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 White Paper on Joint Replacement written by Hans-Holger Bleß and published by Springer. This book was released on 2017-11-03 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is published open access under a CC BY 4.0 license. White Paper on Joint Replacement This White Paper details the status of hip and knee arthroplasty care in Germany. Hip and knee replacements are amongst the most frequently performed procedures and usually become necessarily due to age-related wear of the joint, osteoarthritis and fractures of the femoral neck. In light of demographic change, demands with regard to standards of care and the procedures are likely to rise. Contents • This White Paper contains information on indications, procedures, health economic aspects and the healthcare system stakeholders involved. • It portrays current developments with regard to the prevalence of hip and knee arthroplasty, the healthcare situation and quality of care within the chain of medical care. • This book is complemented by a chapter assessing the current situation from an expert perspective with contributions from renowned experts in the fields of science, medical technology and medical practice. This book addresses people involved in shaping and representing the healthcare system from a variety of fields including medical professions, health insurances and health sciences as well as journalists and patient representatives.
Download or read book Inpatient Rehabilitation for a Patient Following a Total Hip Arthroplasty written by Benjamin Baumgardner and published by . This book was released on 2016 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: A patient, after receiving a total hip arthroplasty, was seen for physical therapy treatment for 8 sessions from 8/01/15 to 8/05/15 in an acute care hospital. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Well's Clinical Prediction Rule to assess for the presence of deep vein thrombosis; the Numeric Pain Rating Scale was used to assess pain; the Physical Function ICU Test--Scored was used to assess strength; the Activity Measure for Post-Acute Care mobility short form was used to assess functional mobility; the 10 Meter Walk Test was used to assess gait speed; the Lower Extremity Function Scale was used to assess independence with ADLs; a plan of care was established based on the results of these outcome measures. Main goals for the patient were to improve pain, range of motion, strength, functional mobility, gait speed, and functional independence. Main interventions used were over-ground gait training, restorative training, resistive exercises, bed mobility and transfer training, and functional training. The patient improved in pain levels, strength, range of motion, functional mobility, gait speed, and functional independence. The patient was discharged to home with a home exercise program and a plan to follow-up with home health physical therapy.
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 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 Impact of Home Physical Therapy on Speed of Functional Recovery Following Elective Total Hip Or Knee Replacement written by Maria Teresa Schumacher and published by . This book was released on 1989 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Olusegun Onibonoje and published by Createspace Independent Publishing Platform. This book was released on 2014-06-19 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This first-of-its-kind complete manual provides a comprehensive collection of guidelines for health care professionals delivering treatment to patients after total hip arthroplasty, providing them with a systematic overview of the relevant clinical anatomy of the hip joint, surgical approaches, week-to-week therapeutic exercise interventions, extensive postoperative precautions, activity recommendations, complications, and miscellaneous topics. Clinicians will be thoroughly equipped with an in-depth understanding of the various surgical approaches and postoperative patient care interventions, allowing them to provide effective, evidence-based care. Clinicians will find this well-illustrated, full-color text an indispensable guide and reference when managing patients after total hip arthroplasty.
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 Orthogeriatrics written by Paolo Falaschi and published by Springer Nature. This book was released on 2021 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.
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 Acute Inpatient Rehabilitation for a Patient Following a Total Hip Arthroplasty written by Susana Yanez and published by . This book was released on 2016 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: A patient with right total hip arthroplasty was seen for physical therapy treatment for seven sessions over the course of four days in the hospital. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with Numeric Pain Rating Scale, 10 Meter Walk Test, Western Ontario and McMaster Universities Osteoarthritis Index, and Boston University Activity Measure for Post-Acute Care (AM-PAC) "6-clicks" Basic Mobility Inpatient Short Form, and a plan of care was established. The main goals for the patient were to decrease pain severity, improve basic functional mobility, increase gait speed, and advance health related quality of life. The principal interventions used were resistance training, over-ground gait training, task-specific training, and functional training. The severity of the patient's pain improved significantly [75%], and, to a lesser degree, basic functional mobility and gait speed improved as well. The patient was discharged to an extended care facility for further physical therapy treatment.
Download or read book Inpatient Rehabilitation for a Patient Following a Right Total Hip Arthroplasty written by Evan Hauger and published by . This book was released on 2016 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: A patient with a right total hip arthroplasty was seen for physical therapy treatment for 30 sessions from 7/13/15 to 8/17/15 at a sub-acute inpatient physical therapy clinic. Treatment was provided by a student physical therapist 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, Berg Balance Scale, 10 meter walk test and measured walking distance, and a plan of care was established. The main goals for the patient were to decrease pain, improve strength, increase gait speed and walking distance, improve dynamic balance, and perform a community outing without assistance. The main interventions used were: functional, task specific strength training; gait training on level, uneven surfaces and stairs; and balance training in different environments. The patient improved pain levels, strength, balance, gait speed, ambulation distance, functional independence, and community mobility.
Download or read book Rehabilitation After Elective Total Hip Replacement written by Corinne Coulter and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Primary total hip replacement surgery was performed on over 40,000 Australians in 2013. While THR is tremendously successful in terms of pain relief for patients, outcome studies report some residual impairment and functional limitations in these patients post operatively. Despite the rising number of hip replacements performed, the optimum rehabilitation after total hip replacement lacks consensus throughout the literature and no evidence based guidelines exist worldwide on this topic. Physiotherapy exercises and protocols within rehabilitation programs are largely based on level 4 evidence. There is little evidence to support the effectiveness of physiotherapy post total hip replacement, and little to support physiotherapy supervised exercise programs in favour of home exercise programs. This thesis aimed to inform best practice in rehabilitation following hip replacement. First, by systematically reviewing the current evidence for total hip replacement rehabilitation. Secondly by a prospective study to determine the benefit of supervised and unsupervised rehabilitation interventions on patient outcomes, namely functional and quality of life measures (WOMAC and SF-36 scores); post total hip replacement surgery in the adult population. Finally, to contribute to the evidence supporting clinical decisions in Australia for total hip replacement rehabilitation. Our systematic review aimed to synthesise the current literature for rehabilitative exercise effectiveness on strength, gait, function and quality of life after a total hip replacement including comparison in a home based or supervised setting. Five randomised controlled trials were included comprising 234 participants. Meta-analysis showed that physiotherapy can improve abductor muscle strength of the operated leg, as well as gait speed and cadence. Function and quality of life measures were unable to be measured due to the broad variation in outcome measures used in the studies. There was no difference between supervised and unsupervised exercise programs. Further well designed research is needed to compare the efficacy of home based to supervised programs. A randomised controlled trial was performed to investigate the efficacy of two rehabilitation programs; a supervised (centre based) and an independent (home-based) program in the early phase of rehabilitation (
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 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.
