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http://dx.doi.org/10.5953/JMJH.2018.25.2.122

Effects of Structured Exercise Program on Hip Pain, Physical Function and Quality of Life in Patients with Total Hip Arthroplasty  

Kwon, Eunhee (Orthopaedics, Yangsan Pusan National University Hospital)
Lee, Haejung (College of Nursing, Pusan National University)
Lee, Sunghwa (Department of Nursing, Gimhae College)
Publication Information
Journal of muscle and joint health / v.25, no.2, 2018 , pp. 122-134 More about this Journal
Abstract
Purpose: The purpose of this study was to develop a 12-week structured exercise program (12-week-SEP) and evaluate its effects on pain, physical function and quality of life in patients with total hip arthroplasty (THA). Methods: A nonequivalent control group non-synchronized design was utilized to examine the effects of the 12-week-SEP on patients' outcomes after THA. A total of 46 adult patients (experimental group=25, control group=21) who had THA were recruited for the study. The 12-week-SEP consisted of education, exercise (muscle strengthening and progressive walking), and feedback. Data were analyzed by SPSS/WIN 21.0 using the $x^2$ test and repeated measures ANOVA. Results: The mean age of the participants was 60.9 years and 25 men (54.5%) and 21 women (45.7%) were included in the study. There were significant intervention effects on pain reduction and increased physical function but no effects on quality of life. Conclusion: The 12-week-SEP provided pain relief and enhanced physical function in patients underwent THA. Clinical application of the 12-week-SEP can improve postoperative nursing practices for patients with THA. Future research with larger sample is of necessity to obtain greater generalizability of the empirical evidences of the 12-week-SEP.
Keywords
Health education; Arthroplasty; Replacement; Hip; Exercise therapy; Self-management;
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1 American Academy of Orthopaedic Surgeons. (2009). Total hip replacement. Retrieved March 19, 2018, from https://orthoinfo.aaos.org/en/treatment/total-hip-replacement
2 ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. (2002). ATS statement: Guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine, 166(1), 111-117.   DOI
3 Bellamy, N., Buchanan, W. W., Goldsmith, C. H., Campbell, J., & Stitt, L. (1988). Validation study of WOMAC (Western Ontario and McMaster University Osteoarthritis): A health status instrument for measuring clinically-important patient relevant outcomes following total hip or knee arthropathy in osteoarthritis. Journal of Rheumatology, 15(12), 1833-1840.
4 Christensen, C. P., Althausen, P. L., Mittleman, M. A., Lee, J. A., & McCarthy, J. C. (2003). The nonarthritic hip score: Reliable and validated. Clinical Orthopaedics and Related Research, 406, 75-83. https://doi.org/10.1097/01.blo.0000043047.84315.4b   DOI
5 Chung, M. S., & Kwak, H. S. (2008). Effects of a muscle strengthening exercise program after total knee arthroplasty. Journal of Korean Academic Society of Nursing Education, 14(1), 20-29. https://doi.org/10.5977/JKASNE.2008.14.1.020   DOI
6 Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed). Hillsdale, NJ: L. Erlbaum Associates.
7 de Blok, B. M., de Greef, M. H., ten Hacken, N. H., Sprenger, S. R., Postema, K., & Wempe, J. B. (2006). The effects of a lifestyle physical activity counseling program with feedback of a pedometer during pulmonary rehabilitation in patients with COPD: A pilot study. Patient Counselling and Health Education, 61(1), 48-55. https://doi.org/10.1016/j.pec.2005.02.005   DOI
8 Eom, S. B. (2008). A study on the effect of exercise training program on the function of a total hip in a patient with a total hip replacement after a surgery. Unpublished master's thesis, Kwangwon National University, Chuncheon.
9 Harris, W. H. (1969). Clinical results using the Mueller-Charnley total hip prosthesis. Clinical Orthopedics and Related Research, 86, 95-101.
10 Heiberg, K. E., Bruun-Olsen, V., Ekeland, A., & Mengshoel, A. M. (2012). Effect of a walking skill training program in patients who have undergone total hip arthroplasty: Follow-up one year after surgery. Arthritis Care and Research, 64(3), 415-423. https://doi.org/10.1002/acr.20681   DOI
11 Herr, K., Bjoro, K., & Decker, S. (2006). Tools for assessment of pain in nonverbal older adults with dementia: A state-of-the-science review. Journal of Pain Symptom Manage, 31(2), 170-192. https://doi.org/10.1016/j.jpainsymman.2005.07.001   DOI
12 Jan, M., Hung, J., Lin, J. C., Wang, S., Liu, T., & Tang, P. (2004). Effects of a home program on strength, walking speed, and function after total hip replacement. Physical Medicine and Rehabilitation, 85(12), 1943-1951. https://doi.org/10.1016/i.apmr.2004.02.011
13 Jeldi, A. J., Deakin, A. H., Allen, D. J., Granat, M. H., Grant, M., & Stansfield, B. W. (2017). Total hip arthroplasty improves pain and function but not physical activity. Journal of Arthroplasty, 32(7), 2191-2198. https://doi.org/10.1016/j.arth.2017.02.002   DOI
14 Kili, S., Wright, I., & Jones, R. S. (2003). Change in Harris hip score in patients on the waiting list for total hip replacement. Annals of the Royal College of Surgeons of England, 85(4), 269-271. https://doi.org/10.1308/003588403766275006   DOI
15 Kim, S. E. (2017). Effects of early bed exercise education on the knowledge and compliance of the elderly after total hip replacement surgery. Unpublished master's thesis, Chonbuk National University, Jeonju.
