Functional improvements desired by patients before and in the first year after total hip arthroplasty

BMC Musculoskeletal Disorders

Anne Marit Mengshoel¹  Arne Ekeland²  Kristi Elisabeth Heiberg¹ 

[1] Department of Health Sciences, Institute of Health and Society, University of Oslo, P.O. Box 1089 Blindern, N-0317, Oslo, Norway;Martina Hansen’s Hospital, Sandvika, Norway

关键词: ICF;    Functional improvement;    Desires;    Rehabilitation;    Arthroplasty, Replacement, Hip;   

Others  :  1129962
DOI  :  10.1186/1471-2474-14-243

 received in 2012-09-05, accepted in 2013-08-13,  发布年份 2013

【 摘 要 】

Background

In the field of rehabilitation, patients are supposed to be experts on their own lives, but the patient’s own desires in this respect are often not reported. Our objectives were to describe the patients’ desires regarding functional improvements before and after total hip arthroplasty (THA).

Methods

Sixty-four patients, 34 women and 30 men, with a mean age of 65 years, were asked to describe in free text which physical functions they desired to improve. They were asked before surgery and at three and 12 months after surgery. Each response signified one desired improvement. The responses were coded according to the International Classification of Functioning, Disability and Health (ICF) to the 1^st, 2^nd and 3^rd category levels. The frequency of the codes was calculated as a percentage of the total number of responses of all assessments times and in percentage of each time of assessment.

Results

A total of 333 responses were classified under Part 1 of the ICF, Functioning and Disability, and 88% of the responses fell into the Activities and Participation component. The numbers of responses classified into the Activities and Participation component were decreasing over time (p < 0.001). The categories of Walking (d450), Moving around (d455), and Recreation and leisure (d920) included more than half of the responses at all the assessment times. At three months after surgery, there was a trend that fewer responses were classified into the Recreation and leisure category, while more responses were classified into the category of Dressing (d540).

Conclusions

The number of functional improvements desired by the patients decreased during the first postoperative year, while the content of the desires before and one year after THA were rather consistent over time and mainly concerned with the ability to walk and participate in recreation and leisure activities. At three months, however, there was a tendency that the patients were more concerned about the immediate problems with putting on socks and shoes.

