Evaluation of the functional condition of patients qualified for the treatment of hip alloplasty
Keywordscoxarthrosis, physiotherapy, alloplasty, rehabilitation, arthrosis
Introduction: Osteoarthritis of the hip joint is one of the most popular diseases affecting this joint. It most often occurs in people aged 50-80 years, but there is a risk of its occurrence in younger people due to predisposing factors. Changes in the joint are irreversible and the only way to stop the progressive changes is properly selected rehabilitation and, at a later stage, performing hip arthroplasty. The scope of physiotherapy includes areas such as kinesiotherapy, physical therapy, manual therapy and osteopathy.
Aim: 1.To assess the clinical and functional condition of patients prior to hip arthroplasty. 2.Determination of factors influencing the increase in lower limb dysfunction. 3.Assessment of pain in osteoarthritis of the hip joint.
Materials and methods: 46 people qualified for hip arthroplasty took part in the study. The study included the assessment of the range of motion using an inclinometer, the assessment of muscle strength according to the Lovett scale and the assessment of pain using the VAS scale.
Results: In the study group, the greatest changes were observed in the reduction of the range of flexion mobility (p <0.05) and the internal rotation movement (p <0.05). There was a reduction in the range of mobility of extension, abduction, adduction and external rotation, but the results were not statistically significant. Degenerative changes predispose to increased pain (p <0.05). The patient's muscular strength decreases with the severity of the degenerative changes (p <0.05). Increasing pain causes the weakening of muscle strength (p <0.05).
Conclusions: 1.Patients with coxarthrosis are characterized by a reduced range of motion in all motor planes, in particular flexion and internal rotation. 2.Degenerative changes reduce the muscle strength of the hip joint. 3.Pain increases along with the advancement of osteoarthritis.
Franses M., Bridgett L., March L., Hoy D., Penserga E., Brookes P.: The epidemiology of osteoarthritis In Asia. Interantional journal of rheumatic dieseases 2011 May;14(2):113-21
Brzosko M: Reumatologia kliniczna Pomorski Uniwersytet Medyczny Szczecin 2010 ISBN: 978-83-89318-33-6
Romanowski W., Zdanowska A., Romanowski M: Choroba zwyrodnieniowa stawów – aktualne standardy leczenia. Viamedica 2016 tom 2, nr2, 52-57
16. Biegański P., Polewska E.: The hip joint Osteoarthritis-patient and functional problem. Journal of Education, Health of Sport 2015;5(8):47-54
Metcalfe D., Perry C.D., Clairvaux A.H., Simel L.D., Zogg K.Ch., Costa L.M.: Does This Patent Have Hip Osteoarthritis?: The Rational Clinical Examination Systematic Review. JAMA 2019 Dec 17;322(23):2323-2333
. Lespasio M., Sultan A.A., Piuzzi S.N.: Hip Osteoarthritis: A Primer. Perm J 2018;22:11-084
Arseti N., Kassam J., Nicholas N., Achan P.: Hip Osteoarthritis. BMJ 2016 6;354:3405
Chen Wei-Heng, Tsai Wen-Ching, Wang Hsing-Ting, Wang Hsiang-Chun, Tseng yuan-Tsung: Can early rehabilitation after osteoarthritis reduce knee and hip arthroplasty risk? A national representive cohort study. Medicine (Baltimore) 2019 May;98(21):e15723
Bijlsma J.W.J., Berenbaum, F., Lafeber G.J.P.F.: Osteoarthritis: an update with relevance for clinical practice. Lancet 2011 Jun 18;377(9783):2115-26
Krastanova S.M., LLieva M.E., Vacheva E.D.: Rehabilitation of Patients with Hip join Arthroplasty. Folia Med 2017 Jun 1;59(2):217-221
Skou T S., Roos M E.:Physical therapy for patients with knee and hip osteoarthritis: supervised, active treatment is current best practice. Clinical and experimental rheumatology 2019 Sep-Oct 120(5):112-117
Chruściak T.: Subjective evaluation of the effectiveness of whole-body cryotherapy in patients with osteoarthritis. Reumatologia 2016;54(6):291-295
Hoeksma L H., Dekker J., Ronday K H., Heering A., Van der Lubbe N., Vel C., er al.: Comparison of manual therapy and exercise therapy in osteoarthritis of the hip: a randomized clinical trial. Arthritis and rheumatism 2014 Oct 15;51(5):722-9
Svege I., Nordsletten L., Fernandes L., Risberg A M.: Exercise therapy may postpone total hip replacement surgery in patients with hip osteoarthritis: a long-term follow-up of a randomized trial. Annals of the rheumatic diesases 2015 Jan;74(1):164-9
Hinman S R., Heywood E S., Day R A.: Aquatic physical therapy for hip and knee osteoarthritis: results of a single-blind randomized controlled trial. Physical therapy 2016 Jan;87(1):32-43
Abbott H J., Robertson C M., Chapple C., Pinto D., Wright A A., De la Barra L S., et al.: Manual therapy, exercise therapy, or both, in addition to usual care, for osteoarthritis of the hip or knee: a randomized controlled trial. 1: clinical effectiveness. Osteoarthritis Cartilage 2014 Apr;21(4):525-34
Jigami H., Sato D., Tsubaki A., Tokunaga Y., Ishikawa T., Dohmae Y., et al.: Effects of weekly and fortnightly therapeutic exercise on physical function and health-related quality of life in individuals with hip osteoarthritis. J Orthopaedic Sci. 2013 Nov;17(6):737-44
Jimenez E Ch., Fernandez R., Zurita F., Linares D., Farias A.: Effects of education and strength training on functional tests among older people with osteoarthritis. Revista medica de Chile 2014 Apr 142(4):436-42
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