Cargando…

Benefits of Combining Physical Therapy with Occupational Therapy in Hip Arthroplasty

(1) Background: Hip arthroplasty (HA) is a surgery that replaces the damaged hip joint with an artificial implant called a hip prosthesis. The increase in life expectancy correlated with the population aging level, to which the increase in the number of prosthetic interventions among the young popul...

Descripción completa

Detalles Bibliográficos
Autores principales: Marcu, Florin Mihai, Negrut, Nicoleta, Uivaraseanu, Bogdan, Ciubara, Anamaria, Lupu, Vasile Valeriu, Dragan, Felicia, Lupu, Ancuta, Ciubara, Alexandru Bogdan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8622613/
https://www.ncbi.nlm.nih.gov/pubmed/34834483
http://dx.doi.org/10.3390/jpm11111131
_version_ 1784605734706610176
author Marcu, Florin Mihai
Negrut, Nicoleta
Uivaraseanu, Bogdan
Ciubara, Anamaria
Lupu, Vasile Valeriu
Dragan, Felicia
Lupu, Ancuta
Ciubara, Alexandru Bogdan
author_facet Marcu, Florin Mihai
Negrut, Nicoleta
Uivaraseanu, Bogdan
Ciubara, Anamaria
Lupu, Vasile Valeriu
Dragan, Felicia
Lupu, Ancuta
Ciubara, Alexandru Bogdan
author_sort Marcu, Florin Mihai
collection PubMed
description (1) Background: Hip arthroplasty (HA) is a surgery that replaces the damaged hip joint with an artificial implant called a hip prosthesis. The increase in life expectancy correlated with the population aging level, to which the increase in the number of prosthetic interventions among the young population is added, translates to the imperative need to analyze the quality of life beyond the immediate postoperative period. Strict adherence to an individualized rehabilitation program (IRP), and adapted to each patient, is followed by an improved quality of life. The main goal is the recovery of the patient with HA. This study was aimed to demonstrate that an IRP, represented by physical therapy associated with occupational therapy, improves the quality of life of patients with HA; (2) Methods: In this study, conducted between 2019 and 2021, 50 patients with HA were divided into two groups: study group—group A (25 subjects compliant with the IRP) and control group—group B (25 subjects, non-compliance with the IRP). To evaluate the two study groups, we monitored the evolution of the modified Harris hip score (mHHS) in both hips (arthroplasty hip (AH), contra lateral hip (CH)), for four months, respectively 30 days before the surgery (T0) and at 90 days after the surgery (T1); (3) Results: We notice significant differences in mHHS values at 90 days-T1 after surgery, both on AH in favor of subjects from group A vs. group B (p = 0.030) and on CH, where mHHS values were statistically higher in group A compared to group B (p < 0.001). The results of our study outline at T1 moment, both on the AH (p = 0.030) and on the CH (p < 0.001), the fact that mHHS values were statistically higher in patients included in group A compared to group B. In terms of the results for mHHS, comparing AH with CH, it is noted that the number of subjects who had a good or excellent mHHS result in group A versus group B is statistically significant in the case of CH (group A: 23 (92%) vs. group B: 11 (44%), p = 0.039); (4) Conclusions: The study reveals clear advantages of HA in both hips, both in subjects who complied with the IRP and those who did not comply; the higher therapeutic benefits of IRP are outlined at the level of CH compared to AH; in patients who comply with the IRP, the mHHS parameters that have improved in both CH and AH are pain, leaning, and shoes and socks activities; in addition, limping was reduced in CH.
format Online
Article
Text
id pubmed-8622613
