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Acta clinica Croatica, Vol. 63. No. 1, 2024.

Original scientific paper

https://doi.org/10.20471/acc.2024.63.01.1

Effect of preoperative physical education on postoperative outcome in patients with total hip replacement – a prospective cohort study

Ivana Grle ; Department of Physical Medicine and Rehabilitation, University Clinical Hospital Mostar”, Mostar, Bosnia and Herzegovina *
Maki Grle ; Department of Orthopedics, University Clinical Hospital Mostar”, Bosnia and Herzegovina
Damir Franjić ; Department of Orthopedics, University Clinical Hospital Mostar”, Bosnia and Herzegovina
Mateo Bevanda ; Department of General Surgery, University Clinical Hospital Mostar”, Mostar, Bosnia and Herzegovina
Mladenka Naletilić ; Department of Physical Medicine and Rehabilitation, University Clinical Hospital Mostar”, Mostar, Bosnia and Herzegovina

* Corresponding author.

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Abstract

Hip osteoarthritis is the leading cause of hip pain around the world. Patients
are aiming to relieve pain as fast as possible and return to everyday activities. Th e aim of the study
was to investigate the effect of preoperative physical education on postoperative rehabilitation in
patients after total hip arthroplasty (THA). Th ere were 60 patients divided in two equal groups. One
group underwent 3-day preoperative education and the other did not. Th e two groups were compared
according to their preoperative and postoperative visual analog scale (VAS), range of motion (ROM),
Harris Hip Score (HHS), Western Ontario and McMaster Universities Arthritis Index (WOMAC),
and 36-Item Short Form Survey (SF-36). Patient general characteristics were similar in the two
groups. Patients that received preoperative training had lower VAS scores, greater ROM, higher HHS
and lower WOMAC score on postoperative day 42 (p<0.05 all). Th ese patients had no complications.
Th ere were no between-group diff erences in the SF-36 questionnaire. In conclusion, patients that
underwent preoperative rehabilitation protocol before THA had lower pain and disability scores and
better functional outcomes.

Keywords

Arthroplasty; Replacement; Hip; Education; Exercise; Preoperative care; Rehabilitation

Hrčak ID:

322007

URI

https://hrcak.srce.hr/322007

Publication date:

1.4.2024.

Article data in other languages: croatian

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