Study on Environmental Transition of Patients after Total Hip Arthroplasty-Characteristics of Dislocation Aversion Movements

  • Satoh Masae
    Graduate School of Comprehensive Human Sciences, University of Tsukuba
  • Kawaguchi Takayasu
    Graduate School of Comprehensive Human Sciences, University of Tsukuba

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Other Title
  • 人工股関節全置換術後患者の環境移行に関する研究‐脱臼回避動作の特性
  • 人工股関節全置換術後患者の環境移行に関する研究--脱臼回避動作の特性
  • ジンコウ コカンセツ ゼンチカン ジュツゴ カンジャ ノ カンキョウ イコウ ニ カンスル ケンキュウ ダッキュウ カイヒ ドウサ ノ トクセイ
  • ──脱臼回避動作の特性

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Abstract

This study aimed to obtain guidelines for patient education by clarifying characteristics of dislocation aversion movements (DAM) in daily life for patients after total hip arthroplasty (THA). Two movements, “wearing pants” and “picking up objects from the floor” were chosen as representative examples of movements to prevent dislocation, and these movements were analyzed for 6 THA patients and 5 healthy volunteers using 3-dimensional movement analysis and 3-dimensional acceleration instrumentation to extract differences.<br>Movement analysis demonstrated that adduction with hyperflexion of hip joints and forward tilting of trunk were usually seen in normal individuals, whereas restriction of flexion, abduction with hyperflexion of the implanted hip joint and backward tilting of trunk were commonly seen as DAM in THA patients. Furthermore, accelerated velocity of each movement was controlled at a low level for THA patients using some devices expanding their DAM as compared to that for normal individuals. In conclusion, characteristics of dislocation aversion movements do exist in THA patients and differ between patients, suggesting a necessity for learning systems for each patient by understanding living habits and activities of daily living.

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