Medical Research, Helsinki, Finland; 4Centre de Réadaptation Fonctionnelle, Service de Rééducation Gériatrique, Quingey, France; 5ORTON Orthopaedic Hospital, Foundation for Invalids, Helsinki, Finland; 6Service d'Exploration Fonctionnelle Neuro-Musculaire, Centre Hospitalier Universitaire, Besançon, France
Abstract-The influence of an upper-limb interval-training program after total hip arthroplasty (THA) in elderly patients was studied during a 1 yr follow-up on health status and walking ability. After surgery, 14 patients were randomly assigned to the control group that started a 6 wk general rehabilitation program or the training group that combined it with an interval exercise program on an arm ergometer. A Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index was completed 1 mo before and 2 mo and 1 yr after surgery. A 6 min walking test was performed at 2 mo and 1 yr after surgery. The training group covered a significantly longer distance than the control group in the 6 min walk test and obtained significantly lower WOMAC scores both at 2 mo and 1 yr after surgery. However, both groups significantly improved in WOMAC and in their performance during the survey. Endurance-type upper-body aerobic training in a rehabilitation program might be important after THA.
Key words: 6 min walking test, arm exercise, elderly, exercise training, health status, hip arthroplasty, recovery after surgery, rehabilitation, transfer effect, WOMAC Osteoarthritis Index.

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