EFFECT OF PREOPERATIVE REHABILITATION ON EARLY FUNCTION OF JOINTS AFTER TOTAL HIP ARTHROPLASTY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LUuml ^1,2 , Xiyan ¹ , WANG Yue ¹

1Department of Orthopaedics, Sichuan Provincial People’s Hospital, Chengdu Sichuan, 610072, P.R.China;;
2Gansu Provincial Hospital of Traditional Chinese Medicine. Corresponding author: WANG Yue, E-mail: wangyue@medmail.com.cnTotal;

Corresponding author：

Keywords：

hip arthroplasty; Preoperative rehabilitation; Joint function

DOI：

10.7507/1002-1892.20130145

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Objective To investigate the effect of preoperative rehabilitation on early function of joints after total hip arthroplasty by comparing with non-preoperative rehabilitation. Methods Between March 2010 and November 2011, 98 patients with hip disease were recruited in study. Of 98 patients, 49 received preoperative rehabilitation for 2 weeks in trial group, and 49 did not receive preoperative rehabilitation in control group. There was no significant difference in gender, age, disease duration, disease cause, preoperative visual analogue scale (VAS) score, and preoperative Harris score between 2 groups (P gt; 0.05). Results There was no significant difference in VAS score at each time point after operation between 2 groups (P gt; 0.05), but significant differences were found in Harris score (P lt; 0.05). At 3 days after operation, compliance evaluation results showed that 36 cases were of full compliance, and 13 cases were of partial compliance in trial group; 27 cases were of full compliance, 14 cases were of partial compliance, and 8 cases were of non-compliance in control group; there was significant difference between 2 groups (Z=2.286, P=0.002). The ambulation time was within 7 days in trial group, and was within 7 days in 47 cases and more than 7 days in 2 cases in control group; there was significant difference between 2 groups (Z=3.840, P=0.000). Conclusion Preoperative rehabilitation plays an important role in compliance, decreased bed rest time, and hip function improvement in patients after total hip arthroplasty.

Citation： LUuml,Xiyan,WANG Yue,TAN Bo. EFFECT OF PREOPERATIVE REHABILITATION ON EARLY FUNCTION OF JOINTS AFTER TOTAL HIP ARTHROPLASTY. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(6): 653-656. doi: 10.7507/1002-1892.20130145 Copy

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2.	Louw A, Diener I, Butler DS, et al. Preoperative education addressing postoperative pain in total joint arthroplasty: Review of content and educational delivery methods. Physiother Theory Pract, 2011, 29(3): 175-194.
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4.	施培华, 赵凯. 全髋关节置换及其康复治疗. 中国矫形外科杂志, 2010, 5(4): 313-314．.
5.	唐丽华, 焦裕霞, 李东白. 术中静注帕瑞昔布钠对老年患者髋关节置换术术后疼痛的影响. 临床军医杂志, 2011, 39(3): 576-577.
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9.	Kishida Y, Sugano N, Sakai T, et al. Full weight-bearing after cementless total hip arthroplasty. Int Orthop, 2001, 25(1): 25-28.
10.	Rikli R, Jones J. Development and validation of a functional fitnesstest for community residing older adults. JAPA, 2010, 7(2): 129-161．.
11.	Johansson HR, Bergschmidt P, Skripitz R, et al. Impact of preoperative function on early post operative outcome after total hip arthroplasty. J Orthop Surg (Hong Kong), 2010, 18(1): 6-10.
12.	Moon LB, Backer J. Relationship among self-efficacy, outcome expectancy, and postoperative behaviors in total joint replacement patients. Orthop Nurs, 2000, 19(2): 77-85.
13.	方汉萍, 杜杏利, 郭风劲, 等. 全髋关节置换术后不同时间开始康复训练的效果研究. 中华护理杂志, 2006, 41(1): 16-19.
14.	Johansson HR, Bergschmidt P, Skripitz R, et al. Impact of preoperative function on early post operative outcome after total hip arthroplasty. J Orthop Surg (Hong Kong), 2010, 18(1): 6-10.
15.	Holtzman J, Saleh K, Kane R. Effect of baseline functional status and pain on outcomes of total hip arthroplasty. J Bone Joint Surg (Am), 2002, 84-A(11): 1942-1948.
16.	Tateuchi H, Tsukagoshi R, Fukumoto Y, et al. Dynamic hip joint stiffness in individuals with total hip arthroplasty: relationships between hip impairments and dynamics of the other joints. Clin Biomech (Bristol, Avon), 2011, 26(6): 598-604.
17.	Bin Nasser A, Beaulé PE, O’Neill M, et al. Incidence of groin pain after metal-on-metal hip resurfacing. Clin Orthop Relat Res, 2010, 468(2): 392-399.
18.	郭艾, 罗先正, 王志义, 等. 人工全髋关节置换术后康复治疗和训练计划. 中国临床康复医学杂志, 1997, 12(5): 210-211.
19.	Britton AR, Murray DW, Bulstrode CJ, et al. Pain levels after total hip replacement: their use as endpoints for survival analysis. J Bone Joint Surg (Br), 1997, 79(1): 93-98.

