Download or read book Functional Performance in Total Hip Arthroplasty Patients written by Aasis Unnanuntana and published by . This book was released on 2011 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: INTRODUCTION: The goals for total hip arthroplasty (THA) are pain relief, restoration of range of motion and improvement of function. Two key topics for study are providing accurate assessments pre- and post-THA and investigating factors that could affect functional outcomes after THA. MANUSCRIPT I - Performance-Based Tests and Self-Reported Questionnaires Provide Distinct Information for the Preoperative Evaluation of Total Hip Arthroplasty Patients. BACKGROUND: Performance-based tests (PBT) such as the 2-minute walk test (2MWT) and the timed get-up-and-go test (TUG) have been advocated for the use as an essential part of preoperative THA evaluation. OBJECTIVES: The objectives of this study were to assess the relationship between self-reported questionnaires (Western Ontario McMasters Universities Osteoarthritis Index [WOMAC] and the Short Form-36 [SF-36]) and PBT (2MWT and TUG) in patients scheduled for THA, and to identify clinical variables associated with the 2MWT and the TUG. METHODS: We collected data from a cohort of patients scheduled for primary THA. Each patient was asked to complete the WOMAC and SF-36 and perform the 2 tests (2MWT, TUG) at the time of a preoperative evaluation. Pearson's correlation coefficients and Spearman's rho were used to determine the association between the self-reported questionnaires and PBT. Multivariable linear regression models were created to evaluate independent associations between clinical variables and preoperative 2MWT and TUG results. RESULTS: The correlation between preoperative self-reported questionnaires and 2MWT and TUG tests was mild to moderate, ranging from 0.16 to 0.58. The use of a walking aid, female sex and the presence of other painful lower extremity joints were significantly associated with 2MWT (r 2 =0.51, p=0.017), while age and additional painful lower extremity joints were significantly associated with TUG (r 2 =0.10, p=0.017). DISCUSSION: Our study demonstrates that there are mild to moderate correlations between preoperative self-reported questionnaires and PBT. This indicates that PBT capture additional dimensions of function that are not measured by the WOMAC and SF-36 and might be important patient-centered outcomes during post-operative evaluations. MANUSCRIPT II - Does Vitamin D Status Affect The Attainment of In-Hospital Functional Milestones After Total Hip Arthroplasty? BACKGROUND: Vitamin D has an important role in skeletal muscle. The effect of vitamin D deficiency on functional recovery after THA however, remains unknown. OBJECTIVES: The objectives of this study were to identify the prevalence of low vitamin D status in patients undergoing THA and to evaluate the association between serum vitamin D level and the attainment of in-hospital functional milestones. METHODS: We studied 200 patients who underwent THA and had serum vitamin D (25(OH)D) measured as part of their preoperative work-up. Patients were categorized into 3 groups based on their serum 25(OH)D levels (

Download or read book Improving Rehabilitation Outcomes After Total Hip Arthroplasty written by Dana L. Judd and published by . This book was released on 2014 with total page 121 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hip osteoarthritis (OA) is a complex condition requiring characterization of the effects on individuals' function. The remediation of muscle strength and functional mobility deficits is not achieved through total hip arthroplasty (THA) alone, thus understanding the time course of recovery and the effects of rehabilitation will inform rehabilitation priorities. The overall purpose of this doctoral thesis is to characterize the strength and functional deficits present in end-stage OA and following THA, and to investigate the efficacy of a rehabilitation intervention. The first study examined strength and functional performance in patients with end-stage hip OA compared with healthy adults of similar age. The results of this study indicate that individuals with hip OA had strength deficits and performed poorer on tests of stair climbing, sit-to-stand and walking. They were also less physically active than their healthy peers. These findings indicate that prior to THA, these individuals have diminished strength and functional performance, which should be considered during postoperative rehabilitation planning. The second study examined the time course of strength and functional recovery following THA. The results of this study indicated that patients see a significant decline in muscle strength and functional performance one month following surgery. Twelve months after THA, patients exhibit significant deficits in knee extensor and flexor strength compared with healthy adults. Furthermore, although not statistically significant, differences in functional performance compared to healthy adults remained. The third study examined the efficacy of a comprehensive, multi-component (CMC) rehabilitation program. The results of this study indicated that individuals who participated in the rehabilitation intervention had greater improvements in stair climbing ability, walking ability, balance and stability compared with individuals who did not receive intervention (CON). Further, there tended to be greater improvement in muscle strength by the end of intervention. Importantly, participation in the CMC intervention did not compromise safety, as there were no incidences of hip dislocation, injury or falls in either group. Overall, the results of these studies indicated strength and functional deficits present in end-stage hip OA may not be completely remediated by THA surgery alone. An 8-week multi-component rehabilitation program may enhance recovery after THA.

