dc.contributor.author
Haffer, Henryk
dc.contributor.author
Popovic, Srdan
dc.contributor.author
Martin, Franziska
dc.contributor.author
Hardt, Sebastian
dc.contributor.author
Winkler, Tobias
dc.contributor.author
Damm, Philipp
dc.date.accessioned
2023-03-03T14:14:38Z
dc.date.available
2023-03-03T14:14:38Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/38204
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-37921
dc.description.abstract
A further increase in the number of total hip arthroplasty (THA) is predicted, in particular the number of young THA patients has raised and with it their demands. There is no standardized evidence-based rehabilitation program and no reliable guidelines for sports activities after THA. Stretching and strengthening gymnastics are routinely performed in rehabilitation and aerobics as a sport after THA. The aim of the investigation was to determine the in vivo force and moments acting on the hip prosthesis during gymnastics and aerobic exercises to provide a source for evidence-based recommendations. Hip joint loads were measured in six patients with instrumented hip implants. The resulting force F-Res, bending moment M-Bend at the neck and torsional moment M-Tors at the stem were examined during seven strengthening (with two different resistance bands) and four stretching gymnastic exercises and seven aerobic exercises with and without an aerobic step board compared to the loads during the reference activity walking. The stretching and strengthening gymnastics exercises and the aerobic exercises with and without a board demonstrated in their median peak force and moments mostly lower or similar values compared to walking. Significantly increased loads were recorded for the flexor stretching exercise in monopod stand (F-res and M-Bend), the strengthening abduction exercise on the chair (M-Tors) and the strengthening flexion exercise with the stronger resistance band (M-Tors). We also found a significant increase in median peak values in aerobic exercises with a board for the "Basic Step" (ipsilateral started F-res and M-Tors; contralateral started M-Tors), "Kickstep ipsilateral started" (F-res and M-Tors) and "Over the Top contralateral started" (F-res). The in vivo loads in THA patients during frequently performed stretching, strengthening and aerobic exercises were demonstrated for the first time. It was proved that stretching gymnastic exercises are safe in terms of resulting force, bending and torque moments for THA patients, although an external assistance for stabilization may be considered. Strengthening gymnastics exercises are reliable in terms of F-res, M-Bend and M-Tors, but, based on our data, we recommend to adhere to the communicated specific postoperative restrictions and select the resistance bands with lower tension. Aerobic exercises without an aerobic board can be considered as reliable activity in terms of force and moments for THA patients. Aerobic exercises with a board are not recommended for the early postoperative period and in our opinion need to be adapted to the individual muscular and coordinative resources.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
total hip arthroplasty (THA)
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
In vivo loading on the hip joint in patients with total hip replacement performing gymnastics and aerobics exercises
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.articlenumber
13395
dcterms.bibliographicCitation.doi
10.1038/s41598-021-92788-7
dcterms.bibliographicCitation.journaltitle
Scientific Reports
dcterms.bibliographicCitation.originalpublishername
Springer Nature
dcterms.bibliographicCitation.volume
11
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
Springer Nature DEAL
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
34183711
dcterms.isPartOf.eissn
2045-2322