scholarly journals Dynamics of the Functional State of the Hip Joint and Quality of Life in Patients After Hip Replacement (During Rehabilitation)

2021 ◽  
pp. 426-434
Author(s):  
Nadezhda I. Ishekova ◽  
◽  
Aleksandr N. Ishekov ◽  
Nadezhda A. Goryannaya
Keyword(s):  
Quality Of Life ◽  
Range Of Motion ◽  
Functional State ◽  
Hip Joint ◽  
Hip Replacement ◽  
Harris Hip Score ◽  
Biological Research ◽  
Rehabilitation Period ◽  
Three Stages

The aim of this study was to determine the functional state of the affected hip joint after hip arthroplasty and to analyse patients’ quality of life during rehabilitation. Materials and methods. The study involved patients with 3rd degree hip osteoarthritis that underwent hip replacement. The research was conducted in three stages: 1) before the operation; 2) early postoperative rehabilitation period (10th – 12th day after the operation); 3) late recovery rehabilitation period (10th – 12th week after the operation). At stages 1 and 2, we examined 140 people (mean age 57.0 ± 9.0 years), at stage 3, 43 patients (mean age 55.81 ± 7.8 years). At all three stages, the patients’ hip range of motion, hip circumference and strength endurance of the affected limb were determined. The function of the hip joint was evaluated using the Harris Hip Score, and the quality of life was estimated with the help of the SF-36 questionnaire. Results. The research revealed that during the rehabilitation period, the range of motion increased significantly, hip flexion being restored best of all. Moreover, we observed a statistically significant increase in strength endurance. However, not all indicators reached normal values by the end of the research. The patients’ quality of life improved due to better physical functioning, general health and vitality as well as lower pain intensity. However, we observed no progress in role functioning due to the emotional state. Evaluation according to the Harris Hip Score showed that before the operation 78.6 % of the patients had unsatisfactory joint function, while during the late rehabilitation period, only 20.9 %, which indicates the treatmentʼs effectiveness. For citation: Ishekova N.I., Ishekov A.N., Goryannaya N.A. Dynamics of the Functional State of the Hip Joint and Quality of Life in Patients After Hip Replacement (During Rehabilitation). Journal of Medical and Biological Research, 2021, vol. 9, no. 4, pp. 426–434. DOI: 10.37482/2687-1491-Z080

Activity and Quality of Life after Total Hip Arthroplasty

2017 ◽  
Vol 19 (5) ◽  
pp. 0-0 ◽  
Author(s):  
Anna Świtoń ◽  
Ewa Wodka-Natkaniec ◽  
Łukasz Niedźwiedzki ◽  
Tadeusz Gaździk ◽  
Tadeusz Niedźwiedzki
Keyword(s):  
Quality Of Life ◽  
Total Hip Arthroplasty ◽  
Range Of Motion ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
External Rotation ◽  
Harris Hip Score ◽  
Joint Analysis ◽  
Total Hip

Background. Coxarthrosis is a chronic musculoskeletal condition that causes severe pain and considerable limi­tation of the patient’s motor performance. Total hip arthroplasty is one of the most common and effective methods used in the treatment of advanced degenerative changes. The aim of the present study was to evaluate the activity and quality of life of patients after unilateral total hip arthroplasty. Material and methods. The study was conducted in a group of 189 patients who had undergone unilateral total hip arthroplasty. Goniometry was used to determine the range of motion of both hip joints. Patients’ physical ability and pain severity were assessed based on the Harris Hip Score (HHS) questionnaire. Results. The examination of the range of motion in the lower extremities revealed statistically significant diffe­rences in flexion (p<0.01), abduction (p=<0.01), adduction (p<0.01) and external rotation (p<0.01) between the operated and the healthy extremity. The greatest limitation of motion was demonstrated for external rotation (<14°). Approximately 14% of the patients were not able to perform this motion in their healthy hip joint, while 17.5% of them could not do so in the affected hip joint. Analysis of HHS results (mean = 79 pts) revealed that more than 50% of the patients described their functional ability and quality of life as good and excellent. It was demonstrated that 54% of patients did not suffer from pain, whereas minor or mild pain was noted in 35%. Conclusions: 1. A subjective clinical assessment of patients after total hip arthroplasty showed that their quality of life had improved. 2. It is necessary to perform physiotherapy after total hip arthroplasty, on both the operated and healthy side. 3. Exacerbation of pain and impaired activity in patients after total hip arthroplasty were associated with the female sex to a considerable extent.

