AUTHORS ' CONCLUSIONS Very low quality evidence is available from single trials , thus we are uncertain if hip pre caution s with or without the addition of equipment and functional restrictions are effective in preventing dislocation and improving outcomes after THA .
BACKGROUND Total hip arthroplasty ( THA ) is one of the most common orthopaedic operations performed worldwide .
Painful osteoarthritis of the hip is the primary indication for THA .
Following THA , people have conventionally been provided with equipment , such as raised toilet seats and chairs , and educated to avoid activities that could cause the hip joint to be in a position of flexion over 90 degrees , or adduction or rotation past the midline .
These aspects of occupational therapy have been advocated to reduce the risks of prosthesis dislocation .
However , the appropriateness of these recommendations has been question ed .
OBJECTIVES To assess the effects of provision of assistive devices , education on hip pre caution s , environmental modifications and training in activities of daily living ( ADL ) and extended ADL ( EADL ) for people undergoing THA .
Patterns of Rehabilitation After Hip Arthroplasty and the Association with Outcomes: An Episode of Care View
Tian W , DeJong G , Munin MC , Smout R : Patterns of  rehabilitation after hip arthroplasty and the association with outcomes : An episode of care view . Objectives : To examine the patterns of rehabilitation  after elective and nonelective hip arthroplasty  and its association with outcomes over an episode of postacute care . Design : Data were obtained from a multisite prospect i ve observational cohort study and its companion follow-up study . Patterns of care were measured by the combination of setting s of care where  hip arthroplasty patients received rehabilitation therapy . Main outcome measure was motor portion of the functional independence measure . Results : Approximately 90 % of hip arthroplasty patients received rehabilitation care from more than one setting . Eight patterns of care were identified in the follow-up period . Patterns of subsequent care were driven more by initial setting than by etiology . Nonelective hip arthroplasty patients had lower motor functional independence measure scores and used more rehabilitation services than did elective hip arthroplasty patients . Patterns of care were modest factors ( accounted for only 7 % of variance ) in predicting patient motor functional independence measure over an episode of postacute care . Conclusions : Etiology of hip arthroplasty is associated with amounts of rehabilitation care used and outcomes . After the initial postacute rehabilitation setting , patients continued to receive considerable amounts of therapy in various setting s. It is important to look beyond a single setting of care to an entire episode of care when examining clinical outcomes
AUTHORS ' CONCLUSIONS Very low quality evidence is available from single trials , thus we are uncertain if hip pre caution s with or without the addition of equipment and functional restrictions are effective in preventing dislocation and improving outcomes after THA .
BACKGROUND Total hip arthroplasty ( THA ) is one of the most common orthopaedic operations performed worldwide .
Painful osteoarthritis of the hip is the primary indication for THA .
Following THA , people have conventionally been provided with equipment , such as raised toilet seats and chairs , and educated to avoid activities that could cause the hip joint to be in a position of flexion over 90 degrees , or adduction or rotation past the midline .
These aspects of occupational therapy have been advocated to reduce the risks of prosthesis dislocation .
However , the appropriateness of these recommendations has been question ed .
OBJECTIVES To assess the effects of provision of assistive devices , education on hip pre caution s , environmental modifications and training in activities of daily living ( ADL ) and extended ADL ( EADL ) for people undergoing THA .