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Predictive Factors for Gait Recovery in Patients Undergoing Total Hip Arthroplasty: A Propensity Score Weighting Analysis
被引:0
作者:
Kim, Yuna
[1
]
Kim, Seo Young
[1
]
Shim, Sung Ryul
[2
,3
]
Hyun, Jung Keun
[1
,4
,5
,6
]
机构:
[1] Dankook Univ, Coll Med, Dept Rehabil Med, Cheonan 31116, South Korea
[2] Konyang Univ, Coll Med, Dept Biomed Informat, Daejeon 35365, South Korea
[3] Konyang Univ Hosp, Konyang Med Data Res Grp KYMERA, Daejeon 35365, South Korea
[4] Dankook Univ, Dept Nanobiomed Sci, Cheonan 31116, South Korea
[5] Dankook Univ, NBM Global Res Ctr Regenerat Med BK21, Cheonan 31116, South Korea
[6] Dankook Univ, Inst Tissue Regenerat Engn, Cheonan 31116, South Korea
基金:
新加坡国家研究基金会;
关键词:
total hip arthroplasty;
gait recovery;
rehabilitation protocols;
propensity score weighting;
postoperative muscle strength;
PATTERNS;
GENDER;
REHABILITATION;
OUTCOMES;
D O I:
10.3390/jcm14061979
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Objectives: This paper's objective was to identify clinical predictors, especially modifiable ones, associated with postoperative gait recovery in total hip arthroplasty (THA) patients, utilizing propensity score weighting (PSW) to control confounding factors. Methods: This retrospective cohort study included 221 patients who underwent primary unilateral THA. We used PSW analysis to balance patient characteristics. Univariate and multivariate logistic regression analyses were applied to determine predictors of improved gait recovery, assessing variables such as age, gender, and postoperative muscle strength. Results: Independent predictors of favorable gait recovery were male gender (Odds Ratio [OR]: 1.382; 95% Confidence Interval [CI]: 1.225-1.560; p < 0.001), younger age (OR: 0.990 per year; 95% CI: 0.985-0.995; p < 0.001), and postoperative hip flexor muscle strength greater than grade 3 (OR: 1.516; 95% CI: 1.177-1.953; p = 0.002). Muscle strength emerged as a modifiable factor, suggesting that targeted rehabilitation may enhance functional outcomes. Conclusions: Enhancing hip flexor strength postoperatively could significantly improve gait recovery in THA patients. These findings support developing individualized rehabilitation strategies to optimize functional outcomes.
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页数:14
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