A Rehabilitation for Total Hip Replacement in Korean Medicine: A Report of Three Cases

Abstract

The objective of this study was to propose a rehabilitation protocol for total hip replacement in Korean medicine and to report its effectiveness. Three patients who had undergone total hip replacement were treated using the rehabilitation protocol in Korean medicine. We evaluated the outcome evaluating physical examination findings of the hip joint, numeric rating scale, pain disability index, Harris hip score, and walking state. After the treatment, we observed that hip movement and muscular strength improved. Moreover numeric rating scale, pain disability index, Harris hip score, and walking state of patients improved. A rehabilitation in Korean medicine can be effectively used for total hip replacement patients. The limitation of this study was the insufficient number of cases. Further studies are needed to design a rehabilitation protocol in Korean medicine. (J Korean Med Rehabil 2016;26(3):153-164)

Physiotherapy Rehabilitation Post Total Hip Replacement in the Case of Avascular Necrosis of the Femur: A Case Report

“…A study found that the total hip replacement rehabilitation program enhanced hip motion and muscle strength, along with the patient's walking ability, Harris Hip Score, Pain Disability Index, and Numerical Pain Rating Scale [ 5 ]. According to Kariya et al, physiotherapy interventions, including quadriceps strengthening and bedside activity training, were effective in postoperative avascular necrosis for early restoration of strength, ROM, and functional activities [ 8 ].…”

“…Medical treatment for this condition is based on the Ficat and Arlet classification of the disease stage. In stages I and II, the joint surface is typically intact; therefore, conservative treatment with pharmacological therapy is indicated, but stages III and IV, which are more advanced, necessitate core decompression [ 4 ], osteotomy, and complete hip arthroplasty [ 1 , 5 ]. However, more recent therapeutic approaches have been created to administer stem cells to the necrotic areas to prevent fracture and collapse by repairing the femoral head's structural integrity [ 6 ].…”

The Effectiveness of Korean Medical Rehabilitation Treatment after Musculoskeletal Surgery: A Retrospective Observational Study

“…보면 고관절 전치환술 7) , 슬관절 전치환술 8) , 골절 수술 9) 등 수술 후 한방 재활치료에 대한 연구, 척추 수술 후 증후군 환자에 대한 치험례 10) 및 연구 동향 11 Assessed by Wilcoxon signed rank test (median±range). NRS: numeric rating scale, EQ-5D-5L: five-level version of Euroqol-5 dimension, PDI: pain disability index, NDI: neck disability index, SPADI: shoulder pain and disability index, ODI: Oswestry disability index, LKSS: Lysholm knee score system, OKS: Oxford knee score.…”

The Clinical Effect of Rehabilitation Protocol for Distal Radius Fracture in Korean Medicine: A Report of 3 Cases

“…이 시기 동안 통증과 부기 관리, 수술 부위 보호, 관절 강직 방지 등을 목표로 한다 3,5,9,12) . 17,18) . 2단계부터는 기혈의 순환과 발목의 연부조직 회복을 위해 補益의 목적으로 十全大補湯 (甘草 4.0 g, 白茯苓 4.0 g, 白芍藥 4.0 g, 白朮 4.0 g, 熟地黃 4.0 g, 人蔘 4.0 g, 川芎 4.0 g, 黃芪 4.0g, 當歸 4.0 g, 肉桂 4.0 g/첩)을 사용하였다 19) .…”