The Assessment of the impact of sanatorium treatment on patients with hip joint endoprosthesis
DOI:
https://doi.org/10.12775/JEHS.2025.85.65202Keywords
hip endoprosthesis, sanatorium treatment, range of motion, muscle strength, SF-36Abstract
Background: As the years go by, hip replacement procedures, also known as hip endoprosthesis, are becoming more common. As life expectancy increases, it can be assumed that this number will continue to rise, with some sources reporting that it will increase as much as sevenfold by 2030.
Purpose: The purpose of this study is to evaluate the impact of a 21-day sanatorium treatment on physical fitness and quality of life after hip replacement surgery.
Methodology: selected measurements and tests were performed on the first and last day of the sanatorium stay. A questionnaire on subjective assessment of quality of life was completed on the first day of stay and one month after the end of the sanatorium by telephone. The tools used were, measurement of range of motion with goniometer, strength with Lovett scale, TUG, NRS and SF-36
Conclusions: The range of motion of flexion and abduction in the hip joint subjected to endoprosthesis increased statistically significantly. The time required to walk a distance of 6 meters in the “Stand Up and Walk” test as well as pain complaints on the NRS scale decreased significantly statistically. There was a favorable statistically significant change in all aspects examined by the SF-36 questionnaire.
References
1. Klimiuk P, Kuryliszyn-Moskal A. Osteoarthritis. Rheumatology Supplements. 2016:111-113. doi:10.5114/reum.2016.60012
2. MacLennan W. History of Arthritis and Bone Rarefaction Evidence from Paleopathology Onwards. Scott Med J. Feb. 1999;44(1):18–20.
3. Bota NC, Nistor DV, Caterev S, Todor A. Historical overview of hip arthroplasty: From humble beginnings to a high-tech future. Orthop Rev (Pavia). 2021;13(1):8773. doi:10.4081/or.2021.8773.
4. Dobson GP, Letson HL, Grant A, et al. Defining the osteoarthritis patient: back to the future. Osteoarthritis Cartilage. 2018;26(8):1003-1007. doi:10.1016/j.joca.2018.04.018
5. Moore AT, Böhlman HR. Metal hip joint. A case study. Autorzy: Austin T. Moore i Harold R. Bohlman. Clin Orthop. 1983:3-6
6. Gomez PF, Morcuende JA. A historical and economic perspective on Sir John Charnley, Chas F. Thackray Limited, and the early arthoplasty industry. Iowa Orthop J. 2005;25:30-37.
7. Knight SR, Aujla R, Biswas SP. Total Hip Arthroplasty - over 100 years of operative history. Orthop Rev (Pavia). 2011;3(2). doi:10.4081/or.2011.e16.
8. Maggs J, Wilson M. The Relative Merits of Cemented and Uncemented Prostheses in Total Hip Arthroplasty. Indian J Orthop. 2017 Jul-Aug;51(4):377-385. doi: 10.4103/ortho.IJOrtho_405_16. PMID: 28790466; PMCID: PMC5525518.
9. Fernandes L, Hagen KB, Bijlsma JWJ, Andreassen O, Christensen P, Conaghan PG, i in. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis. 2013;72(7):1125–35
10. Dobson GP, Letson HL, Grant A, et al. Defining the osteoarthritis patient: back to the future. Osteoarthritis Cartilage. 2018;26(8):1003-1007. doi:10.1016/j.joca.2018.04.018
11. Krastanova MS, Ilieva EM, Vacheva DE. Rehabilitation of Patients with Hip Joint Arthroplasty (Late Post-surgery Period – Hospital Rehabilitation). Folia Medica. 2017 Jun 1;59(2):217–21.
12. Ng CY, Ballantyne JA, Brenkel IJ. Quality of life and functional outcome after primary total hip replacement: A FIVE-YEAR FOLLOW-UP. The Journal of Bone and Joint Surgery British volume. 2007 Jul;89-B(7):868–73.
13. Kusz D.A Historical Overview and Development Conditions for Hip Arthroplasty. Materials Engineering. 1998;R. XIX, nr 2:36–9.
14. Ciećkiewicz A, Cwanek J. The history of hip joint endoprostheses until 1962. Problems of Applied Sciences. 2014;T. 2:131–42.
15. Sieczka Ł, Bohatyrewicz A, Pituch S. Hip joint endoprostheses yesterday and today. Rheumatology Forum. 22 Jan. 2018;3(4):216–21.
16. Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. The Lancet. 2007;370(9597):1508–19.
17. Gomez PF, Morcuende JA. Early attempts at hip arthroplasty--1700s to 1950s. Iowa Orthop J. 2005;25:25–9.
18. MacLennan W. History of Arthritis and Bone Rarefaction Evidence from Paleopathology Onwards. Scott Med J. Feb. 1999;44(1):18–20.
19. Zivic F, Affatato S, Trajanovic M, Schnabelrauch M, Grujovic N, Choy KL, editors. Biomaterials in Clinical Practice [Internet]. Cham: Springer International Publishing; 2018 . Available from: http://link.springer.com/10.1007/978-3-319-68025-5. 782-810
20. Wittek A, Miller K, Nielsen PMF, editors. Computational Biomechanics for Medicine: Models, Algorithms and Implementation [Internet]. New York, NY: Springer New York; 2013. Available from: https://link.springer.com/10.1007/978-1-4614-6351-1. p. 11-12
21. Kumar P, Sen RK, Aggarwal S, Jindal K. Common hip conditions requiring primary total hip arthroplasty and comparison of their post-operative functional outcome.
