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Hip replacement physiotherapy

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https://www.readbyqxmd.com/read/27913813/-rehabilitation-after-hip-and-knee-endoprosthetic-treatment-in-the-elderly
#1
H Bork
Due to current demographic developments with a continuous increase in average life expectancy and improved medical treatment, the number of elderly patients with joint replacement of the lower extremities also has increased in recent years. Most of these patients have not only one but several chronic diseases requiring treatment and medication. Drug-drug interaction and functional restrictions of the elderly additionally reduce the postoperative psychophysical capacity; therefore, special knowledge in rehabilitative treatment and pain management is necessary...
December 2, 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27601761/orthopaedic-enhanced-recovery-programme-for-elective-hip-and-knee-arthroplasty-could-a-regional-programme-be-beneficial
#2
Adam Tucker, Darren McCusker, Nidhi Gupta, Jonathon Bunn, Mark Murnaghan
INTRODUCTION: Arthroplasty is commonplace in orthopaedic practice, and post operative pain has been shown to substantially hinder recovery and discharge from hospital. OBJECTIVES: The current study assessed a multidisciplinary, multimodal Orthopaedic ERP in terms of its effect on patient perceived post operative pain in hip and knee arthroplasty. Secondary outcome was in the form of a cost analysis. METHODS: A prospective study was performed on consecutive arthroplasty patients across a 6 week period in a district orthopaedic unit...
May 2016: Ulster Medical Journal
https://www.readbyqxmd.com/read/27320832/ballistic-strength-training-compared-with-usual-care-for-improving-mobility-following-traumatic-brain-injury-protocol-for-a-randomised-controlled-trial
#3
Gavin Williams, Louise Ada, Leanne Hassett, Meg E Morris, Ross Clark, Adam L Bryant, John Olver
INTRODUCTION: Traumatic brain injury is the leading cause of disability in young adults aged 15 to 45 years. Mobility limitations are prevalent, and range in severity from interfering with basic day-to-day tasks to restricting participation in higher level social, leisure, employment and sporting activities. Despite the prevalence and severity of physical impairments, such as poor balance and spasticity, the main contributor to mobility limitations following traumatic brain injury is low muscle power generation...
July 2016: Journal of Physiotherapy
https://www.readbyqxmd.com/read/27126617/randomised-controlled-trial-to-evaluate-a-physiotherapy-led-functional-exercise-programme-after-total-hip-replacement
#4
B Monaghan, P Cunningham, P Harrington, W Hing, C Blake, D O' Dohertya, T Cusack
BACKGROUND: At present, there is an insufficient evidence base to evaluate the effectiveness of physiotherapy following total hip replacement (THR). This study evaluated the effectiveness of a physiotherapy-supervised functional exercise programme between 12 and 18 weeks following THR. These time-points coincide with increased functional demand in patients. DESIGN: Adequately powered assessor-blinded randomised controlled trial. SETTING: Patients were recruited at a pre-operative assessment clinic and randomised following surgery...
February 15, 2016: Physiotherapy
https://www.readbyqxmd.com/read/26839456/length-of-stay-and-achievement-of-functional-milestones-in-a-rural-first-nations-population-in-northwestern-ontario-during-acute-care-admission-after-total-hip-replacement-a-retrospective-chart-review
#5
Cameal Sinclair, Nicole Brunton, Wilma M Hopman, Len Kelly
PURPOSE: To understand the postoperative acute-care physiotherapy course for First Nations people returning after total hip replacement (THR) to remote communities with limited rehabilitation services and to evaluate length of stay and attainment of functional milestones after THR to determine to what extent an urban-based clinical pathway is transferrable to and effective for First Nations patients in a rural setting. METHODS: Data were collected retrospectively by reviewing charts of patients who underwent THR in the Northwest Ontario catchment area from 2007 through 2012...
