DOS Kongressen 2014 ·
241
1-year follow up after a 3 months training program
mean 3 years after THA following a femoral neck
fracture
Christina Frölich, Inger Mechlenburg, Sara Birch , Lone Lundager,
Torben Baek-Hansen, Maiken Stilling
Orthopaedics, Hospital Unit West; Physiotherapy, Hospital Unit West
Background:
Poor gait function and functional capacity may be a limitation for
activities of daily living (ADL) even years after displaced femoral neck fracture
(FNF). We have formerly shown a 3-months training program initiated 1-7 years
after THA to result in increased mobility, muscle strength and walking speed.
Purpose / Aim of Study:
To evaluate 1-year results of a 3-months resistance
training program
Materials and Methods:
27 patients were invited and followed a 3- months
resistance training program in 2013, and 24 participated in a 1 year followup (2
dead, 1 denied). Patient—reported questionnaires regarding function, training
frequency and health problems affecting training over the last year, and OHS
were collected. Physical activity for 4 days was monitored by an accelerometer,
fitted on the right thigh.
Findings / Results:
At 1 year 30.5% reported higher level of ADL and 74% had
continued the training but at a lower level. 58% were walking outside every day,
compared with 71% after 3- months training (p=0.32). 54% walked more than
30 min per walk, compared to 21% after 3-months training (p=0.02). 48% had
been sick to degree that had affected their training during the past year. OHS
had improved from 32 to 36 since baseline (p=0.02). Activity data showed that
patients sat more (p=0.02) and stood less (p=0.02) but walked (p=0.55) the
same as after the 3-months training program.
Conclusions:
1 year after a 3-months standardized resistance training program
3 out of 4 patients had continued training exercises, and reported similar walking
frequency with increased time per walk. Objective activity data did not support
sustained activity on whole day observations but supported maintained walking
activity. Almost half of the patients had been immobilised due to comorbidity
which may have affected their endurance and the measured total activity.
188.