scholarly journals Physical Therapy Following Total Hip Replacement and Assessment of the Effects on the Quality of Life

2019 ◽  
Vol 61 (4) ◽  
pp. 229-235
Author(s):  
Włodzisław Kuliński ◽  
Joanna Gąszcz
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Total Hip Replacement ◽  
Hip Joint ◽  
Hip Replacement ◽  
Cartilage Damage ◽  
Hip Osteoarthritis ◽  
Total Hip ◽  
Two Stages

Introduction: Hip osteoarthritis (HOA) is a serious clinical and social problem and is considered a civilisation disease. HOA is a chronic condition that causes joint cartilage damage. Its symptoms increase slowly, resulting in considerable limitations in hip joint mobility and severe pain. Advanced degenerative changes constitute one of the main indications for total hip replacement. Aim: To assess the effects of physical therapy procedures on the quality of life in patients after total hip replacement. Material and Methods: The study group consisted of 25 patients aged 60 to 79 years, staying at the specialist St. Luke Hospital in Końskie. Patients were examined in two stages, namely before surgery and after physical therapy and rehabilitation, up to 6 months after hip replacement. Results: After total hip replacement, patients showed statistically significant improvements in the ranges of motion of the hip and reductions in pain, which contributed to better motor skills and improved patient independence in everyday life. Conclusions: Total hip replacement and comprehensive rehabilitation performed in the study patients improved the ranges of motion in the hip joint, which contributed to an improvement in gait, functioning, and physical fitness and a significantly better quality of life.

scholarly journals Application of Functional Exercise Nursing Plan Based on Evidence-based Nursing After Hip Replacement

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Rongrong Dong ◽  
Huaqin Chen
Keyword(s):  
Quality Of Life ◽  
Hip Replacement ◽  
Harris Hip Score ◽  
Control Group ◽  
Evidence Based ◽  
Functional Exercise ◽  
The Difference ◽  
Evidence Based Nursing ◽  
Experimental Group

Objective: To explore the effect of functional exercise nursing plan based on evidence-based nursing in patients after hip replacement. Methods: A total of 150 patients who underwent hip replacement in the orthopedic second ward of our hospital during the research period from January 2010 to January 2020 were selected as the research object. The random number expression method was applied to achieve grouping of patients. Among them, the control group received conventional rehabilitation treatment; the experimental group guided rehabilitation exercises according to the functional exercise nursing plan after hip replacement, and the rehabilitation conditions of the two groups were compared. Results: Compared with the patients in the control group, the bed time (7.45 ± 2.10) days and average hospital stay (15.84 ± 3.29) of the experimental group were relatively shorter. The incidence of complications in the experimental group and the control group was 6.67% and 16.00%, which are significantly different. The difference in Harris hip score before surgery was small, and the difference when discharge and after discharge was gradually increased, showing a better care effect in the experimental group. There was no significant difference in preoperative quality of life scores between the two groups before surgery (P > 0.05). The life quality of the experimental group was significantly higher than that of the control group at discharge, 1 month after discharge and 3 months after discharge, and showed most significantly after 3 months. Conclusion: The effect of functional exercise nursing plan based on evidence-based nursing in patients after hip replacement is remarkable, which can promote the recovery of patients, improve the quality of life, reduce the hospitalization time, reduce the incidence of postoperative complications, and has a positive significance in promoting clinical development in China.

