REVIEW PAPER
Personalized rehabilitation therapy in obese and elderly patients undergoing hip replacement surgery
1
The Independent Group of Public Ambulatory Care Institutions No. 1, Wawer, Warsaw, Poland
2
Fitness Club Olimpia Lublin, Poland
3
Department of Public Health, Pope John Paul II State School of Higher Education
in Biała Podlaska, Poland
4
Department of Physiotherapy, Pope John Paul II State School of Higher Education
in Biała Podlaska, Poland
Submission date: 2017-11-28
Final revision date: 2018-01-09
Acceptance date: 2018-01-25
Publication date: 2019-02-13
Health Prob Civil. 2019;13(3):193-200
KEYWORDS
TOPICS
ABSTRACT
Due to aging of the population and the desire of people to maintain the best possible mobility, the demand for hip replacement is increasing. As a result, personalization of physical therapy after surgery is needed to achieve the best possible outcomes. However, patients undergoing hip replacement surgery often have additional factors, such as advanced age and obesity, which may hinder the process of rehabilitation. The aim of this study was to review the need and recommendations for personalized physical therapy before and after hip replacement surgery in patients with co-morbid factors such as advanced age and obesity. The research literature emphasizes the importance of effective recovery following hip replacement surgery. Older patients may require prolonged postoperative rehabilitation due to the type of surgery, muscle weakness or cognitive dysfunction. Proprioception and balance disorders may benefit from training on an unstable surface aimed at learning safe falling and getting up after a fall. Weakened gluteal muscles which may be present in the elderly and obese may benefit from strength training in the preoperative period. Excessive exposure of the elderly and obese to thromboembolic complications necessitate the inclusion in rehabilitation programs of exercises based on active ankle movement.
REFERENCES (38)
1.
Zusmanovich M, Kester BS, Schwarzkopf R. Postoperative complications of total joint arthroplasty in obese patients stratified by BMI. J Arthroplasty. 2018; 33(3): 856-864.
3.
Goodnough LH, Finlay AK, Huddleston JI, Goodman SB, Maloney WJ, Amanatullah DF. Obesity is independently associated with early aseptic loosening in primary total hip arthroplasty. J Arthroplasty. 2018; 33(3): 882-886. https://doi.org/10.1016/j.arth....
4.
Jørgensen OJ, Haakenstad BH, Ovesen O, Overgaard S. Clinical outcome, complications and prosthesis survival in patients operated with hip resurfacing arthroplasty. Ugeskr Laeger. 2017; 179(43): pii: V05170432.
5.
Puzio G, Stopa A, Szczygielska-Babiuch A, Staszczak-Gawełda I, Krupnik S, Żak M. [Assessment of basic and instrumental activities of daily living in geriatric patients after total hip arthroplasty]. Postępy Rehabilitacji. 2014; (4): 13-20 (in Polish).
6.
Dowsey MM, Liew D, Stoney JD, Choong PF. The impact of obesity on weight change and outcomes at 12 months in patients undergoing total hip arthroplasty. Med J Aust. 2010; 193(1): 17-21.
7.
Dziekońska M, Latosiewicz R, Kulikowska A. [Nursing care of patients after hip joint arthroplasty]. Hygeia Public Health. 2013; 48(3): 355-359 (in Polish).
8.
Agencja Oceny Technologii Medycznych i Taryfikacji Wydział Taryfikacji. [Hip replacement – complex care. Report]. Warszawa: Agnencja Oceny Technologii Medycznych i Taryfikacji Wydział Taryfikacji; 2016. 261 p. No. AOTMiT-WT-553-14/2015 (in Polish).
9.
Pop T, Szczygielska D, Drużbicki M, Zajkiewicz K. Epidemiology and cost of conservative treatment of patients with degenerative joint disease of the hip and knee. Ortopedia Traumatologia i Rehabilitacja. 2007; 4(6): 9: 405-409.
10.
Grubor P, Manojlovic S, Manojlovic N, Grubor M. Endoprosthesis and obesity. Med Arch. 2013; 67(6): 446–449. https://doi.org/10.5455/medarh....
