Abstract
EFFECTS OF PHYSICAL THERAPY IN PATIENTS WITH TOTAL HIP JOINT ENDOPROSTHESIS

Vanda Zovko Omeragic, Edina Tanovic*, Dijana Avdic, Demil Omerovic, Amila Jaganjac, Hadzan Konjo, Emina Rovcanin, Amela Dzubur and Adnana Talic-Tanovic

ABSTRACT

The normal movement of the hip joint allows normal walking. When it is not possible to prevent joint destruction or to eliminate pain, surgery must be considered. Rehabilitation begins before the surgery if it is posibble. The aim of this study is to determine the efficiency of physical therapy in rehabilitation of patients with embedded total hip joint endoprosthesis. The study included 60 patients with hip arthroplasty, who were divided into two groups of 30 patients. Group A – patients who had only early postoperative rehabilitation program at the Department of Orthopedics at RMC, "Dr. Safet Mujić" in Mostar. Group B – patients with hip anthroplasty with early rehabilitation program and fully participated in additional program of 14-day balneotherapy at CMR "Reumal" in Fojnica. The results showed that in Group A cause was fracture in 23,3% and coaxarthrosis in 76,7% examinees, while in Group B cause was in 13,3% and coxarthrosis in 86,7% examinees. Coxarthrosis predominates as a cause of the hip endoprosthesis. Group A did exercises that includes exercise therapy of upper limbs, active exercises with help of lower operated limb, izometric exercise for muscule quadriceps and standing up for 96.7% examinees. Group B had individual therapies: balneotherapy (56,7%), hydrotherapy (100%) and kinesiotherapy (100%), electrotherapy (86,7%). The results obtained show that, within both groups of patients, the largest share of examinees falls within the "rehabilitated" category. Physical therapy has positive effect on results of rehabilitation after implantation of total hip endoprosthesis.

Keywords: Hip arthroplasty, balneotherapy, rehabilitation.


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