Effects of use of an eHealth platform e-Vita for COPD patients on disease specific quality of life domains

2020 ◽  
Keyword(s):  
Quality Of Life ◽  
Functional State ◽  
Mental State ◽  
Self Management ◽  
Copd Patients ◽  
Before And After ◽  
Ehealth Intervention ◽  
The Impact ◽  
Disease Specific

Background: Integrated disease management with self-management for Chronic Obstructive Pulmonary Disease (COPD) is effective to improve clinical outcomes. eHealth can improve patients’ involvement to be able to accept and maintain a healthier lifestyle. Eventhough there is mixed evidence of the impact of eHealth on quality of life (QoL) in different settings. Aim: The primary aim of the e-Vita-COPD-study was to investigate the effect of use of eHealth patient platforms on disease specific QoL of COPD patients. Methods: We evaluated the impact of an eHealth platform on disease specific QoL measured with the clinical COPD questionnaire (CCQ), including subscales of symptoms, functional state and mental state. Interrupted time series (ITS) design was used to collect CCQ data at multiple time points. Multilevel linear regression modelling was used to compare trends in CCQ before and after the eHealth intervention. Results: Of 742 invited COPD patients, 244 signed informed consent. For the analyses, we only included patients who actually used the eHealth platform (n = 123). The decrease of CCQ-symptoms was 0,20% before the intervention and 0,27% after the intervention; this difference was statistically significant (P=0.027). The decrease of CCQ-mental was 0,97% before the intervention and after the intervention there was an increase of 0,017%; this difference was statistically significant (P=0,01). No significant difference was found in the slopes of CCQ (P=0,12) and CCQ-function (P=0,11) before and after the intervention. Conclusion: The e-Vita eHealth platform had a potential beneficial impact on the CCQ-symptoms of COPD patients, but not on functional state. The CCQ-mental state remained stable after the intervention, but this was a deterioration compared to the improving situation before the start of the eHealth platform. In conclusion, this study shows that after the introduction of the COPD platform, patients experienced fewer symptoms, but their mental state deteriorated slightly at the same time. Therefore, health care providers should be aware that, although symptoms improve, there might be a slight increase in anxiety and depression after introducing an eHealth intervention to support self-management.

Avascular necrosis of the femoral head: Evaluation of hyperbaric oxygen therapy and quality of life

2020 ◽  
pp. 561-569
Author(s):  
Angeliki Chandrinou ◽  
◽  
Anna Korompeli ◽  
Eirini Grammatopoulou ◽  
Konstantina Gaitanou ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Femoral Head ◽  
Avascular Necrosis ◽  
Hyperbaric Oxygen ◽  
Hyperbaric Oxygen Therapy ◽  
Oxygen Therapy ◽  
Harris Hip Score ◽  
Controlled Study ◽  
Second Phase

Introduction: The treatment of avascular necrosis of the femoral head (AVNFH) is based on invasive (e.g., core decompression) and non-invasive methods (e.g., hyperbaric oxygen therapy – HBO2). The purpose of the present study is to evaluate the effect of HBO2 on the quality of life (QoL) of patients with AVNFH. Methods: This was a prospective observational non-controlled study of patients with AVNFH treated by HBO2. It was conducted, with the use of Steinberg scale, on 73 patients with AVNFH Stage I or II who were treated with HBO2. Patients’ QoL was assessed with EuroQol-5D-5L (EQ), Harris Hip Score (mHHS), MAHORN (MHOT), and VAS, in three different phases: before HBO2; after the completion of the first phase (20 HBO2 sessions, up to two months); and after the completion of the second phase (20 HBO2 sessions, up to two months after the first phase). A reassessment was made on the completion of each phase. Ratings were also made after the completion of each phase, over the first five months of follow-up. Results: All 73 patients (67.1% males, 32.9% females, mean age: 40.34, SD ± 9.99) participated in the study. Steinberg scale, mean EQ (F (1, 57) = 25.18, η2 = .306 and F (1, 43) = 43.402, η2 = .502); mHHS (F (1, 61) = 67.13, η2 = .524) and F (1, 43) = 31.84, η2 = .425); MHOT (F (1, 61) = 11.68, η2 = .161) and F (1, 43) = 98.01, η2 = .695); and VAS (F (1, 53) = 24.11, η2 = .313) and F (1, 39) = 45.61, η2 = .539), improved between the first and second measurements and between the second and third measurement accordingly (p < .01). Conclusions: HBO2 treatment does not induce alteration of quality of life and is well tolerated and accepted by patients.