16 McDonald, S., Page, M. J., Beringer, K., Wasiak, J., & Sprowson, A. (2014). Preoperative education for hip or knee replacement (Review). Cochrane Database of Systematic Reviews, 5, Art No:CD003526. https://doi.org/10.1002/14651858.CD003526.pub3
17 Gogia, P. P., Christensen, C. M., & Schmidt, C. (1994). Total hip replacement in patients with osteoarthritis of the hip: Improvement in pain and functional status. Orthopedics, 17(2), 145-150.
18 Klapwijk, L. C., Mathijssen, N. M., van Egmond, J. C., Verbeek, B. M., & Vehmeijer, S. B. (2017). The first 6 weeks of recovery after primary total hip arthroplasty with fast track. Acta Orthopaedica Scandinavica, 88(2), 140-144. https://doi.org/10.1080/17453674.2016.1274865   DOI
19 Knight, S. R., Aujla, R., & Biswas, S. P. (2011). Total hip arthroplasty: Over 100 years of operative history. Orthopaedic Reviews, 3(2), 72-74. https://doi.org/10.4081/or.2011.e16
20 Korean National Health Insurance Service. (2017, November). Main Surgery Statistical Yearbook for 2016. Retrieved February 15, 2018, from http://www.nhis.or.kr/bbs7/boards/B0079/22737
21 Nallegowda, M., Singh, U., Bhan, S., Wadhwa, S., Handa, G., & Dwivedi, S. N. (2003). Balance and gait in total hip replacement: A pilot study. American Physical Medicine Rehabilitation, 82(9), 669-677. https://doi.org/10.1097/01.PHM.0000083664.30871.C8   DOI
22 National Association of Orthopaedic Nurses. (2013). NAON patient education series: Total hip replacement. Chicago: National Organization of Orthopaedic Nurses.
23 Oldmeadow, L. B., Edwards, E. R., Kimmel, L. A., Kipen, E., Robertson, V. J., & Bailey, M. J. (2006). No rest for the wounded: Early ambulation after hip surgery accelerates recovery. Australian and New Zealand Journal of Surgery, 76(7), 607-611. https://doi.org/10.1111/j.1445-2197.2006.03786.x   DOI
24 Vincent, K. R., & Vincent, H. K. (2012). Resistance exercise for knee osteoarthritis. Journal of Injury, Function, and Rehabilitation, 4(5), 45-52. https://doi.org/10.1016/j.pmrj.2012.01.019   DOI
25 Park, K. H. (2013). Effects of a rehabilitation education program on hip function, activities daily living and fear of falling in elderly patients having undergone total hip replacement. Unpublished master's thesis, Chonnam National University, Gwangju.
26 Ryu, K. A. (2003). A study on hip arthroplasty patients' compliance of medical regimen. Unpublished master's thesis, Pusan National University, Busan.
27 Toogood, P. A., Abdel, M. P., Spear, J. A., Cook, S. M., Cook, D. J., & Taunton, M. J. (2016). The monitoring of activity at home after total hip arthroplasty. Journal of Bone and Joint Surgery, 98-B(11), 1450-1454. https://doi.org/10.1302/0301-620X.98B11.BJJ-2016-0194.R1   DOI
28 Unver, B., Kahraman, T., Kalkan, S., Yuksel, E., & Karatosun, V. (2013). Reliability of the six-minute walk test after total hip arthroplasty. Hip International, 23(6), 541-545. https://doi.org/10.5301/hipint.5000073   DOI
29 van Gool, C. H., Penninx, B. W., Kempen, G. I., Rejeski, W. J., Miller, G. D., van Eijk, J. T., et al. (2005). Effects of exercise adherence on physical function among overweight older adults with knee osteoarthritis. Arthritis Care and Research, 53(1), 24-32. https://doi.org/10.1002/art.20902   DOI
30 Ware, J., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220-233. https://doi.org/10.1097/00005650-199603000-00003   DOI