髖關節置換手術病人術後住院期間接受物理治療之療效

The Effect of Physical Therapy Intervention in Patients with Total Hip Arthroplasty during Hospitalization

曹昭懿(Jau-Yih Tsauo) ； 呂文祥(Wen-Shyang Leu) ； 陳惠雅(Hui-Ya Chen) ； 潘懿玲(Yei-Ling Pan)

《物理治療》 25卷3期 (2000/05) Pp. 117-125

摘要

Purposes: The purposes of this study are to determine the effect of physical therapy on the length of hospital stay (LOS), functional status and the knowledge in contraindications and follow-up exercise program in patients with total hip arthroplasty. Methods: Forty-nine patients received total hip arthroplasty in a university hospital were　recruited in this study and were randomized into treatment (21 patients) and control group (28 patients). Results: The LOS were 10.9 and 11.6 days in treatment and control group respectively, and the patients in treatment group received post-op-erative physical therapy for 3.05 times on average. Greater percentage of patients can perform transfer　activities independently in treatment group than in control group, but the difference was not significant. More patients in the treatment group walked with correct gait pattern (p =0.004), using appropriate walking aids (p=0.000) and better endurance (p=0.014). Besides, the patients in treatment group had better knowledge about the contraindications for total hip replacement patients, post-surgery course and the follow-up exercise program. Conclusion: Physical therapy during hospitalization really helps patients with total hip arthroplasty. Further study should emphasize on the long-term follow-up of patients' outcome to verify the significance of post-operative physical therapy for these patients.

關鍵字

髖關節置換手術 ； 物理治療 ； 住院

並列摘要

Purposes: The purposes of this study are to determine the effect of physical therapy on the length of hospital stay (LOS), functional status and the knowledge in contraindications and follow-up exercise program in patients with total hip arthroplasty. Methods: Forty-nine patients received total hip arthroplasty in a university hospital were　recruited in this study and were randomized into treatment (21 patients) and control group (28 patients). Results: The LOS were 10.9 and 11.6 days in treatment and control group respectively, and the patients in treatment group received post-op-erative physical therapy for 3.05 times on average. Greater percentage of patients can perform transfer　activities independently in treatment group than in control group, but the difference was not significant. More patients in the treatment group walked with correct gait pattern (p =0.004), using appropriate walking aids (p=0.000) and better endurance (p=0.014). Besides, the patients in treatment group had better knowledge about the contraindications for total hip replacement patients, post-surgery course and the follow-up exercise program. Conclusion: Physical therapy during hospitalization really helps patients with total hip arthroplasty. Further study should emphasize on the long-term follow-up of patients' outcome to verify the significance of post-operative physical therapy for these patients.

並列關鍵字

Total hip arthroplasty ； Physical therapy ； Hospitalization