Effects of Preoperative and Postoperative Physiotherapy on Functional Outcome of Patients Undergoing Total Hip Arthroplasty
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 6
Abstract
Total hip replacement (THA) is one of the common surgeries that aims to improve patients’ pain and functional abilities with end stage hip osteoarthritis. The aim of this study was to assess the role of pre and postoperative physiotherapy in this patients’ category. Patients awaiting THA (n=45) from both genders were assigned at random to one of three equal study groups. First is pre- post group (PPG) where patients received both pre and postoperative physiotherapy. Second is post only group (POG where patient received only postoperative physical therapy. Third is control group, receiving usual care. Patients function was assessed using Harris hip score (HHS) at 6 weeks, 1-day preoperatively, 3, 6 months then 1-year postoperatively. Results showed improved HHS in through all evaluations in PPG patients, while it improved over all postoperative evaluations in POG and control patients. Groups comparisons showed significantly higher HHS in PPG compared to POG and control 1-day preoperatively. Further, significantly higher HHS in PPG and POG compared to control at 3 and 6 months postoperatively. While at 1- year evaluations all groups had insignificantly different HHS. It could be concluded that preoperative physiotherapy has good preoperative effects that makes it” likely to use” intervention upon agreement of medical and rehabilitation team and patients. Postoperative physiotherapy remains a main postoperative intervention in patients undergoing THA for its favorable effects on early function improvement.
Authors and Affiliations
Alaa I. Ibrahim PhD, Mohammed S. Abdelsalam PhD, Ziad M. Hawamdeh MD
Keywords
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- EP ID EP437223
- DOI 10.9790/1959-0706111016.
- Views 147
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