Journal of Rehabilitation Research & Development (JRRD)

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Volume 49 Number 8, 2012
   Pages 1221 — 1228

Abstract — Advancement of physical process by mental activation: A prospective controlled study

S. Lehrl, PhD;1 J. Gusinde, MD;2 S. Schulz-Drost, MD;2 A. Rein, MD;1 P. M. Schlechtweg, MD, MHBA;3 H. Jacob, MD;1 S. Krinner, MD;2 K. Gelse, MD;2 J. Pauser, MD, MHBA;2 Matthias H. Brem, MD, MHBA4*

Departments of   1Psychiatry, 2Surgery, Division of Traumasurgery, and 3Radiology, Friedrich-Alexander-Universität Erlangen-Nuremberg, Erlangen, Germany; 4Departments of Traumatology and Orthopaedy, Klinikum Nuernberg, Nuernberg, Germany

Abstract — According to the literature, patients who are significantly impaired by physical mobility limitations can be rehabilitated if the patient’s working memory is used to capacity. The conclusion that periodic mental activity improves physical rehabilitation should be evaluated. This is a prospective, controlled, and randomized open study of patients who underwent a total hip arthroplasty (THA). Sixteen patients who played the video game Dr. Kawashima’s Brain Training: How Old Is Your Brain? were compared in terms of rehabilitation progress to 16 individuals who did not play. Harris Hip and Merle d’Aubigné scores were evaluated 1 d preoperation and again 12 +/– 1 d postoperation. Preoperation, no significant differences in hip scores between the gaming and control groups were found (median Harris Hip score: 39 vs 33, respectively, p = 0.304; median Merle D’Aubigné score: 12 vs 9, respectively, p = 0.254). Postoperation, there were significant differences between the gaming and control groups (median Harris Hip score: 76.0 vs 56.5, respectively, p = 0.001; median Merle D’Aubigné score: 16.0 vs 13.5, respectively, p = 0.014). Within both groups, the posttest scores significantly improved; however, the increase for the gaming group was greater for both measures. Because the influence of age, sex, and level of education can be excluded, it can be assumed that mental activities can improve physical rehabilitation after THA.

Key words: Harris Hip Scale, hip score, hospitalization, mental activity, Merle D’Aubigné Scale, physical mobility, physical rehabilitation, telehealth, total hip arthroplasty, working memory.

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Last Reviewed or Updated  Tuesday, December 11, 2012 9:33 AM

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