11.
Suleiman LI, Ortega G, Ong'uti SK, Gonzalez DO, Tran DD, Onyike A, et al. Does BMI affect perioperative complications following total knee and hip arthroplasty? J Surg Res. 2012; 174(1): 7-11. https://doi.org/10.1016/j.jss.....
12.
Hurwit DJ, Trehan SK, Cross MB. New joints, same old weight: weight changes after total hip and knee arthroplasty. HSS J. 2016; 12(2): 193-195. https://doi.org/10.1007/s11420....
13.
Waddell J, Johnson K, Hein W, Raabe J, FitzGerald G, Turibio F. Orthopaedic practice in total hip arthroplasty and total knee arthroplasty: results from the Global Orthopaedic Registry (GLORY). Am J Orthop (Belle Mead NJ). 2010; 39(9 Suppl): 5–13.
14.
Peter WF, Nelissen RG, Vliet Vlieland TP. Guideline recommendations for post-acute postoperative physiotherapy in total hip and knee arthroplasty: are they used in daily clinical practice? Musculoskeletal Care. 2014; 12(3): 125–131. https://doi.org/10.1002/msc.10....
15.
Eulenburg C, Rahlf AL, Kutasow A, Zech A. Agreements and disagreements in exercise therapy prescriptions after hip replacement among rehabilitation professionals: a multicenter survey. BMC Musculoskelet Disord. 2015; 16: 185. https://doi.org/10.1186/s12891....
16.
Sonoda Y, Sawano S, Kojima Y, Kugo M, Taniguchi M, Maegawa S, et al. Comprehensive geriatric assessment of effects of hospitalization and long-term rehabilitation of patients following lower extremity arthroplasty. J Phys Ther Sci. 2016; 28(4): 1178–1187. https://doi.org/10.1589/jpts.2....
17.
Madejska I, Doroszewska-Szczepanik A. [Pre- and perioperative rehabilitation of elderly patients – physical rehabilitation]. Postępy Nauk Medycznych. 2008; 12: 804-810 (in Polish).
18.
Singer BR, McLauchlan GJ, Robinson CM. Epidemiology of fractures in 15000 adults: the influence of age and gender. J Bone Joint Surg Br. 1998; 80: 243–248. https://doi.org/10.1302/0301-6....
19.
Kanis JA, Johnell O, Oden A, Sembo I, Redlund-Johnell I, Dawson A, et al. Long-term risk of osteoporotic fracture in Malmö. Osteoporosis Int. 2000; 11(8): 669–674. https://doi.org/10.1007/s00198....
20.
Antapur P, Mahomed N, Gandhi R. Fractures in the elderly: when is hip replacement a necessity? Clin Interv Aging. 2011; 6: 1–7.
21.
Marya SK, Thukral R, Singh C. Prosthetic replacement in femoral neck fracture in the elderly: results and review of the literature. Indian J Orthop. 2008; 42(1): 61–67. https://doi.org/10.4103/0019-5....
22.
Malkani AL, Dilworth B, Ong K, Baykal D, Lau E, Mackin TN, et al. High risk of readmission in octogenarians undergoing primary hip arthroplasty. Clin Orthop Relat Res. 2017; 475(12): 2878-2888. https://doi.org/10.1007/s11999....
23.
Haynes J, Nam D, Barrack RL. Obesity in total hip arthroplasty: does it make a difference? Bone Joint J. 2017; 99-B(1 Suppl A): 31-36. https://doi.org/10.1302/0301-6....
24.
Werner BC, Higgins MD, Pehlivan HC, Carothers JT, Browne JA. Super obesity is an independent risk factor for complications after primary total hip arthroplasty. J Arthroplasty. 2017; 32(2): 402-406. https://doi.org/10.1016/j.arth....
25.
Inacio MCS, Kritz-Silverstein D, Paxton EW, Fithian DC. Do patients lose weight after joint arthroplasty surgery? A systematic review. Clinic Orthop. 2013; 471(1): 291–8. https://doi.org/10.1007/s11999....
