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Physiotherapy - an Integral Part of Patient Management after Total Hip Arthroplasty


Authors: M. Vavro 1,2;  D. Kollár 3
Authors‘ workplace: Stredná zdravotnícka škola, Nové Zámky 1;  Fakulta zdravotníctva a sociálnej práce sv. Ladislava, Nové Zámky 2;  Vysoká škola zdravotníctva a sociálnej práce sv. Alžbety, Bratislava 3
Published in: Rehabil. fyz. Lék., 27, 2020, No. 4, pp. 201-204.
Category: Original Papers

Overview

Objective: The pilot study objective was to evaluate the effect of comprehensive post-operative physiotherapeutic treatment on the selected physiotherapeutic parameters after a total hip arthroplasty.

Patients and methods: Forty patients after total hip arthroplasty were enrolled into the pilot study. The patients underwent comprehensive physiotherapeutic treatment to increase muscle strength, range of motion, to reduce post-operative swelling of thighs. Prior to the physiotherapeutic intervention, we carried out the following physiotherapeutic examination for each patient - muscle test, trigonometric examination, measuring the circumference of the lower limbs. To compare the figures, we used statistical tests which were evaluated on the significance level α (p)=0.05.

Results: After completing the physiotherapeutic processes, we have observed among the patients who underwent a total hip replacement surgery, a significant increase in muscle strength as with the flexors as well as the abductors (p = 0.001), improvement in their range of motion in hip joint flexion and abduction in comparison to its range before treatment (p=0.001) and post-operative swelling 
(p <0.001), respectively.

Conclusion: Early post-operative physiotherapy treatment positively affects patients’ general condition. In addition, it improves muscle strength, range of motion of the operated joint, reduces post-operative swelling.

Keywords:

Total hip arthroplasty – Physiotherapy – muscle strength


Sources

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Physiotherapist, university degree Rehabilitation Sports medicine
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