Physiotherapy improves function in patients following total hip replacement (THR)

Published in BMC Musculoskeletal Disorders 03/13/2013 Dr. Okoro T et al from Department of Orthopaedics and Physiotherapy Bangor University, Bangor, UK look at ‘standard’ rehabilitation care in the UK after total hip replacement (THR). Because Total hip replacement (THR) is one of the most widely performed procedures in orthopaedic practice with the number of primary total hip replacements (THR) over 79413 in the UK (according to the National joint registry) undergoing THR. This number will increase with the rising age of the population.

THR for patients with end stage joint disease is shown to give pain relief, and substantial improvement in quality of life. However studies show that, even in the absence of pain, there is still movement impairments and functional limitation in post surgery patients including reduced muscle strength, reduced postural stability, and limited flexibility. These impairments cause functional limitations including reduced walking speed, and less functional ability. The group present evidence of prolonged poor function in patients following total hip replacement (THR) in the UK. Patients with poor functional outcome measures 2 years post-operatively after THR are five times more likely to require assistance with ADLs compared to those who have good function. Therefore it is important to  avoid long-term impairment and to optimise functional recovery.


One response to this post.

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