What does standard rehabilitation practice after total hip replacement in the UK entail? results of a mixed methods study

BMC Musculoskeletal Disorders

Andrew Lemmey²  John G Andrew³  Peter Maddison²  Jane Jenkinson¹  Jan Howarth¹  Ashok Ramavath³  Tosan Okoro³ 

[1] Department of Physiotherapy, Ysbyty Gwynedd, Betsi Cadwaladr University Health Board, Bangor, UK;School of Sports Health and Exercise Science, Bangor University, Bangor, UK;Department of Orthopaedics, Ysbyty Gwynedd, Betsi Cadwaladr University Health Board, Bangor, UK

关键词: Training;    Osteoarthritis;    Orthopaedics;    Physiotherapy;   

Others  :  1133444
DOI  :  10.1186/1471-2474-14-91

 received in 2012-06-06, accepted in 2013-03-06,  发布年份 2013

【 摘 要 】

Background

There is evidence of prolonged poor function in patients following total hip replacement (THR). Studies of progressive resistance training (PRT) interventions to improve function are often compared to ‘standard’ practice which is not well defined. This study aimed to investigate ‘standard’ rehabilitation care in the UK after total hip replacement (THR) as well as determine whether PRT was part of ‘standard’ care.

Methods

After ethical approval, questionnaire item development about rehabilitation practice was guided by a focus group interview (after informed consent) with physiotherapists (n = 4; >5 years post-qualification) who regularly treated THR patients. An online questionnaire investigating the exercises prescribed and rehabilitation practice following THR was developed and sent to physiotherapists working in hospitals in the UK. The survey was performed from January to May 2011. The survey results were analysed (frequency (%) of responses) focusing on the exercises the physiotherapists considered important, as well as their use of PRT in prescribed regimes.

Results

106 responses were obtained from physiotherapists in the UK. The survey respondents considered that the most important muscles to target in all phases of rehabilitation were the hip abductors (62.2%), followed by the quadriceps (16.9%), and other muscles (21%). Exercise type prescribed revealed no consensus, with weight bearing (42%), functional (45%) and Bed-based/Bridging/Postural exercises (13%) favoured. 83.7% were able to define the basis of progressive resistance training (PRT), but only 33% prescribed it.

Conclusions

Standard physiotherapy rehabilitation in the UK after THR is variable, and appears to rarely include PRT. This may be a factor in prolonged poor function in some patients after this common operation.

【 授权许可】

   
2013 Okoro et al.; licensee BioMed Central Ltd.

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