August 2015: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/26839013/does-preoperative-rehabilitation-for-patients-planning-to-undergo-joint-replacement-surgery-improve-outcomes-a-systematic-review-and-meta-analysis-of-randomised-controlled-trials
#6
Li Wang, Myeongjong Lee, Zhe Zhang, Jessica Moodie, Davy Cheng, Janet Martin
OBJECTIVES: The clinical impact of preoperative physiotherapy on recovery after joint replacement remains controversial. This systematic review aimed to assess the clinical impact of prehabilitation before joint replacement. DESIGN: We searched PubMed, Embase and Cochrane CENTRAL up to November 2015 for randomised controlled trials comparing prehabilitation versus no prehabilitation before joint replacement surgery. Postoperative pain and function scores were converted to Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain and function subscales (0-100, high scores indicate worse outcome)...
2016: BMJ Open
https://www.readbyqxmd.com/read/26206218/personal-perspectives-on-enablers-and-barriers-to-accessing-care-for-hip-and-knee-osteoarthritis
#7
Ilana N Ackerman, Jenni A Livingston, Richard H Osborne
BACKGROUND: Despite increasing demand for joint replacement surgery and other health services for hip and knee osteoarthritis (OA), barriers and enablers to individual access to care are not well understood. A comprehensive understanding of drivers at all levels is needed to inform efforts for improving access. OBJECTIVE: The aim of this study was to explore perceived barriers and enablers to receiving conservative (nonsurgical) and surgical treatment for hip and knee OA...
January 2016: Physical Therapy
https://www.readbyqxmd.com/read/26130735/validation-of-a-kinect-based-telerehabilitation-system-with-total-hip-replacement-patients
#8
David Antón, Mark Nelson, Trevor Russell, Alfredo Goñi, Arantza Illarramendi
The evolving telecommunications industry combined with medical information technology has been proposed as a solution to reduce health care cost and provide remote medical services. This paper aims to validate and show the feasibility and user acceptance of using a telerehabilitation system called Kinect Rehabilitation System (KiReS) in a real scenario, with patients attending repeated rehabilitation sessions after they had a Total Hip Replacement (THR). We present the main features of KiReS, how it was set up in the considered scenario and the experimental results obtained in relation to two different perspectives: patients' subjective perceptions (gathered through questionnaires) and the accuracy of the performed exercises (by analysing the data captured using KiReS)...
April 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/26103936/-hip-arthroplasty-in-the-presence-of-proximal-femoral-deformity
#9
REVIEW
A Rakow, P Simon, C Perka
INTRODUCTION: Proximal femoral deformities may result in pain in the ipsilateral hip joint and profound functional disability, ultimately requiring arthroplasty.  PROCEDURE: Primary hip replacement procedures in the presence of markedly altered anatomy of the proximal femur present a technical challenge for the orthopedic surgeon. The deformity and its underlying condition, whether congenital or acquired, may complicate canal preparation and affect the choices of implant, exposure and postoperative physiotherapy protocol...
July 2015: Der Orthopäde
https://www.readbyqxmd.com/read/26099755/spinal-anaesthesia-with-adjunctive-intrathecal-morphine-versus-continuous-lumbar-plexus-blockade-a-randomised-comparison-for-analgesia-after-hip-replacement
#10
RANDOMIZED CONTROLLED TRIAL
M J Fredrickson, T K Danesh-Clough
Following elective total hip replacement, both continuous lumbar plexus blockade and spinal anaesthesia (with adjunctive intrathecal morphine) have shown early outcome benefits over opioid analgesia and single-injection nerve block. However, the two techniques have not been compared in a prospective randomised manner. Our study examined 50 patients undergoing elective hip joint replacement who were randomised to receive spinal anaesthesia (with adjunctive intrathecal morphine 0.1 mg) or patient-controlled continuous lumbar plexus blockade...
