Prop Up Movement Patterns and their Effect on Patients after Total Hip Replacement
Authors:
J. Vagner 1,2; I. Špringrová Palaščáková 2,3; P. Přikryl 4
Authors‘ workplace:
Rehabilitační oddělení, Středomoravská nemocniční, a. s, Nemocnice Přerov
1; ACT centrum, s. r. o., centrum postgraduálního vzdělávání, akreditované pracoviště MZ ČR, Praha - Čelákovice
2; REHASPRING centrum, s. r. o., Ambulantní zdravotnické zařízení fyzioterapie
centrum postgraduálního vzdělávání, akreditované pracoviště MZ ČR, Praha - Čelákovice
3; Ortopedicko-traumatologické oddělení, Středomoravská nemocniční, a. s., Nemocnice Přerov
4
Published in:
Rehabil. fyz. Lék., 24, 2017, No. 1, pp. 4-10.
Category:
Original Papers
Overview
Introduction:
Irreversible degenerative changes in the musculoskeletal system, in particular weight-bearing joints, can be designated as lifestyle disease without any doubt. In the final stage of these changes a patient is recommended to undergo the total hip replacement of the affected joint. It is invasive surgery during which the soft tissue is inevitably damaged. After the surgery the patient suffers from severe pain, which is commonly treated by means of pharmacological agents (multimodal analgesia, femoral nerve block, and epidural infusion) aimed at pain reduction. No doubt that postoperative care of patients is a multiple-field affair and managed rehabilitation care controlled by a qualified healthcare professional is part and parcel. The modern medicine keeps seeking new alternative solutions in both operative and postoperative issues. That has resulted in an idea: is it possible to reduce subjective perception of pain by means of managed rehabilitation?
Study objective:
In this intervention, (adaptive) randomized, single-blind, prospective, original study we dealt with the issue whether it was possible to reduce subjective perception of pain of the patients after the total hip replacement (in the acute stage) by means of practising prop up exercises in ontogenetic development positions.
Methods:
Thirty patients divided into two groups took part in the study. Group A underwent postoperative rehabilitation treatment based on the Acral Coactivation Therapy principles. Group B was a control group following the rehabilitation standards of Středomoravská nemocniční a.s. Přerov. Before the surgery and after completion of the rehabilitation treatment (10 days after the surgery) the patients filled in customizable ACD questionnaires including the VAS scale.
Results:
The output measure proved that the patients from the group A had experienced demonstrably less severe pain (VAS = 2.1) compared to the group B (VAS = 4.7).
Conclusion:
The results proved that the managed rehabilitation following the Acral Coactivation Therapy principles influenced acceleration of reduction of the patients´ subjective perception of pain after total hip replacement in the acute postoperative stage.
Keywords:
Visual Analogue Scale (VAS), Acreal coactivation therapy, total hip replacement, analgesics
Sources
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Labels
Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2017 Issue 1
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