Alltagsaktivität nach Hüftendoprothesen in Abhängigkeit von der Ausgangssituation oder dem Reha-Konzept - eine Behaviour-Studie
| Autor: | K. Koch, R. Wirbel, G. F. Finkbeiner, T. Pohlemann |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Rehabilitation Activities of daily living business.industry medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation The primary diagnosis Physical medicine and rehabilitation Pain reduction Physical therapy Medicine Daily living Femur business Prospective cohort study Femur neck fracture |
| Zdroj: | Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin. 18:122-126 |
| ISSN: | 1439-085X 0940-6689 |
| DOI: | 10.1055/s-2008-1058098 |
| Popis: | PURPOSE: Does daily activity after implantation of hip endoprothesis depend on the primary diagnosis or is it achieved by rehabilitation methods? MATERIALS AND METHODS: N=120 rehabilitation patients took part in a prospective study, 60 each after femur neck fracture (I) or coxarthrosis (II). Within these major groups patients were, in a randomized way, allocated to different therapy options: individual physiotherapy on a daily basis or common medical practicing groups and training of daily activities in groups (group I, 1 and 2, resp. II, 1 and 2). The items pain, joint function, walking coordination and function in daily activity were seized by self-ratings and objective medical examinations at the beginning and the end of rehabilitation as well as 3 months after surgery. 94 patients (I=51, II=43) could be examined and questioned at all given times. RESULTS: Throughout the course of rehabilitation no differences resulted regarding pain reduction, walking coordination or function in daily activities; but 3 months after surgery pain sensitivity of coxarthrosis patients was distinctively lower and the function of daily activity now was better than the results of patients with femur neck fractures, even though those showed a better joint function early after surgery. DISCUSSION: Probably, this joint function after femur neck fractures can be traced back to their better function already before surgery. A better activity in daily living and less pain 3 months after surgery of coxarthrosis patients may depend on regaining a formerly considerably restricted quality of live. Different therapy concepts - individual physiotherapy or common training of daily activities - influenced the joint function but not the pain reduction and the capability of the activity of daily living. CONCLUSION: The function of activities of daily living after joint implantation after surgery is not depending on the joint function reached by physiotherapy. In the final result elective physiotherapy and exercises adapted to daily activities, common physical practise and training in groups are of equal value. The impair of the ADL and the behaviour depending on the diagnoses could be compensated by education and information regarding mastering of decease and trauma. Behaviour studies in the future should differentiate these results furthermore. |
| Databáze: | OpenAIRE |
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