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Influence of preoperative physiotherapeutic preparation in patients referred to total hip endoprosthesis

Ivan Burić orcid.org/0000-0002-6868-5910 ; KB Sveti Duh, Zagreb, Hrvatska
Vesna Filipović ; Zdravstveno veleučilište, Zagreb, Hrvatska
Robert Kolundžić ; KBC Sestre milosrdnice, Zagreb, Hrvatska

Sažetak

Abstract
Introduction: Arthrosis of the joints is one of the leading
causes of pain and disability in the world, and the most
common affected joints are knees and hips. Patients
decide on the surgical procedure of implantantion total hip endoprosthesis to reduce pain, increase mobility and improve the performance of daily life activities,
thereby improving the quality of life. Preoperative physiotherapy is a potential way of accelerating the recovery time and overall improvement of the patient’s function
after implantantion of the endoprosthesis.
Aim: Determining the difference in functional abilities
after implantantion of total hip endoprosthesis between
patients with preoperative physiotherapeutic preparation and with patients without preoperative physiotherapeutic preparation.
Materials and methods: A sample of the examinees
makes up to 30 patients for the surgical operation of the
total hip endoprosthesis. In the study group (N = 15),
there were preoperative physiotherapeutic and postoperative physiotherapeutic interventions, while those
in the control group (N = 15) had only postoperative
physiotherapeutic intervention. The hip flexion and hip
abduction measurements were performed using the goniometer, the Numerical Scale for pain intensity evaluation, and the 10 Meter Walk Test, Timed Up and Go Test,
Oxford Hip Score and Harris Hip Score questionnaires
for functional ability assessment. The measurement
was performed on the preoperative day and the third
and tenth postoperative days.
Results: There was no statistically significant difference
in preoperative measurement between groups. There
was a statistically significant difference third postoperative day in the study group in the hip abduction (p
= 0,0013) and Harris Hip Score (p = 0,021), and tenth
postoperative day in hip abduction (p = 0,042), 10 Meter Walk Test (p = 0,047), Timed Up and Go Test (p =
0,028) and Oxford Hip Score (p = 0,035) and Harris Hip
Score (p = 0,0060).
Conclusion: Preoperative physiotherapeutic preparation
affects the increase in functional abilities after the operation of the total hip endoprosthesis.

Ključne riječi

hip osteoarthritis, total hip endoprosthesis, physiotherapy

Hrčak ID:

220425

URI

https://hrcak.srce.hr/220425

Datum izdavanja:

24.5.2019.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.838 *