Postoperative Patient Education in Physiotherapy after Hip Arthroplasty: Patients' Perspective

Abstract

The objective of the present study was to explore postoperative patient education in physiotherapy from total hip arthroplasty (THA) patients' perspectives, which has been a little-studied area of research. The usefulness of rehabilitation protocols after THA has been debated over the years, and there are no clear guidelines for physiotherapy after THA METHODS: The data for the present qualitative study were collected from nine patients with THA by using individual interviews at the hospital after surgery. The interviews were audio-recorded and analysed by using a phenomenographic method RESULTS: Four different categories of postoperative patient education in physiotherapy after hip arthroplasty were produced: trust while in hospital; preparing for going home; managing at home; and regaining physical fitness. These categories were analysed through the following themes: moving; exercising; and interaction between the patient and the physiotherapist CONCLUSIONS: The postoperative patient education in physiotherapy was constructed hierarchically. According to patients' conceptions, the combination of moving and exercising elements that focused on recovery at home after the operation was essential. This requires a trusting relationship between the patient and the physiotherapist. Two critical aspects can be identified: (i) how the role of moving could shift towards preparing for going home and (ii) widening the perspective from preparing for going home to managing at home. Copyright © 2016 John Wiley & Sons, Ltd.

Patients' narratives of patient education in physiotherapy after total hip arthroplasty

“…Patient education in total hip arthroplasty is the issue in this case, and this sub‐study explored the post‐operative part of patients' pathway. Other sub‐studies have explored pre‐operative and perioperative parts (Jäppinen, Hämäläinen, Kettunen, & Piirainen, 2015, 2017).…”

Toward a Design of a Telerehabilitation Program for the Functional Recovery in Post-Hip Arthroplasty Patients

“…Teaching positional changes and transfer of the patient: One of the goals to reach immediately after THA is the patient autonomy on the ADL, during the stay in the hospital and later at home. Training on positional and transfer changes is an education form, which decreases the stay length in the hospital and improves the patient recovery prognosis after the intervention [45]. Stages for acute and post-acute rehabilitation after total hip and knee arthroplasty [42][43][44].…”

“…Postural control and dynamic stability: Postural control and dynamic stability depend on the proprioceptors integrity (articular, myotendinous, neuromuscular). Furthermore, after THA, the tissues integrity is lost, producing pain as well as Stage for acute rehabilitation after total hip and knee arthroplasty [43,45,46,48].…”

On the Use of Natural User Interfaces in Physical Rehabilitation: A Web-based Application for Patients with Hip Prosthesis

“…The first stage is characterized by three aspects. The first one is an education of the patients, in order to prepare them to manage their rehabilitation at home (Jäppinen et al, 2016). The second one consists of completing a cryotherapy that aims to reduce pain and contain blood lost (Ni et al, 2015).…”