1. 王亦璁. 骨与关节损伤. 4版. 北京: 人民卫生出版社, 2007: 272．.
2. Louw A, Diener I, Butler DS, et al. Preoperative education addressing postoperative pain in total joint arthroplasty: Review of content and educational delivery methods. Physiother Theory Pract, 2011, 29(3): 175-194.
3. 赖桂兰. 全髋关节置换术前康复教育对术后康复效果的研究. 医学信息, 2011, 24(1): 334-336.
4. 施培华, 赵凯. 全髋关节置换及其康复治疗. 中国矫形外科杂志, 2010, 5(4): 313-314．.
5. 唐丽华, 焦裕霞, 李东白. 术中静注帕瑞昔布钠对老年患者髋关节置换术术后疼痛的影响. 临床军医杂志, 2011, 39(3): 576-577.
6. Resnick D. 骨与关节疾病诊断学. 4版. 天津: 天津科技翻译出版公司, 2009: 225-226.
7. Röder C, Staub LP, Eggli S, et al. Infuence of preoperative functional status on outcome after total hip arthroplasty. J Bone Joint Surg (Am), 2011, 89(1): 11-17.
8. Garbuz DS, Xu M, Duncan CP, et al. Delays worsen quality of life outcome of primary total hip arthroplasty. Clin Orthop Relat Res, 2009, (447): 79-84.
9. Kishida Y, Sugano N, Sakai T, et al. Full weight-bearing after cementless total hip arthroplasty. Int Orthop, 2001, 25(1): 25-28.
10. Rikli R, Jones J. Development and validation of a functional fitnesstest for community residing older adults. JAPA, 2010, 7(2): 129-161．.
11. Johansson HR, Bergschmidt P, Skripitz R, et al. Impact of preoperative function on early post operative outcome after total hip arthroplasty. J Orthop Surg (Hong Kong), 2010, 18(1): 6-10.
12. Moon LB, Backer J. Relationship among self-efficacy, outcome expectancy, and postoperative behaviors in total joint replacement patients. Orthop Nurs, 2000, 19(2): 77-85.
13. 方汉萍, 杜杏利, 郭风劲, 等. 全髋关节置换术后不同时间开始康复训练的效果研究. 中华护理杂志, 2006, 41(1): 16-19.
14. Johansson HR, Bergschmidt P, Skripitz R, et al. Impact of preoperative function on early post operative outcome after total hip arthroplasty. J Orthop Surg (Hong Kong), 2010, 18(1): 6-10.
15. Holtzman J, Saleh K, Kane R. Effect of baseline functional status and pain on outcomes of total hip arthroplasty. J Bone Joint Surg (Am), 2002, 84-A(11): 1942-1948.
16. Tateuchi H, Tsukagoshi R, Fukumoto Y, et al. Dynamic hip joint stiffness in individuals with total hip arthroplasty: relationships between hip impairments and dynamics of the other joints. Clin Biomech (Bristol, Avon), 2011, 26(6): 598-604.
17. Bin Nasser A, Beaulé PE, O’Neill M, et al. Incidence of groin pain after metal-on-metal hip resurfacing. Clin Orthop Relat Res, 2010, 468(2): 392-399.
18. 郭艾, 罗先正, 王志义, 等. 人工全髋关节置换术后康复治疗和训练计划. 中国临床康复医学杂志, 1997, 12(5): 210-211.
19. Britton AR, Murray DW, Bulstrode CJ, et al. Pain levels after total hip replacement: their use as endpoints for survival analysis. J Bone Joint Surg (Br), 1997, 79(1): 93-98.

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Chinese Journal of Reparative and Reconstructive Surgery

EFFECT OF PREOPERATIVE REHABILITATION ON EARLY FUNCTION OF JOINTS AFTER TOTAL HIP ARTHROPLASTY

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