22. Gademan MG, Hofstede SN, Vliet Vlieland TP, Nelissen RG, Marang-van de Mheen PJ. Indication criteria for total hip or knee arthroplasty in osteoarthritis: a state-of-the-science overview. BMC Musculoskelet Disord. 2016 Nov 9;17(1):463. doi: 10.1186/s12891-016-1325-z.
23. Seidlitz C, Kip M. Introduction to the Indications and Procedures. In: Bleß HH, Kip M, editors. White Paper on Joint Replacement: Status of Hip and Knee Arthroplasty Care in Germany. Berlin (Germany): Springer; 2018. p. 1–14.
24. Varacallo M, Luo TD, Johanson NA. Total Hip Arthroplasty Techniques. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024.
25. Chun YS, Lee SH, Lee SH, Cho YJ, Rhyu KH. Clinical Implication of Diabetes Mellitus in Primary Total Hip Arthroplasty. Hip Pelvis. 2014;26(3):136.s. J Clin Orthop Trauma. 2020 Mar;11(Suppl 2). doi: 10.1016/j.jcot.2019.02.009.
26. Drobnik J, Malcewicz M, Józefowski P, Kurpas D, Steciwko A. Sanatorium-spa medicine – contemporary spa treatment in Poland. Family Medicine & Primary Care Review. 2011;(1):103–8.
27. Ponikowska I, Ferson D. Modern spa medicine. Warszawa: MEDI PRESS; 2009: p. 41-42, 71-73, 97-99 155-157
28. De Marco D, Meschini C, Caredda M, Messina F, Rovere G, Vitiello R, et al. COVID-19 lockdown and hip arthroplasty rehabilitation changes: mid-term clinical outcomes. European Review for Medical and Pharmacological Sciences. 2022 Nov;26(1 Suppl):53–9
29. Musumeci A, Pranovi G, Masiero S. Patient education and rehabilitation after hip arthroplasty in an Italian spa center: a pilot study on its feasibility. Int J Biometeorol. 2018 Aug;62(8):1489–96.
30. Griniene E, Smailyte D. [Efficiency of postoperative sanatorium rehabilitation of patients with hip joint endoprosthesis: importance of kinesitherapy]. Medicina (Kaunas). 2002;38(10):1026–32.
31. Coulter CL, Scarvell JM, Neeman TM, Smith PN. Physiotherapist-directed rehabilitation exercises in the outpatient or home setting improve strength, gait speed and cadence after elective total hip replacement: a systematic review. Journal of Physiotherapy. 2013 Dec;59(4):219–26.
32. Jan MH, Hung JY, Lin JCH, Wang SF, Liu TK, Tang PF. Effects of a home program on strength, walking speed, and function after total hip replacement. Arch Phys Med Rehabil. 2004 Dec;85(12):1943–51.
33. Trudelle-Jackson E, Smith SS. Effects of a late-phase exercise program after total hip arthroplasty: a randomized controlled trial. Arch Phys Med Rehabil. 2004;85:105662
34. Temporiti F, Zanotti G, Furone R, Loppini M, Molinari S, Zago M, et al. Functional and postural recovery after bilateral or unilateral total hip arthroplasty. J Electromyogr Kinesiol. 2019 Oct;48:205–11.
35. Nadler SF, Weingand K, Kruse RJ. The physiologic basis and clinical applications of cryotherapy and thermotherapy for the pain practitioner. Pain Physician. 2004 Jul;7(3):395–9.
36. Aprile I, Iacovelli C, Cruciani A, Simbolotti C, Loreti S, Galli G, et al. Technological rehabilitation versus conventional rehabilitation following hip replacement: A prospective controlled study. BMR. 2020 Jul 20;33(4):561–8.
37. Wijnen A, Hoogland J, Munsterman T, Gerritsma CL, Dijkstra B, Zijlstra WP, et al. Effectiveness of a Home-Based Rehabilitation Program After Total Hip Arthroplasty Driven by a Tablet App and Remote Coaching: Nonrandomized Controlled Trial Combining a Single-Arm Intervention Cohort With Historical Controls. JMIR Rehabil Assist Technol. 2020 Apr 27;7(1):e14139.
38. Luo J, Dong X, Hu J. Effect of nursing intervention via a chatting tool on the rehabilitation of patients after Total hip Arthroplasty. J Orthop Surg Res. 2019 Dec;14(1):417.
39. Hørdam B, Boolsen MW. Patient involvement in own rehabilitation after early discharge. Scandinavian Caring Sciences. 2017 Dec;31(4):859–66.
40. Dima R, Tieppo Francio V, Towery C, Davani S. Review of Literature on Low-level Laser Therapy Benefits for Nonpharmacological Pain Control in Chronic Pain and Osteoarthritis. Altern Ther Health Med. 2018 Sep;24(5):8-10. PMID: 28987080.
41. Kieszkowska-Grudny A, Maleszewska J, Nawrocki S, Siwy-Hudowska A. Assessment of quality of life and coping strategies in a group of patients undergoing hip replacement surgery. Polish Gerontology: Problem Issues of the Polish Gerontological Society 2014;Dec 22(2):62-69.
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