The influence of total hip arthroplasty on patients’ disability

Szczepłek, Kacper; Truszczyńska-Baszak, Aleksandra; Twarowska, Natalia

doi:10.5114/areh.2018.76988

Cited by 4 publications

(4 citation statements)

References 8 publications

(13 reference statements)

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“…Before the procedure, it was 37.07 points; after the procedure, it was 74.93 points. A positive correlation was confirmed between the age of the subjects and the HHS result, and hip arthroplasty significantly reduced the patients' disability three months after the surgery [15]. In addition, Bodys-Cupak et al [16] observed a clear decrease in disability in the group of "medium-severe" patients, from 31% before surgery to 7% after surgery.…”

Section: Discussionmentioning

confidence: 78%

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The Impact of Early Rehabilitation and the Acceptance of the Disease on the Quality of Life of Patients after Hip Arthroplasty: An Observational Study

Chojnowska,

Lewko,

Chilińska

et al. 2024

JCM

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Background: The early introduction of physiotherapy significantly shortens the time required for a patient to regain full mobility after hip arthroplasty. Obtaining the expected result is determined by cooperation with a physiotherapist and the patient’s involvement in the rehabilitation process. The aim of this study was to assess the quality of life, life satisfaction, and motor ability of patients after hip arthroplasty. Methods: This study included 147 patients who underwent hip arthroplasty at the Orthopedic and Trauma Department. The research material was collected using questionnaires, and the study used the Barthel Index (BI), Harris Hip Score (HHS), Visual Analogue Scale (VAS), Acceptance of Illness Scale (AIS), and Quality of Life Assessment Questionnaire (WHOQOL-BREF). In the studied group of patients, the Excia cementless endoprosthesis was primarily used (69.39%), as well as the Metha Short Hip prosthesis (15.65%), AM hip prosthesis (10.20%), and bipolar hip prosthesis (4.76%). Results: The analyzed group of patients included 95 women (64.63%) and 52 men (35.37%); the average age was 67 years. Six weeks after hip arthroplasty, mild disability occurred in 53.74% of the patients, while the remaining 46.26% had no disability, and 95.24% of the patients achieved a high level of acceptance of the disease and quality of life. Conclusions: Early improvement after hip replacement surgery contributes to eliminating the disability of the hip joint in the following areas: pain sensation, functionality, lack of deformation, and range of motion. Each subsequent stage of treatment increased the level of acceptance of the disease in the study group. The applied surgical treatment increased satisfaction with overall health and quality of life.

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Section: Discussionmentioning

confidence: 78%

“…Hip arthroplasty results in reduced disability of patients according to Szczepłek et al [15]. The average HHS improved two-fold.…”

Section: Discussionmentioning

confidence: 97%

The Impact of Early Rehabilitation and the Acceptance of the Disease on the Quality of Life of Patients after Hip Arthroplasty: An Observational Study

Chojnowska,

Lewko,

Chilińska

et al. 2024

JCM

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“…The consequence of this condition is a gradual reduction of motor activity and the creation of compensatory movement patterns in the affected area that cause a disturbance in the biomechanics of the entire body. Among all human joints, the hip joint is most commonly affected by this condition, causing the most therapeutic problems [2,5,24,38].…”

Section: Discussionmentioning

confidence: 99%

“…With the onset of joint pain, patients tend to spare the affected limb, resulting in further limitation of range of motion and subsequent contractures and muscle atrophy. These disorders significantly reduce the patient's activities of daily living and noticeably decrease their quality of life [9,17,18,27,38].…”

Section: Introductionmentioning

confidence: 99%

Effects of local and whole-body cryotherapy on hip pain and general activity in the course of coxarthrosis

Widłak,

Kaczmarek,

Klimkiewicz

et al. 2023

Biomedical Human Kinetics

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Study aim: The purpose of this study was to compare the effects of whole-body and local cryotherapy on pain and function of the osteoarthritic hip. Material and methods: The study included 40 patients (26 women and 14 men) aged 36 to 85 years with confirmed hip osteoarthritis. Twenty participants received whole-body cryotherapy whereas twenty received local cryotherapy in the hip region. A visual analog scale (VAS) was used to assess the effects of therapy. Results: Based on the examinations, improvements in both reported pain and general functional status of the participants were observed in both groups. Slightly greater improvement regarding reported pain was found in the group of participants undergoing local cryotherapy treatments. Conclusion: The results showed that the analgesic effect of both whole-body and local cryotherapy noticeably increased the ability of the participants to engage in activities of daily living.

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Assessment of Hip Joint Function and Limb Load in Patients after Cementless Hip Arthroplasty During 14-day Rehabilitation

Krawczyk-Suszek,

Martowska,

Wrotny

et al. 2023

Journal of Health Study and Medicine

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Background Arthoplasty is a surgical procedure consisting in replacing a natural joint altered by the disease process with an artificial joint. This surgery allows you to restore the lost function of the hip joint. Comprehensive rehabilitation plays an essential role after surgery. Objectives The aim of the study was to assess the impact of rehabilitation on patients on the 1st and 14th day of rehabilitation after cementless hip arthroplasty on the load on the operated limb and to assess the function of the hip joint. Material and methods The studies were performed on a group of 44 patients with post-surgery rehabilitation.The studies were performed twice: on the 1st and 14th day of rehabilitation. The standardized questionnaires was used: Harris Hip Score and WOMAC. The reaction of ground forces was assessed using the Alpha stabilometric platform. Results The average point value indicated on the Harris Scale significantly increased in the measurement on the 14th day of rehabilitation by 8.57 ± 6.56 points (p < 0.001). On the other hand, the WOMAC Scale showed a decrease in point values in the second measurement by 9.67 ± 6.76 points (p < 0.001). A significant increase in the average load on the operated lower limb by 3.68 ± 3.18% was indicated as measured on the 14th day of rehabilitation (p < 0.001). The difference between the average load of the right and left limbs in the measurement on the first day of rehabilitation was an average of 9.77%, while on the fourteenth day of rehabilitation the difference between the average load of the right and left limbs decreased to an average of 3.5%. Conclusions Postsurgery rehabilitation allows to obtain physiological load ranges of the lower limbs, striving for a 50% share in the load of each of the lower limbs. The effectiveness of the implemented rehabilitation is confirmed on the basis of the analysed limb load parameters and the analysis of patients’ subjective assessments made using standardized questionnaires.

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The influence of total hip arthroplasty on patients’ disability

Cited by 4 publications

References 8 publications

The Impact of Early Rehabilitation and the Acceptance of the Disease on the Quality of Life of Patients after Hip Arthroplasty: An Observational Study

The Impact of Early Rehabilitation and the Acceptance of the Disease on the Quality of Life of Patients after Hip Arthroplasty: An Observational Study

Effects of local and whole-body cryotherapy on hip pain and general activity in the course of coxarthrosis

Assessment of Hip Joint Function and Limb Load in Patients after Cementless Hip Arthroplasty During 14-day Rehabilitation

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