The impact of a total hip replacement on jaw position, upper body posture and body sway

CRANIO® ◽  
2014 ◽  
Vol 33 (2) ◽  
pp. 107-114 ◽  
Author(s):  
Daniela Ohlendorf ◽  
Christoph Lehmann ◽  
Daniel Heil ◽  
Stefan Hörzer ◽  
Stefan Kopp
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Body Posture ◽  
Upper Body ◽  
Body Sway ◽  
Total Hip ◽  
Upper Body Posture ◽  
Jaw Position ◽  
The Impact

scholarly journals 130 Impact of Balance Training in Virtual Reality on Body Balance in Patients after Total HIP Replacement

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv28-iv33
Author(s):  
Anna Hadamus ◽  
Dariusz Białoszewski ◽  
Aleksandra Justyna Kowalska ◽  
Edyta Urbaniak ◽  
Rafał Boratyński ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Control Group ◽  
Forward Movement ◽  
Body Balance ◽  
Total Hip ◽  
Vr Training ◽  
The Impact ◽  
Experimental Group

Abstract Introduction Virtual Reality (VR) training is becoming an increasingly popular form of exercise aiding in re-education of body balance. Many reports have demonstrated its effectiveness, greater patient involvement in exercise and better outcomes compared to traditional rehabilitation [1]. The aim of this study was to assess the impact of the additional training in VR on body balance in patients after total hip replacement. Material and Methods 56 patients randomly assigned to an experimental group (30 people) and a control group (26 people) was included in the study. All patients had undergone THR within 2 to 12 weeks before the beginning of the study. The control group underwent standard post-operative rehabilitation, while a VR training programme was used in the experimental group as an additional rehabilitation tool. Balance was assessed with the VBC system and the AMTi AccuSway plate. The results were considered significant for p <0.05. Results CoP displacement in the frontal plane was reduced in both groups in tests with eyes closed (p<0.05). Other parameters in standing tests remain the same. The maximum forward deflection test has shown a significant increase in the range of forward movement in the experimental group (p <0.05). In the control group, the duration of the forward movement phase was reduced, but the range remained the same. The rhythmic sway test showed an increase in the average speed of movements in the experimental group (p <0.05). There were no changes in the control group. Conclusions 1. Postural stability training in VR primarily involves dynamic aspects of the maintenance of balance. 2. Improvement in functional tests may indicate a better clinical outcome of rehabilitation in patients who have additionally trained in VR. 3. The improvement obtained in static tests most probably results from improvement in muscle strength and static stability resulting from the rehabilitation.

scholarly journals 421 Intrapelvic Protrusion of a Femoral Head in A Ceramic-on-Ceramic Total Hip Replacement, A Case Report

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
T Altell ◽  
E Massa ◽  
M Edwards
Keyword(s):  
Femoral Head ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
External Rotation ◽  
Upper Body ◽  
Range Of Movement ◽  
Total Hip ◽  
Ceramic Femoral Head ◽  
History Of ◽  
Ceramic On Ceramic

Abstract Introduction Ceramic on ceramic bearing in Total Hip Replacement (THR) is associated with a low but evident risk of ceramic linear fracture, which can lead to catastrophic failure if not diagnosed and treated early. Case presentation: A 59-year-old male patient, who underwent a ceramic-on-ceramic THR 8 years ago, presented to our centre with a five-week history of right hip pain, after he suddenly twisted his upper body and felt a sharp pain in his groin. Prior to the injury he had an excellent functional level with the prosthesis. His examination findings confirmed a reduced range of movement with pain in the groin on internal and external rotation. X-ray and CT of the hip confirmed a ceramic liner fracture with protrusion of the femoral head into the pelvis. A revision THR was subsequently performed. Discussion The usual pattern of liner fracture in this type of bearings is that the femoral head stays contained inside the metal cup. In our case, the ceramic femoral head uniquely fractured the liner and passed into the pelvis. To the best of our knowledge, this is the third reported case in literature where a ceramic femoral head protrudes through the metal cup into the pelvis.

Does waiting for total hip replacement matter? Prospective cohort study

2002 ◽  
Vol 7 (1) ◽  
pp. 19-25 ◽  
Author(s):  
Shakoor Hajat ◽  
Ray Fitzpatrick ◽  
Richard Morris ◽  
Barnaby Reeves ◽  
Marianne Rigge ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Term Outcome ◽  
Total Hip ◽  
Socially Disadvantaged ◽  
Confounding Variables ◽  
Disability Status ◽  
Before And After ◽  
Oxford Hip Score ◽  
The Impact

Objectives: To assess the impact on the outcome of total hip replacement of the length of timing spent waiting for surgery. Methods: One hundred and forty-three orthopaedic and general hospitals provided information about aspects of surgical practice for each total hip replacement conducted between September 1996 and October 1997 for publicly and privately funded operations in five English health regions. These data were linked to patient information about hip-related pain and disability status (measured using the Oxford Hip Score) before operation and at 3 and 12 months after. Data were analysed using multiple regression analysis. Results: Questionnaires were completed by surgeons for 10 410 (78%) patients treated during the recruitment period and by 7151 (54%) patients. Twelve months after total hip replacement, the majority of patients experienced substantial improvements in hip-related pain and disability (as measured by the Oxford Hip Score). Those patients who started with a worse Oxford Hip Score before the operation tended to remain worse after the operation. Worse pre-operative score was associated with an increased length of either outpatient or inpatient wait, and this trend remained after the operation. The relationship between waiting time and outcome remained after adjustment for possible confounding variables. A consistently worse score was observed in public compared with private patients at all three time-points. In addition, in both sectors, those patients who were socially disadvantaged had a worse score than more socially advantaged patients both before and after the operation. Conclusions: Waiting for surgery is associated with worse outcomes 12 months later. Longer-term outcome needs to be considered to see if this association persists.

scholarly journals Readability of Information on Smartphone Apps for Total Hip Replacement and Total Knee Replacement Surgery Patients

2019 ◽  
Vol 7 (3) ◽  
pp. 395-398 ◽  
Author(s):  
Shayan Bahadori ◽  
Thomas W Wainwright ◽  
Osman H Ahmed
Keyword(s):  
Total Knee Replacement ◽  
Total Hip Replacement ◽  
Knee Replacement ◽  
Patient Experience ◽  
Hip Replacement ◽  
Health Technologies ◽  
Total Hip ◽  
Flesch Reading Ease ◽  
Total Knee ◽  
The Impact

Background: Readability is a vital component of health information and providing this material at an appropriate literacy level may positively influence patient experience. Objective: To assess the readability of the information provided within total hip replacement and total knee replacement apps to understand more about the impact this could have on patients. Method: A systematic search was conducted across the 5 most popular smartphone app stores: iTunes, Google Play, Windows Mobile, Blackberry App World, and Nokia Ovi. Apps were identified for screening if they: targeted total hip replacement or total knee replacement patients; were free of charge; and were in English. App readability assessment was conducted independently by 3 reviewers using the Gunning Fog Index, the Flesch Reading Ease Score, and the Flesch-Kincaid Grade Level. Results: Fifteen apps met the inclusion criteria. Only one app was found “easy to read” (My THR). Conclusion: Findings suggest that the overall readability of information provided is written at a level which is difficult for patients to comprehend. App developers should engage patients in the design process of their apps, in order to enhance patient experience and for the potential impact of these innovative health technologies to be truly realized.

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