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A non-invasive biomechanical device and treatment for patients following total hip arthroplasty: results of a 6-month pilot investigation

Segal G, et al. Journal of Orthopaedic Surgery and Research

Abstract

Background:
The purpose of the study was to examine the effect of a foot-worn biomechanical device on the
clinical measurements and gait patterns of patients with total hip arthroplasty (THA).

Methods:
Nineteen patients, up to 3 months post-THA, were enrolled to the study. Patients underwent a computerized gait analysis to calculate spatiotemporal parameters and completed the Western Ontario and McMaster Universities osteoarthritis index and the SF-36 health survey. Patients then began therapy with a noninvasive foot-worn biomechanical device coupled with a treatment methodology (AposTherapy). Patients received exercise guidelines and used the device daily during their regular activities at their own environment. Follow-up examinations were conducted after 4, 12, and 26 weeks of therapy. Repeated measures ANOVA was used to evaluate changes over time. The clinical significance of the treatment effect was evaluated by computing the Cohen's effect sizes (ES statistic).

Results:
After 26 weeks of therapy, a significant improvement was seen in gait velocity (50.3%), involved step
length (22.9%), and involved single limb support (16.5%). Additionally, a significant reduction in pain (85.4%) and improvement in function (81.1%) and quality of life (52.1%) were noted.

Conclusions:
Patients following THA demonstrated a significant improvement in gait parameters and in self assessment evaluations of pain, function, and quality of life. We recommend further RCTs to examine the effect of this therapy compared to other rehabilitation modalities following THA and compared to healthy matched controls.

Trial registration: Clinical trial registration number NCT01266382

Keywords: Biomechanical therapy, Gait, Pain, Function

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