Effects of Immediate Post Operative Orthopaedic Rehabilitation in Lower Limb Open Reduction Internal Fixation’s Orthopaedic Surgeries to Reduce Fear Avoidance Behaviour and Early Ambulation

Abstract

Background :This study is to investigate the effects of immediate post operative orthopaedic Rehabilitationon lower limb. Orthopaedic internal fixations like proximal femoral nailing femur, Intramedullary nailingtibia to reduce fear avoidance belief and early ambulation. Which reduces the long stay duration in hospitaland prevent post operative stiffness, other complications. This early mobilization improvesresolution ofhealing of wounds and pain. When compare to conventional methods of physiotherapy.Materials and Methods: 45 subjects selected randomly and subdivided into 3 groups experiment. I=IPOR,n=15 Experiment II =conventional group, control group, n=15 subjects selected from inpatients postoperative orthopaedic wards both female and males selected subjects are n=15 in each group being to agegroup (30-56) both male and female patients with fractures femur and tibia respectively primary outcomemeasures assessed by 3 different assessment questionnaire fear avoidance belief questionnaire and visualanalogue pain scale for those who undergone physiotherapy for 10 days.Results :3 groups of 10 days under supervision by physiotherapist inpatient orthopaedic wards and pretherapyFABQ ( Fear avoidance belief questionnaire) and visual analogue scale pain scale questionnaire and posttherapy after 10 days given among 3 groups experimental group 1. IPOR shows significant improvementin fear avoidance belief and early ambulation. So this early mobilization reduces pain stiffness and reducesthe hospital stay. When compare to other 2 groups ‘P’ value shows difference, SD=+5 Anacova methodstatistical analysis done.Conclusion :Immediate post operative orthopaedic rehabilitation which is more beneficial and effectivein reducing, overcoming fear avoidance behaviour and enhances early ambulation which is more beneficialand enhances early ambulation which makes. Quick recovery in post operative orthopaedic surgeries whencompare to other methods