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-86226132021-11-27 Benefits of Combining Physical Therapy with Occupational Therapy in Hip Arthroplasty Marcu, Florin Mihai Negrut, Nicoleta Uivaraseanu, Bogdan Ciubara, Anamaria Lupu, Vasile Valeriu Dragan, Felicia Lupu, Ancuta Ciubara, Alexandru Bogdan J Pers Med Article (1) Background: Hip arthroplasty (HA) is a surgery that replaces the damaged hip joint with an artificial implant called a hip prosthesis. The increase in life expectancy correlated with the population aging level, to which the increase in the number of prosthetic interventions among the young population is added, translates to the imperative need to analyze the quality of life beyond the immediate postoperative period. Strict adherence to an individualized rehabilitation program (IRP), and adapted to each patient, is followed by an improved quality of life. The main goal is the recovery of the patient with HA. This study was aimed to demonstrate that an IRP, represented by physical therapy associated with occupational therapy, improves the quality of life of patients with HA; (2) Methods: In this study, conducted between 2019 and 2021, 50 patients with HA were divided into two groups: study group—group A (25 subjects compliant with the IRP) and control group—group B (25 subjects, non-compliance with the IRP). To evaluate the two study groups, we monitored the evolution of the modified Harris hip score (mHHS) in both hips (arthroplasty hip (AH), contra lateral hip (CH)), for four months, respectively 30 days before the surgery (T0) and at 90 days after the surgery (T1); (3) Results: We notice significant differences in mHHS values at 90 days-T1 after surgery, both on AH in favor of subjects from group A vs. group B (p = 0.030) and on CH, where mHHS values were statistically higher in group A compared to group B (p < 0.001). The results of our study outline at T1 moment, both on the AH (p = 0.030) and on the CH (p < 0.001), the fact that mHHS values were statistically higher in patients included in group A compared to group B. In terms of the results for mHHS, comparing AH with CH, it is noted that the number of subjects who had a good or excellent mHHS result in group A versus group B is statistically significant in the case of CH (group A: 23 (92%) vs. group B: 11 (44%), p = 0.039); (4) Conclusions: The study reveals clear advantages of HA in both hips, both in subjects who complied with the IRP and those who did not comply; the higher therapeutic benefits of IRP are outlined at the level of CH compared to AH; in patients who comply with the IRP, the mHHS parameters that have improved in both CH and AH are pain, leaning, and shoes and socks activities; in addition, limping was reduced in CH. MDPI 2021-11-02 /pmc/articles/PMC8622613/ /pubmed/34834483 http://dx.doi.org/10.3390/jpm11111131 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Marcu, Florin Mihai
Negrut, Nicoleta
Uivaraseanu, Bogdan
Ciubara, Anamaria
Lupu, Vasile Valeriu
Dragan, Felicia
Lupu, Ancuta
Ciubara, Alexandru Bogdan
Benefits of Combining Physical Therapy with Occupational Therapy in Hip Arthroplasty
title Benefits of Combining Physical Therapy with Occupational Therapy in Hip Arthroplasty
title_full Benefits of Combining Physical Therapy with Occupational Therapy in Hip Arthroplasty
title_fullStr Benefits of Combining Physical Therapy with Occupational Therapy in Hip Arthroplasty
title_full_unstemmed Benefits of Combining Physical Therapy with Occupational Therapy in Hip Arthroplasty
title_short Benefits of Combining Physical Therapy with Occupational Therapy in Hip Arthroplasty
title_sort benefits of combining physical therapy with occupational therapy in hip arthroplasty
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8622613/
https://www.ncbi.nlm.nih.gov/pubmed/34834483
http://dx.doi.org/10.3390/jpm11111131
work_keys_str_mv AT marcuflorinmihai benefitsofcombiningphysicaltherapywithoccupationaltherapyinhiparthroplasty
AT negrutnicoleta benefitsofcombiningphysicaltherapywithoccupationaltherapyinhiparthroplasty
AT uivaraseanubogdan benefitsofcombiningphysicaltherapywithoccupationaltherapyinhiparthroplasty
AT ciubaraanamaria benefitsofcombiningphysicaltherapywithoccupationaltherapyinhiparthroplasty
AT lupuvasilevaleriu benefitsofcombiningphysicaltherapywithoccupationaltherapyinhiparthroplasty
AT draganfelicia benefitsofcombiningphysicaltherapywithoccupationaltherapyinhiparthroplasty
AT lupuancuta benefitsofcombiningphysicaltherapywithoccupationaltherapyinhiparthroplasty
AT ciubaraalexandrubogdan benefitsofcombiningphysicaltherapywithoccupationaltherapyinhiparthroplasty