July 2015: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/25724323/effectiveness-of-land-based-physiotherapy-exercise-following-hospital-discharge-following-hip-arthroplasty-for-osteoarthritis-an-updated-systematic-review
#11
REVIEW
Catherine J Minns Lowe, Linda Davies, Catherine M Sackley, Karen L Barker
BACKGROUND: Existing review required updating. OBJECTIVE: To evaluate the effectiveness of physiotherapy exercise after discharge from hospital on function, walking, range of motion, quality of life and muscle strength, for patients following elective primary total hip arthroplasty for osteoarthritis. DESIGN: Systematic review from January 2007 to November 2013. DATA SOURCES: AMED, CINAHL, EMBASE, MEDLINE, Kingsfund Database, and PEDro...
September 2015: Physiotherapy
https://www.readbyqxmd.com/read/25586769/acupuncture-provides-short-term-pain-relief-for-patients-in-a-total-joint-replacement-program
#12
Daniel J Crespin, Kristen H Griffin, Jill R Johnson, Cynthia Miller, Michael D Finch, Rachael L Rivard, Scott Anseth, Jeffery A Dusek
OBJECTIVE: Given the risks of opioid medications, nonpharmacological strategies should be considered for total joint replacement patients. We investigated acupuncture as an adjunct therapy for postsurgical pain management in a total joint replacement program by examining which total hip and knee replacement patients elected to receive acupuncture and the effect of acupuncture on short-term pain. DESIGN: A total joint replacement program using fast-track physiotherapy offered elective postsurgical acupuncture to all patients, at no additional cost, as an adjunct therapy to opioids for pain management...
June 2015: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/25490226/-direct-access-to-physiotherapy-the-case-of-france
#13
Remi Remondière, Marin-Philippe Durafourg
The first direct access initiatives were conducted in 1976 and many English-speaking countries have followed this movement, which is designed to obviate a visit to the doctor for certain procedures, apart from diagnosis. Cooperative actions in this field are exceptional in France. Direct access must be distinguished from advanced practices in hospital in the fields of orthopaedics, musculoskeletal disorders, preoperative assessment and total hip and knee replacement. In hospital, men between the ages of 40 and 59 years have access to this type of consultation, with an excellent correlation between 86% and 100% compared to the physician's practice, opening the way to direct access...
September 2014: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/25432684/physical-rehabilitation-after-total-joint-arthroplasty-in-companion-animals
#14
REVIEW
Denis J Marcellin-Little, Nancy D Doyle, Joanna Freeman Pyke
Patients who have total joint arthroplasty have varying needs related to rehabilitation. In the short term, rehabilitation should be used in all dogs to identify high-risk patients and to minimize the likelihood of postoperative complications. Many patients undergoing total hip replacement recover uneventfully without needing long-term physiotherapy. All patients undergoing total knee replacement and total elbow replacement need rehabilitation to restore limb use and maximize their functional recovery. This article presents rehabilitation considerations for companion animals undergoing total hip replacement, total knee replacement, and total elbow replacement; postoperative complications and how to mitigate risks; and anticipated patient outcomes...
January 2015: Veterinary Clinics of North America. Small Animal Practice
https://www.readbyqxmd.com/read/25432001/acupuncture-safety-in-patients-receiving-anticoagulants-a-systematic-review
#15
REVIEW
Michael Mcculloch, Arian Nachat, Jonathan Schwartz, Vicki Casella-Gordon, Joseph Cook
INTRODUCTION: Theoretically, acupuncture in anticoagulated patients could increase bleeding risk. However, precise estimates of bleeding complication rates from acupuncture in anticoagulated patients have not been systematically examined. OBJECTIVE: To critically evaluate evidence for safety of acupuncture in anticoagulated patients. METHODS: We searched PubMed, EMBASE, the Physiotherapy Evidence Database, and Google Scholar. RESULTS: Of 39 potentially relevant citations, 11 met inclusion criteria: 2 randomized trials, 4 case series, and 5 case reports...