Download or read book Personalized Hip and Knee Joint Replacement written by Charles Rivière and published by Springer Nature. This book was released on 2020-06-30 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications. The techniques described in the book aim to reproduce patients’ native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality. Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery

Download or read book Functional Rehabilitation of Patients with Total Hip Arthroplasty written by Janine Aebi-Müller and published by . This book was released on 1997 with total page 63 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Occupational Therapy for Adults Undergoing Total Hip Replacement written by and published by . This book was released on 2017-12 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book In Older Adults Undergoing a Total Hip Arthroplasty Does Pre operative Physical Therapy Improve Post operative Functional Outcomes written by Benjamin Duell and published by . This book was released on 2019 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: ABSTRACT: Total hip arthroplasty (THA) is a surgery commonly performed on patients with symptomatic osteoarthritis. This procedure has been shown to reduce pain and improve quality of life in many patients, however, there is a population of patients that report poor post-surgical outcomes. This review aims to determine whether pre-operative physical therapy improves post-operative functional outcomes in patients with osteoarthritis undergoing THA.

Download or read book Toward a Design of a Telerehabilitation Program for the Functional Recovery in Post Hip Arthroplasty Patients written by Wilmer Esparza and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Telerehabilitation uses new information and communication technologies as an instrument to ensure a distant rehabilitation service. Patients who underwent hip replacement surgery are an excellent case study for the application of this technology. Post-surgical rehabilitation guidelines for hip arthroplasty are well known, and the correct application has a positive effect on the patients,Äô prognosis. However, there are no complementary guidelines for physical therapy that could be used at a distance by patients through a computer platform. This chapter presents a systematic review about conventional physical therapy programs for hip arthroplasty. Based on this review, we proposed therapeutic exercises adapted to a low cost web-platform. In order to reach this objective we will present a brief review of the total hip arthroplasty, telemedicine, telerehabilitation and conventional physical therapy approaches.

Download or read book Long Term Functional Simulation of Large Diameter Metal on Metal Hip Implants written by Megan Jayne Frances Hadley and published by . This book was released on 2012 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: The artificial hip replacement or total hip arthroplasty (THA), is a widely used solution to help restore hip function following arthritic disease. Pre-clinical in vitro evaluation of new designs is a vital aspect of the development of joint replacements to ensure devices are safe and to better predict their performance in vivo. This thesis describes the development of a number of clinically relevant stop-dwell-start protocols for in vitro wear simulation of total hip replacement bearings. A new wear simulator was developed and commissioned to allow application of these complex cycles, and data from the literature examined to characterise activity patterns of real THA patients. A number of different stop-dwell-start test scenarios were investigated, examining the effect on wear of altering both the duration of dwell periods, and the number of walking cycles between dwells. Wear did not appear to increase significantly with a longer dwell period, however it was observed that bearings did not bed in under these conditions therefore overall wear volumes may be higher. A significant increase in wear was observed when the number of cycles between dwell periods was reduced down to one or two cycles; this is believed to be due to deterioration of the lubricant film during the dwell, leading to severe lubrication conditions at start-up, and subsequent high wear of the bearing surfaces. These findings may be particularly relevant to the use of MOM devices in very infirm patients, or those in the early stages of recovery, for whom walking in a single step pattern may be more common. These results have clinical relevance in the loads and cycle combinations used, compared with earlier studies. Both the number of walking and dwell cycles, and the dwell period load are based on data from real hip patients in the literature, showing that activity bursts are generally short and change frequently, and the load during a pause is low compared with peak loads during walking. It is believed this use of more clinically relevant activity simulations for pre-clinical in vitro testing of hip replacement bearings is vital for improved understanding of bearing tribology and more accurate prediction of implant performance in vivo.

Download or read book Acute Care Physical Therapy for a Patient with Total Hip Arthroplasty written by Olha Fedorenko and published by . This book was released on 2015 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: A patient who underwent a right total hip arthroplasty was seen for physical therapy treatment for four sessions from July 17th to July 19th, 2014 at an acute care hospital under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Numeric Pain Rating Scale, manual muscle testing, "6 Clicks" Basic Mobility Inpatient Short Form, and functional mobility level of assistance assessment, and a plan of care was established. Inpatient goals for the patient included becoming independent in bed mobility, transfers, household ambulation with a front wheel walker, and in the performance of a home exercise program. Main interventions included patient education, therapeutic exercise, and repetitive training of functional activities such as bed mobility, transfers and gait training. The patient achieved all established inpatient goals. The patient was discharged to her home where she had 24 hour assistance available from her husband, and home health physical therapy.

Download or read book What Prognostic Factors Predict Prolonged Functional Recovery After Total Hip Arthroplasty in Elderly Adults written by Katarina Frazier and published by . This book was released on 2020 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: ABSTRACT: Insult to the spinal cord has profound multisystem effects, one in particular is the impact it plays on mobility, decreasing a patient's independence and quality of life. Through efforts addressed in physical therapy the goal of returning to a healthy and fulfilling lifestyle is possible. The purpose of this systematic review of literature is to make a clinical recommendation about the use of innovative technology in the form of an exoskeleton device for gait rehabilitation to improve functional mobility in patients with Spinal Cord Injuries (SCI).

