Rehabilitation effects of early bed exercise therapy on the patients receiving total hip arthroplasty
LUO Lun
FAN Bing
SU Wen-yuan
MA Hong-bing
LIU Nie
Abstract：Objective To investigate effects of early bed exercise therapy in the rehabilitation after total hip arthroplasty ( THA ).Methods The clinical data of 86 patients receiving primary THA from June 2012 to July 2013 were retrospectively analyzed, who were divided into 2 groups randomly. The patients in the experimental group (n=43 ) received early bed exercise therapy, and the patients in the control group (n=43 ) received traditional conservative therapy and training, such as resting in bed, pain relieving drug and so on. The ifrst time to get out of bed and hospitalization days were recorded. The Harris hip score ( HHS ) system was used to evaluate the functional recovery of the hip joint, and the modified Barthel index ( MBI ) to assess the self-care ability in daily activities. The HHS and MBI scores were recorded before the treatment and at 1 week after the treatment.Results At 1 week after the treatment, the function of the hip joint and self-care ability in daily activities were obviously improved in the experimental group. The HHS and MBI scores were ( 43.65±4.82 ) points and ( 34.22±12.15 ) points before the treatment, which were improved to ( 69.85±12.26 ) points and ( 50.52±15.36 ) points at 1 week after the treatment. There were statistically signiifcant differences before and after the treatment (P<0.05 ). The function of the hip joint and self-care ability in daily activities changed little after the treatment in the control group (P>0.05 ). The HHS and MBI scores in the experimental group were higher than ( 50.52±11.34 ) points and ( 38.13±11.27 ) points in the control group at 1 week after the treatment. There were statistically signiifcant differences between them (P<0.05 ). The ifrst time to get out of bed and the average day in hospital were ( 4.67±3.24 ) d and ( 15.33±6.12 ) d in the experimental group, which were shorter than ( 16.4±1.0 ) d and ( 17.6±1.2 ) d in the control group. There were statistically signiifcant differences between them (P<0.05 ). A few of the patients in the experimental group could walk with weight at about 3 days after the treatment on average, and all of them left the hospital at 15 days after the treatment and could walk with the assisted walker. No infections were noticed during the rehabilitation period.Conclusions The early bed exercise therapy can promote the recovery and improve the postoperative functions in the patients receiving THA.
Keywords：Early ambulationExercise therapyArthroplastyreplacementhipRehabilitation
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 649-652 )