The efficacy of total hip arthroplasty on locomotive syndrome and its related physical function in patients with hip osteoarthritis.

Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association
Takaaki OhmoriHiroyuki Tsuchiya

Abstract

Locomotive syndrome (LS) is a predictive factor of future motor dysfunction. Our aim was to evaluate the change in the total LS grade and, its the association with the Japanese Orthopaedic Association (JOA) hip score after total hip arthroplasty (THA) among patients with hip osteoarthritis. This was a prospective case-control study of 72 patients who underwent primary THA. The functional outcomes were measured before, and at 6 and 12 months after THA. LS was evaluated using the following tests: stand-up test, 2-step test, and 25-question Geriatric Locomotive Function Scale (GLFS-25). In addition, factors affecting the improvement of LS grade were examined. Prior to THA, 7% and 93% of patients were classified as LS grades 1 and 2. At 6 months after THA, an improvement in the total LS grade was observed in 57% of patients, with this percentage further increasing to 65% at 1 year. Only the preoperative GLFS-25 was correlated with the preoperative JOA hip scores. The postoperative GLFS-25 and the two-step test were correlated with the postoperative JOA hip scores. The preoperative functional reach test (FRT) was significantly correlated with the total LS grade improvement. THA can improve the total LS grade in 65% of patients at 1 ...Continue Reading

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Citations

Jan 12, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Kazunari NinomiyaKazuo Hirakawa

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