Effect of adaptive devices utilization on independence of the total hip arthroplasty patients

Document Type : Original article

Authors

1 1. Student Research Committee, MSc in Occupationtherpy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 2. MSc in Occupationtherpy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 3. MSc in Occupationtherpy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 4. Assistant Professor, Department of Physiotherapy. University of Social Welfare and Rehabilitation Sciences.Tehran, Iran

5 5. MSc in Biostatistics, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background and Aim: Independency in daily living of total hip arthroplasty patients after discharge from hospital affected by factors like pain ,fear of falling, hip muscle weakness, mental issues and independency to others. Although this factors have specific treatments but still their bad effects have been seen. In this study adaptive device utilization with the goal of reduce negative factors effects on patient independency had investigated.
Materials and Methods: In this quasi experimental study control and experimental groups (each consist of 10 male and 10 female patient) in range of 60 to 80 years were participated. Experimental group received adaptive devices before surgery plus routine physiotherapy sessions .first assessment of life independency done before surgery and the second done 6weeks after surgery using Bartel Index and then the results compared with other.
Results: The finding of this study revealed not meaningful differences between pretest scores average of two groups (P = 0.9), meaningful difference between post test scores average (P = 0.000) and meaningful difference between two group changes (P = 0.000)
Conclusion: Patients who utilize adaptive devices arrive upper level of independency in daily living that attributed to easier sit to stand from chair, pain relief, easier use of toilet seat, compensation of limited range of motion and muscle strength.
 

Keywords


1) Karen A, Fiona C, Anne Marie H. Physiotherapy in Orthopaedics A problem solving approach. 2th edition.china:elsevier; 2005.p.233-268.
2) Holstege MS, Lindeboom R, Lucas C. Preoperative  quadriceps strength as a predictor for short-term functionaloutcome after total hip replacement. Arch Phys Med  Rehabil 2011 ;92:236-241.
3) Kristian L, Karen E, Torben B. Effectiveness of accelerated perioperative care and rehabilitationintervention compared to current intervention after hip and kneearthroplasty.. BMC Musculoskeletal Disorders 2008 ; 9:59.
 4) David R, Thorsten M, Anil B. Does commitment to rehabilitation influence
clinical outcome of total hip resurfacing arthroplasty? Journal of Orthopaedic Surgery and Research 2010 ; 5:20.
5) Dana Ch, Simon C ,Jacques E. THA with a Minimally Invasive Technique, Multi-modal Anesthesia, and Home Rehabilitation. The Association of Bone and Joint Surgeons. Clin Orthop Relat Res 2009 ; 467:1412–1417.
6) Jasvinder A, Singh MS, David G. Predictors of Activity Limitation and Dependence onWalking Aids After Primary Total Hip Arthroplasty. The American Geriatrics Society  2010 ; 58:2387–2393.
7) Madeleine M, Claire I. Occupational therapy in Orthopaedics and Trauma.first edition.united kingdom:Wiley Blackwell; 2009.p.195-211.
8) Vivek Sh, Patrick M, Morgan MD. Factors Influencing Early Rehabilitation After THA  A Systematic Review . The Association of Bone and Joint Surgeons 2009; 467:1400 –1411.
9) Brian M, Kimberly B. The Association Between Lower Extremity Continuous Peripheral Nerve Blocks and Patient Falls After Knee and HiP Arthroplasty. Anesth Analg  2010  ; 111(6): 1552–1555 .
10) Richard S, Yoon BS, Kate W. Patient Education Before Hip or Knee Arthroplasty            Lowers Length of Stay. The Journal of Arthroplasty   2010 ; 25(4): 547-551. 
11)  Bethge M, Bartel S, Streibelt M. Illness perceptions and functioning following total knee and hip arthroplasty. Epub 2010  ;148(4):387-392.
12) Margreth G, Andrew M, Mari K. What's in Team Rehabilitation Care After
 Arthroplasty for Osteoarthritis? Results From a Multicenter, Longitudinal Study Assessing Structure. American Physical Therapy Association 2010  ; 90 (1)
13)  Ashley W, Mark R, Adrian H. Dislocation Following Total Hip Replacement  The Avon Orthopaedic Centre Experience. the Annals of The Royal College of Surgeons of England 2008; 90(8): 658–662.
14) Oveisgharan S, Shirani S, Ghorbani A. Barthel index in a Middle-East country: translation, validity and reliability. 2006;22(5-6):350-4. Epub 2006 Aug 3
15) Heidi P,Winifred Sc.Occupatinal therapy Practice Skills for Physical dysfunction.Sixth edition.USA:Mosby;2006.p.1020-1036.
16) Vissers , Bussmann z, Groot D. Walking and chair rising performed in the daily life situation before and after total hip arthroplasty. Osteoarthritis and Cartilage 2011 ; 19:1102-1107.
Volume 3, Issue 1 - Serial Number 1
March and April 2014
Pages 15-22
  • Receive Date: 24 August 2013
  • Revise Date: 19 December 2013
  • Accept Date: 18 January 2014
  • First Publish Date: 21 March 2014