26.
Parratte S, Pesenti S, Argenson JN. Obesity in orthopedics and trauma surgery. Orthopaedics & Traumatology: Surgery & Research. 2014; 100: 91–97. https://doi.org/10.1016/j.otsr....
27.
Meller MM, Toossi N, Gonzalez MH, Son MS, Lau EC, Johanson N. Surgical risks and costs of care are greater in patients who are super obese and undergoing THA. Clin Orthop Relat Res. 2016; 474(11): 2472-2481. https://doi.org/10.1007/s11999....
28.
Fernandes L, Roos EM, Overgaard S, Villadsen A, Søgaard R. Supervised neuromuscular exercise prior to hip and knee replacement: 12-month clinical effect and cost-utility analysis alongside a randomised controlled trial. BMC Musculoskelet Disord. 2017; 18(1): 5. https://doi.org/10.1186/s12891....
29.
Pozzi F, Madara K, Zeni JA Jr. A six-week supervised exercise and educational intervention after total hip arthroplasty: a case series. Int J Sports Phys Ther. 2017; 12(2): 259-272.
30.
Nakayama T, Tsukada S, Hiyama T, Yamada T, Hirasawa N. Impact of active ankle movement frequency on velocity of lower limb venous flow following total hip arthroplasty. Adv Orthop. 2016; 2016: 7683272. https://doi.org/10.1155/2016/7....
31.
Jogi P, Zecevic A, Overend TJ, Spaulding SJ, Kramer JF. Force-plate analyses of balance following a balance exercise program during acute post-operative phase in individuals with total hip and knee arthroplasty: a randomized clinical trial. SAGE Open Med. 2016; 4. https://doi.org/10.1177/205031....
32.
Judd DL, Dennis DA, Thomas AC, Wolfe P, Dayton MR, Stevens-Lapsley JE. Muscle strength and functional recovery during the first year after THA. Clinical Orthopaedics and Related Research. 2014; 472(2): 654-664. https://doi.org/10.1007/s11999....
33.
Reardon K, Galea M, Dennett X, Choong P, Byrne E. Quadriceps muscle wasting persists 5 months after total hip arthroplasty for osteoarthritis of the hip: a pilot study. Intern Med J. 2001; 31: 7–14. https://doi.org/10.1046/j.1445....
34.
Sicard-Rosenbaum L, Light KE, Behrman AL. Gait, lower extremity strength, and self-assessed mobility after hip arthroplasty. J Gerontol A Biol Sci Med Sci. 2002; 57: M47–M51. https://doi.org/10.1093/gerona....
35.
Bertocci GE, Munin MC, Frost KL, Burdett R, Wassinger CA, Fitzgerald SG. Isokinetic performance after total hip replacement. Am J Phys Med Rehabil. 2004; 83: 1–9. https://doi.org/10.1097/01.PHM....
36.
Holstege MS, Lindeboom R, Lucas C. Preoperative quadriceps strength as a predictor for short-term functional outcome after total hip replacement. Arch Phys Med Rehabil. 2011; 92: 236-241. https://doi.org/10.1016/j.apmr....
37.
Nankaku M, Tsuboyama T, Aoyama T, Kuroda Y, Ikeguchi R, Matsuda S. Preoperative gluteus medius muscle atrophy as a predictor of walking ability after total hip arthroplasty. Phys Ther Res. 2016; 19(1): 8-12. https://doi.org/10.1298/ptr.E9....
38.
Ikeda T, Jinno T, Aizawa J, Masuda T, Hirakawa K, Ninomiya K, et al. Effects of perioperative factors and hip geometry on hip abductor muscle strength during the first 6 months after anterolateral total hip arthroplasty. J Phys Ther Sci. 2017; 29(2): 295-300. https://doi.org/10.1589/jpts.2....
Share
RELATED ARTICLE
| eISSN: | 2354-0265 |
| ISSN: | 2353-6942 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
