Early Maximal Strength Training Is an Efficient Treatment for Patients Operated With Total Hip Arthroplasty

Objective: To compare Muscle strength, work efficiency gait patterns, and quality of life in patients undergoing total hi arthroplasty (THA) randomly assigned to either maximal strength training or a conventional rehabilitation program. Design: A randomized controlled study. Setting: Research laboratory, rehabilitation center, and physical therapy clinic. Participants: Patients (N=24) with osteoarthritis as the main reason for THA were randomly assigned to perforin maximal strength training (n=12) or conventional rehabilitation (n=12). Interventions: The maximal strength training group (STG) performed maximal strength training in leg press and abduction with the operated leg only 5 times a week for 4 weeks in addition to the conventional rehabilitation program. The conventional rehabilitation group (CRG) received supervised physical therapy 3 to 5 times a week for 4 weeks. Main Outcome Measures: 1-repetition maximum (1RM) leg press strength, 1RM abduction strength, rate of force development (RFD), work efficiency, gait patterns, and quality of life. Results: 1RM increased in the bilateral leg press (P<.002) and in the operated leg separately (P<.002) in the STG compared with the CRG. 1RM abduction strength in the operated leg (P<.002) and the healthy leg (P<002) increased in the STG compared with the CRG. RFD increased in the STG compared with the CRG (P-g=.030), followed by a trend towards increased peak force in the STG (P-g=.053) (P-g=probability for differences between groups). Work efficiency tended to improve in the STG compared with the CRG (P=.065). No differences in gait patterns were revealed between the groups after the training intervention. Conclusions: Early maximal strength training 1 week post-operatively is feasible and an efficient treatment to regain muscular strength for patients who have undergone THA, demonstrated by a significantly larger increase in muscular strength and a trend towards a better work efficiency in the STG compared with the CRG.