Clinical Outcomes After Aggressive Active Early Motion and Modified Kleinert Regimens: Comparison of 2 Consecutive Cohorts

Hand ◽  
2021 ◽  
pp. 155894472110172
Author(s):  
Kaisa Jokinen ◽  
Arja Häkkinen ◽  
Toni Luokkala ◽  
Teemu Karjalainen
Keyword(s):  
Quality Of Life ◽  
Range Of Motion ◽  
Grip Strength ◽  
Clinical Outcomes ◽  
Flexor Tendon ◽  
Hand Grip Strength ◽  
Active Motion ◽  
Hand Grip ◽  
Active Range Of Motion

Background Modern multistrand repairs can withstand forces present in active flexion exercises, and this may improve the outcomes of flexor tendon repairs. We developed a simple home-based exercise regimen with free wrist and intrinsic minus splint aimed at facilitating the gliding of the flexor tendons and compared the outcomes with the modified Kleinert regimen used previously in the same institution. Methods We searched the hospital database to identify flexor tendon repair performed before and after the new regimen was implemented and invited all patients to participate. The primary outcome was total active range of motion, and secondary outcomes were Disabilities of Arm, Shoulder, and Hand; grip strength; globally perceived function; and the quality of life. Results The active range of motion was comparable between the groups (mean difference = 14; 95% confidence interval [CI], −8 to 36; P = .22). Disabilities of Arm, Shoulder, and Hand; grip strength; global perceived function; and health-related quality of life were also comparable between the groups. There was 1 (5.3%) rupture in the modified Kleinert group and 4 (15.4%) in the early active motion group (relative risk = 0.3; 95% CI, 0.04-2.5; P = .3). Conclusions Increasing active gliding with a free wrist and intrinsic minus splint did not improve the clinical outcomes after flexor tendon injury at a mean of 38-month follow-up.

scholarly journals Excellent Functional Outcome and Quality of Life after Primary Cementless Total Hip Arthroplasty (THA) Using an Enhanced Recovery Setup

2021 ◽  
Vol 10 (4) ◽  
pp. 621
Author(s):  
Franziska Leiss ◽  
Julia Sabrina Götz ◽  
Günther Maderbacher ◽  
Matthias Meyer ◽  
Jan Reinhard ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Total Hip Arthroplasty ◽  
Functional Outcome ◽  
Hip Arthroplasty ◽  
Enhanced Recovery ◽  
Harris Hip Score ◽  
Total Hip ◽  
Cementless Total Hip Arthroplasty

Background: Total hip arthroplasty combined with the concept of enhanced recovery is of continued worldwide interest, as it is reported to improve early functional outcome and treatment quality without increasing complications. The aim of the study was to investigate functional outcome and quality of life 4 weeks and 12 months after cementless total hip arthroplasty in combination with an enhanced recovery concept. Methods: A total of 109 patients underwent primary cementless Total Hip Arthroplasty (THA) in an enhanced recovery concept and were retrospectively analyzed. After 4 weeks and 12 months, clinical examination was analyzed regarding function, pain and satisfaction; results were evaluated using Harris Hip score, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), EQ-5D-5L, EQ-VAS and subjective patient-related outcome measures (PROMs). Preoperatively, HADS (Hospital Anxiety and Depression Scale) was collected. A correlation analysis of age, American Society of Anesthesiologists (ASA), HADS and comorbidities (diabetes mellitus, art. hypertension, cardiovascular disease) with WOMAC, Harris Hip score (HHS) and EQ-5D was performed. Results: Patients showed a significant improvement in Harris Hip score 4 weeks and 12 months postoperatively (p < 0.001). WOMAC total score, subscale pain, subscale stiffness and subscale function improved significantly from preoperative to 12 months postoperative (p < 0.001). EQ-5D showed a significant improvement preoperative to postoperative (p < 0.001). The influence of anxiety or depression (HADS-A or HADS-D) on functional outcome could not be determined. There was a high patient satisfaction postoperatively, and almost 100% of patients would choose enhanced recovery surgery again. Conclusion: Cementless THA with the concept of enhanced recovery improves early clinical function and quality of life. PROMs showed a continuous improvement over a follow-up of 12 months after surgery. PROMs can help patients and surgeons to modify expectations and improve patient satisfaction.

