Effect of hydrokinesitherapy on the rehabilitation outcome in patients after total hip replacement

Dragana Dragičević-Cvjetković,Monika Gligić,Slavko Manojlović

doi:10.5937/scriptamed51-29294

Abstract

Background/Aim: Total hip replacement is considered as one of the most successful treatment methods in orthopaedic surgery of the 20th century, since it significantly improves the quality of life of the individuals with coxarthrosis. Protocols and the organisation of the postoperative rehabilitation differ significantly around the world. The aim of this study was to investigate the effect of hydrokinesitherapy on the rehabilitation outcome in patients after total hip replacement under in-patient conditions. Methods: This prospective clinical trial included a total of 100 patients of both genders , average age 59.11 ± 8.85 years, which were admitted to the in-patient post-operative rehabilitation after total hip replacement. Patients were randomised in two groups: group A (n = 50) that was subjected to rehabilitation program with hy-drokinesiherapy and group B (n = 50) that was subjected to rehabilitation program only. The parameters registered were: the range of movement in the operated hip, the circumference of the femoral musculature and the Western Ontario and McMas-ter Universities Osteoarthritis Indeks (WOMAC index) at admittance and discharge from in-patient rehabilitation. Results: The average values of hip flexion with extended knee, extension and external hip rotation were significantly better in group A (p < 0.05). The values of the circumference of the femoral musculature and WOMAC index in patients from group A were significantly better on discharge compared to the admission. Also, this group had a statistically significantly better values of the circumference of the femoral musculature and value of WOMAC index at discharge compared to patients from group B (p < 0.05). Conclusion: Hydrokinesitherapy as a part of the protocol for postoperative rehabilitation in patients after total hip replacement leads to a faster improvement of the functional status of the operated hip and patient's quality of life.

Highlights

Quality of treatment of patients with advanced coxarthrosis is high only in case of the synergistic effect the well-planned and executed orthopaedic treatment and well-organised postoperative rehabilitation
3 Aim of the study was to investigate the effect of hydrokinesitherapy on the outcome of the rehabilitation of patients after total hip replacement under the in-patient conditions. This prospective clinical trial included a total of 100 patients of both genders, aged 59.11 ± 8.85 years with advanced unilateral coxarthrosis that underwent total, primarily, unilateral hip replacement and were admitted on in-patient postoperative rehabilitation
Patients were divided by means of the block randomisation in two groups of 50 patients each, depending on the fact whether they were treated with hydrokinesitherapy during the in-patient postoperative rehabilitation or not

Summary

Introduction

Quality of treatment of patients with advanced coxarthrosis is high only in case of the synergistic effect the well-planned and executed orthopaedic treatment and well-organised postoperative rehabilitation. Total hip replacement is considered as one of the most successful orthopaedic procedures today.[1] The goals of postoperative rehabilitation are decreased pain, improved mobility, muscular strength and quality of life of these patients. Decreased the femoral circumference as a direct index of hypotrophy of the femoral muscles is one of the important parameters of the functional status. This article should be cited as follows: Dragičević-Cvjetković D, Manojlović S, Gligić M. Effect of hydrokinesitherapy on the rehabilitation outcome in patients after total hip replacement.

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