Effect of a modified S-form hip brace, WISH type, for patients with painful osteoarthritis of the hip: a role in daily walking as a hip muscle exercise.
A hip brace designated as WISH-type of S-form hip brace was applied for 14 patients with painful hip osteoarthritis (OA), who were required to walk as an exercise at least a half hour every day. Patients were independently evaluated and serially scored using the Harris and Japanese Orthopaedic Surgery (JOA) scores. Pain relief on gait was obtained immediately and dramatically in all patients, providing high compliance. Approximately three fourths of patients acquired independence from analgesics. Both Harris and JOA scoring systems indicated significant improvement of hip function. Only two cases showed poor responses, and common factors in these cases included bilateral involvement and unsuccessfulness of daily walking exercise. The present WISH-type hip brace may be one of the most valuable treatments in the management of the hip OA. Requirements of muscle exercise around the hip girdle involving daily walking should be emphasized for maintenance of the brace effects.
Sato
Takahisa
T
Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine, Gunma, Japan.
Yamaji
Takehiko
T
Inose
Hideyuki
H
Sekino
Yuko
Y
Uchida
Satoru
S
Usuda
Shigeru
S
Takagishi
Kenji
K
Shirakura
Kenji
K
Watanabe
Hideomi
H
D000328:Adult; D000368:Aged; D001915:Braces; D015331:Cohort Studies; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000628:therapy*; D010147:Pain Measurement; D016896:Treatment Outcome; D016138:Walking