scholarly journals Quality of life evaluation in patients affected by osteoarthritis secondary to congenital hip dysplasia after total hip replacement

2008 ◽  
Vol 9 (3) ◽  
pp. 155-158 ◽  
Author(s):  
Alessandra Tellini ◽  
Vincenza Ciccone ◽  
Davide Blonna ◽  
Roberto Rossi ◽  
Antongiulio Marmotti ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Hip Dysplasia ◽  
Total Hip ◽  
Life Evaluation ◽  
Congenital Hip Dysplasia

ANALYSIS OF THE RESULTS OF LASER DESTRUCTION OF THE ARTICULAR BRANCH OF THE OBTURATOR NERVE IN ELDERLY AND SENILE PATIENTS WITH DEGENERATIVE COXARTHROSIS

2021 ◽  
pp. 756-763
Author(s):  
В.А. Бывальцев ◽  
А.А. Калинин ◽  
А.К. Оконешникова ◽  
А.В. Егоров ◽  
Э.Е. Сатардинова ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Surgical Complications ◽  
Pain Syndrome ◽  
Obturator Nerve ◽  
Articular Branch ◽  
Sf 36

Цель исследования - анализ результатов использования лазерной деструкции суставной ветви запирательного нерва у пациентов пожилого и старческого возраста с дегенеративным коксартрозом. Проспективно изучены результаты лечения 34 пациентов старше 65 лет c симптоматичным дегенеративным заболеванием тазобедренного сустава (ТБС), имеющим соматические противопоказания к выполнению его тотального эндопротезирования. В обследуемой группе в период с 2017 по 2019 г. проведена лазерная деструкция суставной ветви запирательного нерва (970 нм, частотой 9 Гц и мощностью 3 Вт в суммарной дозе 100 Дж). Средний катамнез наблюдения составил 12 мес. Для оценки эффективности хирургического лечения анализировали динамику уровня болевого синдрома в ТБС по визуально-аналоговой шкале, качества жизни - по анкете SF-36, функционального состояния ТБС - по шкале W.H. Harris и наличие операционных осложнений. В результате установлено, что применение лазерной деструкции суставной ветви запирательного нерва при дегенеративном коксартрозе у пациентов пожилого и старческого возраста (при невозможности проведения тотального эндопротезирования ТБС) позволило значительно снизить уровень дооперационного болевого синдрома, восстановить качество жизни и улучшить функциональное состояние пациентов при низком риске развития неблагоприятных последствий. The aim of the study was to analyze the results of the use of laser destruction of the articular branch of the obturator nerve in elderly and senile patients with degenerative coxarthrosis. The results of treatment of 34 patients over 65 years of age with symptomatic degenerative diseases of the hip joint (HJD) and somatic contraindications for total hip arthroplasty have been prospectively studied. In the study group, in the period from 2017 to 2019, laser destruction of the articular branch of the obturator nerve (970 nm, frequency 9 Hz and power 3 W in a total dose of 100 J) was carried out. The average follow-up was 12 months. To assess the effectiveness of surgical treatment, the dynamics of the pain syndrome in the hip joint was analyzed according to the visual analogue scale, the quality of life according to the SF-36 questionnaire, the functional state of the hip joint according to the W.H. Harris scale and the presence perioperative surgical complications. As a result, it was found that the use of laser destruction of the articular branch of the obturator nerve in degenerative coxarthrosis in elderly and senile patients (if total hip arthroplasty was not possible) made it possible to significantly reduce the level of preoperative pain syndrome, restore the quality of life and improve the functional state of patients with low risks of surgical complications.

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