2015: Permanente Journal
https://www.readbyqxmd.com/read/25395951/effects-of-preoperative-physiotherapy-in-hip-osteoarthritis-patients-awaiting-total-hip-replacement
#16
Anna Czyżewska, Wojciech M Glinkowski, Katarzyna Walesiak, Karolina Krawczak, Dominika Cabaj, Andrzej Górecki
INTRODUCTION: The World Health Organization (WHO) claimed osteoarthritis as a civilization-related disease. The effectiveness of preoperative physiotherapy among patients suffering hip osteoarthritis (OA) at the end of their conservative treatment is rarely described in the literature. The aim of this study was to assess the quality of life and musculoskeletal health status of patients who received preoperative physiotherapy before total hip replacement (THR) surgery within a year prior to admission for a scheduled THR and those who did not...
October 27, 2014: Archives of Medical Science: AMS
https://www.readbyqxmd.com/read/25261284/revision-arthroplasty-in-periprosthetic-fractures-of-the-proximal-femur
#17
B Fink
OBJECTIVE: Hip revision arthroplasty of a loose stem in the case of Vancouver type B2 and B3 periprosthetic fractures and cerclage wiring of the femoral shaft. INDICATIONS: Vancouver type B2 and B3 periprosthetic fractures of the proximal femur. CONTRAINDICATIONS: Periprosthetic joint infection. Interprosthetic femoral fractures between the ends of hip and knee prosthetic stems that require total replacement of the femur. SURGICAL TECHNIQUE: Extended posterolateral approach to the tip of the fracture...
October 2014: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/25034278/-special-prosthesis-implant-with-partial-femoral-replacement-operation-after-periprosthetic-femoral-fracture-and-ipsilateral-long-stem-knee-prosthesis-and-fixed-angle-osteosynthesis
#18
C Herren, M J Ringe, U Rietkötter, R Sobottke, J Siewe, M Graf
The development of modular prostheses is becoming increasingly important in revision surgery due to the rising need of arthroplasty in knee and hip joints. The demand for suitable prostheses is high because of the desire for a higher mobility and a good postoperative functionality, whereby preliminary experience with megaprostheses using modular implant systems in orthopedic oncology have already been obtained. Considering the clinical outcome of our 58-year-old patient (obesity III, BMI 58) and the third revision operation after two periprosthetic fractures, a megaprosthesis was implanted (Mega C-system, co...
August 2014: Der Unfallchirurg
https://www.readbyqxmd.com/read/24820247/preoperative-education-for-hip-or-knee-replacement
#19
REVIEW
Steve McDonald, Matthew J Page, Katherine Beringer, Jason Wasiak, Andrew Sprowson
BACKGROUND: Hip or knee replacement is a major surgical procedure that can be physically and psychologically stressful for patients. It is hypothesised that education before surgery reduces anxiety and enhances clinically important postoperative outcomes. OBJECTIVES: To determine whether preoperative education in people undergoing total hip replacement or total knee replacement improves postoperative outcomes with respect to pain, function, health-related quality of life, anxiety, length of hospital stay and the incidence of adverse events (e...
2014: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/24804607/effect-of-weekend-physiotherapy-provision-on-physiotherapy-and-hospital-length-of-stay-after-total-knee-and-total-hip-replacement
#20
Zoe L Maidment, Brenton G Hordacre, Christopher J Barr
OBJECTIVE: The aim of the present study was to investigate a change in physiotherapy provision from a 5- to 7-days-a-week service on both physiotherapy and hospital length of stay (LOS) after total knee (TKR) and total hip (THR) replacement. METHODS: A retrospective analysis of a clinical database was conducted for patients who received either a TKR or THR between July 2010 and June 2012 in one regional hospital. RESULTS: There was a significant decrease in physiotherapy LOS from 5...
June 2014: Australian Health Review: a Publication of the Australian Hospital Association
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