Download or read book Total Hip Arthroplasty written by Emre Tokgoz and published by Springer Nature. This book was released on 2022-10-19 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: Total Hip Arthroplasty: Medical and Biomedical Engineering and Science Concepts provides an extensive overview of the most recent advancements in total hip arthroplasty (THA) through a thorough review of the literature in medicine, engineering, mathematics, computing, and related technologies. Coverage includes the most recent engineering and computing techniques such as robotics, biomechanics, artificial intelligence, and optimization, as well as the medical and surgical aspects of pre-existing conditions, surgical procedure types, postoperative complications, and patient care. This book will be a valuable introductory reference for academics, students, and researchers to THA concepts and advances.

Download or read book Total Knee Arthroplasty written by Johan Bellemans and published by Springer Science & Business Media. This book was released on 2005-08-01 with total page 414 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Take away my knee pain and give me better motion". This is what the arthritic patient expects from a Total Knee Arthroplasty (TKA). By virtue of standardization of the TKA procedure, surgeons can nowadays solve the pain issue for the majority of the patients. Restoration of function is a goal of a different order and forms the scope of this book. The editors confronted today's leading knee surgeons with the limitations of current surgical techniques and technology. They challenged them to define new thresholds of functional capacity after Total Knee Arthroplasty. "A Guide to Get Better Performance in TKA" describes the cutting edge in surgical techniques, prosthetic design and achievement of excellent function for these patients.

Download or read book Bulletin of Prosthetics Research written by and published by . This book was released on 1982 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Joint Arthroplasty written by Shinichi Imura and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: The introduction of total joint arthroplasty throughout the world has contributed manifold benefits to patients who suffer from joint diseases. Concurrently, however, there has been an increase in revision surgery. Many orthopedic surgeons agree that durability of prostheses is an eternal problem. In particular, periprosthetic osteolysis recently has been identified as one of the serious problems affecting prosthetic dura bility. To improve durability, osteolysis and many other problems must be investi gated and solved both experimentally and clinically with respect to such aspects as prosthetic material, design, and biological and biomechanical behavior. This book comprises 37 papers that were presented by orthopedic surgeons and biomedical engineers at the 28th Annual Meeting of the Japanese Society for Replace ment Arthroplasty, held in March 1998 in Kanazawa, Japan. The volume is thus a compilation of the latest knowledge about the pathogenesis and reduction of osteolysis and wear, newly developed total hip prostheses, and other current topics of total knee arthroplasty. We earnestly hope that this book will be of benefit to clinicians and researchers, and that it will contribute to the creation of more durable total joint prostheses in the future. SHINICHI IMURA v Contents Preface .................... '" .. .. .. ... . .. .. .. . ... .. . . .. . ... . . .. . V List of Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI . . . . . . . . . . . . Part 1 Wear and Pathogenesis of Osteolysis Friction and Wear of Artificial Joints: A Historical Review N. AKAMATSU ................................................ , 3 Matrix Degradation in Osteoclastic Bone Resorption Under Pathological Conditions .

Download or read book Total Knee Arthroplasty written by James Alan Rand and published by Lippincott Williams & Wilkins. This book was released on 1993 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive reference on total knee arthroplasty describes all surgical techniques and prosthetic designs for primary and revision arthroplasty, discusses every aspect of patient selection, preoperative planning, and intraoperative and postoperative care.

Download or read book Advanced and Multivariate Statistical Methods written by Craig A. Mertler and published by Taylor & Francis. This book was released on 2021-11-29 with total page 351 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advanced and Multivariate Statistical Methods, Seventh Edition provides conceptual and practical information regarding multivariate statistical techniques to students who do not necessarily need technical and/or mathematical expertise in these methods. This text has three main purposes. The first purpose is to facilitate conceptual understanding of multivariate statistical methods by limiting the technical nature of the discussion of those concepts and focusing on their practical applications. The second purpose is to provide students with the skills necessary to interpret research articles that have employed multivariate statistical techniques. Finally, the third purpose of AMSM is to prepare graduate students to apply multivariate statistical methods to the analysis of their own quantitative data or that of their institutions. New to the Seventh Edition All references to SPSS have been updated to Version 27.0 of the software. A brief discussion of practical significance has been added to Chapter 1. New data sets have now been incorporated into the book and are used extensively in the SPSS examples. All the SPSS data sets utilized in this edition are available for download via the companion website. Additional resources on this site include several video tutorials/walk-throughs of the SPSS procedures. These "how-to" videos run approximately 5–10 minutes in length. Advanced and Multivariate Statistical Methods was written for use by students taking a multivariate statistics course as part of a graduate degree program, for example in psychology, education, sociology, criminal justice, social work, mass communication, and nursing.

Download or read book The Evaluation of the Functional Ability of Total Hip Replacement Patients using a New Computerised System of Electrogoniometry written by Philip John Rowe and published by . This book was released on 1990 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: