A Water Rehabilitation Program in Patients with Hip Osteoarthritis Before and After Total Hip Replacement
| Autor: | Marek Łyp, Piotr Tederko, Anna Cabak, Ryszard Kaczor, Wiesław Tomaszewski, Ewa Włostowska, Jan Szypuła, Iwona Stanislawska |
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| Předmět: |
Male
medicine.medical_specialty Cross-sectional study medicine.medical_treatment Arthroplasty Replacement Hip Pain Osteoarthritis Osteoarthritis Hip law.invention Water Purification 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Randomized controlled trial law Clinical Research Statistical significance medicine Humans Muscle Strength Pelvis Aged Pain Measurement 030203 arthritis & rheumatology Hip surgery Aged 80 and over Rehabilitation business.industry General Medicine Middle Aged medicine.disease Arthroplasty Exercise Therapy medicine.anatomical_structure Cross-Sectional Studies Physical therapy Female business 030217 neurology & neurosurgery |
| Zdroj: | ResearcherID Medical Science Monitor : International Medical Journal of Experimental and Clinical Research |
| Popis: | BACKGROUND Pain associated with coxarthrosis, typically occurring in middle-aged and elderly patients, very commonly causes considerable limitation of motor fitness and dependence on pharmacotherapy. This article provides an assessment of a rehabilitation program with tailored water exercises in patients with osteoarthritis before and after total hip replacement. MATERIAL AND METHODS A total of 192 patients (the mean age 61.03±10.89) suffering from hip osteoarthritis (OA) were evaluated before and after total hip replacement (THR). The clinical study covered measurements of hip active ranges of motion (HAROM) and the forces generated by pelvis stabilizer muscles. Pain intensity was assessed according to analogue-visual scale of pain (VAS) and according to the Modified Laitinen Questionnaire. The patients were divided into 6 groups (4 treatment and 2 control). We compared 2 rehabilitation programs using kinesitherapy and low-frequency magnetic field. One of them also had specially designed exercises in the water. Statistical analysis was carried out at the significance level α=0.05. This was a cross-sectional study. RESULTS A positive effect of water exercises on a number of parameters was found in patients with OA both before and after total hip replacement surgery. We noted a significant reduction of pain (p |
| Databáze: | OpenAIRE |
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