Low Effectiveness of Prescribed Partial Weight Bearing

نویسندگان

  • Magnus Tveit
  • Johan Kärrholm
چکیده

To enable objective measurements of weight bearing in hip replacement patients a portable instrument set-up with an on-line registering pressure-sensitive insole was developed. Six men and 9 women, median age 58 (48–67) years, who had been operated on with a cementless or hybrid hip arthroplasty were studied. All patients were independent and functional. A physiotherapist instructed the patients to use crutches in order to support 30% of their body weight. The patients then walked a standardized distance with crutches over Ž ve different types of terrain: level, uphill, downhill, upstairs and downstairs.The trial was repeatedonce. In both men and women most of the steps taken resulted in a load of>30% of body weight. None of the patients managed to comply with the directive, even though Ž ve of them thought they did. The type of terrain had no signiŽ cant in uence on the pattern of load. Our Ž ndings indicate that the effectiveness of prescribing limited weight bearing is questionable.

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تاریخ انتشار 2003