【 授权许可】

   
2013 Heiberg et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Cott CA: Client-centred rehabilitation: client perspectives. Disabil Rehabil 2004, 26:1411-1422.
• [2]Gzil F, Lefeve C, Cammelli M, Pachoud B, Ravaud JF, Leplege A: Why is rehabilitation not yet fully person-centred and should it be more person-centred? Disabil Rehabil 2007, 29:1616-1624.
• [3]Dekker J, Dallmeijer AJ, Lankhorst GJ: Clinimetrics in rehabilitation medicine: current issues in developing and applying measurement instruments 1. J Rehabil Med 2005, 37:193-201.
• [4]Cott CA, Wiles R, Devitt R: Continuity, transition and participation: preparing clients for life in the community post-stroke. Disabil Rehabil 2007, 29:1566-1574.
• [5]Minns Lowe CJ, Barker KL, Dewey ME, Sackley CM: Effectiveness of physiotherapy exercise following hip arthroplasty for osteoarthritis: a systematic review of clinical trials. BMC Musculoskelet Disord 2009, 10:98. BioMed Central Full Text
• [6]Mancuso CA, Salvati EA, Johanson NA, Peterson MG, Charlson ME: Patients' expectations and satisfaction with total hip arthroplasty. J Arthroplasty 1997, 12:387-396.
• [7]Mancuso CA, Sculco TP, Salvati EA: Patients with poor preoperative functional status have high expectations of total hip arthroplasty. J Arthroplasty 2003, 18:872-878.
• [8]Mancuso CA, Jout J, Salvati EA, Sculco TP: Fulfillment of patients' expectations for total hip arthroplasty. J Bone Joint Surg Am 2009, 91:2073-2078.
• [9]Kennedy DM, Stratford PW, Hanna SE, Wessel J, Gollish JD: Modeling early recovery of physical function following hip and knee arthroplasty. BMC Musculoskelet Disord 2006, 7:100. BioMed Central Full Text
• [10]Stratford PW, Kennedy DM: Performance measures were necessary to obtain a complete picture of osteoarthritic patients. J Clin Epidemiol 2006, 59:160-167.
• [11]van den Akker-Scheek I, Stevens M, Bulstra SK, Groothoff JW, van Horn J, Zijlstra W: Recovery of gait after short-stay total hip arthroplasty. Arch Phys Med Rehabil 2007, 88:361-367.
• [12]Stratford PW, Kennedy DM, Riddle DL: New study design evaluated the validity of measures to assess change after hip or knee arthroplasty. J Clin Epidemiol 2009, 62:347-352.
• [13]Hodt-Billington C, Helbostad JL, Vervaat W, Rognsvag T, Moe-Nilssen R: Changes in gait symmetry, gait velocity and self-reported function following total hip replacement. J Rehabil Med 2011, 43:787-793.
• [14]Heiberg KE, Ekeland A, Bruun-Olsen V, Mengshoel AM: Recovery and prediction of physical functioning outcomes during the first year after total hip arthroplasty. Arch Phys Med Rehabil 2013, 94(7):135-139.
• [15]McHugh GA, Luker KA: Individuals' expectations and challenges following total hip replacement: a qualitative study. Disabil Rehabil 2012, 34(16):1352-1359.
• [16]Fransen M: When is physiotherapy appropriate? Best Pract Res Clin Rheumatol 2004, 18:477-489.
• [17]Di Monaco M, Vallero F, Tappero R, Cavanna A: Rehabilitation after total hip arthroplasty: a systematic review of controlled trials on physical exercise programs. Eur J Phys Rehabil Med 2009, 45:303-317.
• [18]Learmonth ID, Young C, Rorabeck C: The operation of the century: total hip replacement. Lancet 2007, 370:1508-1519.
• [19]World Health Organization: International Classification of Functioning, Disability and Health: ICF. Geneva: WHO Library Cataloguing-in-Publication Data; 2001.
• [20]Heiberg KE, Bruun-Olsen V, Ekeland A, Mengshoel AM: Effect of a walking skill training program in patients who have undergone total hip arthroplasty: Followup one year after surgery. Arthritis Care Res (Hoboken) 2012, 64:415-423.
• [21]Stratford P, Gill C, Westaway M, Binkley J: Assessing disability and change on individual patients: a report of a patient specific measure. Physiother Can 1995, 47:258-263.
• [22]Chatman AB, Hyams SP, Neel JM, Binkley JM, Stratford PW, Schomberg A, et al.: The Patient-Specific Functional Scale: measurement properties in patients with knee dysfunction. Phys Ther 1997, 77:820-829.
• [23]Horn KK, Jennings S, Richardson G, Vliet DV, Hefford C, Abbott JH: The patient-specific functional scale: psychometrics, clinimetrics, and application as a clinical outcome measure. J Orthop Sports Phys Ther 2012, 42:30-42.
• [24]Cieza A, Brockow T, Ewert T, Amman E, Kollerits B, Chatterji S, et al.: Linking health-status measurements to the international classification of functioning, disability and health. J Rehabil Med 2002, 34:205-210.
• [25]Cieza A, Geyh S, Chatterji S, Kostanjsek N, Ustun B, Stucki G: ICF linking rules: an update based on lessons learned. J Rehabil Med 2005, 37:212-218.
• [26]Fairbairn K, May K, Yang Y, Balasundar S, Hefford C, Abbott JH: Mapping patient-specific functional scale (PSFS) items to the international classification of functioning, disability and health (ICF). Phys Ther 2012, 92:310-317.
• [27]Hobbs N, Dixon D, Rasmussen S, Judge A, Dreinhofer KE, Gunther KP, et al.: Patient preoperative expectations of total hip replacement in European orthopedic centers. Arthritis Care Res (Hoboken) 2011, 63:1521-1527.
• [28]Trousdale RT, McGrory BJ, Berry DJ, Becker MW, Harmsen WS: Patients' concerns prior to undergoing total hip and total knee arthroplasty. Mayo Clin Proc 1999, 74:978-982.
• [29]Nilsdotter AK, Lohmander LS, Klassbo M, Roos EM: Hip disability and osteoarthritis outcome score (HOOS)–validity and responsiveness in total hip replacement. BMC Musculoskelet Disord 2003, 4:10. BioMed Central Full Text
• [30]Harris WH: Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 1969, 51:737-755.
• [31]Fayed N, Cieza A, Bickenbach JE: Linking health and health-related information to the ICF: a systematic review of the literature from 2001 to 2008. Disabil Rehabil 2011, 33:1941-1951.
• [32]Andelic N, Johansen JB, Bautz-Holter E, Mengshoel AM, Bakke E, Roe C: Linking self-determined functional problems of patients with neck pain to the international classification of functioning, disability, and health (ICF). Patient Prefer Adherence 2012, 6:749-755.