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 .
[Clinical effects of comprehensive rehabilitation after minimally invasive total hip arthroplasty].
OBJECTIVE To explore clinical effects of comprehensive rehabilitation therapy for function restore of hip joint after minimally invasive total hip arthroplasty . METHODS From March 2006 to February 2008 , 100 patients were r and omly divided into the treatment group and the control group . Fifty patients in the treatment group , including 21 males and 29 females , ranging in age from 56 to 78 years , with an average of ( 67.2 + /- 11.0 ) years . Fifty patients in the control group , including 26 males and 24 females , ranging in age from 54 to 79 years , with an average of ( 65.5 + /- 11.5 ) years . The course of disease of the two groups were 10 to 15 years . The comprehensive rehabilitations such as joint range of motion , the activities of daily living and restoring muscle strength were performed step-by-step in the treatment group under the guidance of the therapist at the 2nd day after hip arthroplasty . Above rehabilitations were not performed in the control group . The postoperative functional recovery of hip joint , the Harris scores and X-ray were analyzed and compared between the two groups . RESULTS All the patients were followed and the duration averaged 13 months ( 12 to 14 months ) . The therapeutic effects of the two groups had statistical differences , Zc = 12.72 , P<0.001 . In the treatment group , the average Harris score was ( 94.50 + /- 29.87 ) , 32 patients got an excellent result , 12 good , 4 poor and 2 bad . While in the control group , above data were ( 63.50 + /- 19.97 ) , 12 , 15 , 7 and 16 respectively . The therapeutic effects of treatment group were better than those of control group . The X-ray showed that there were no hip prosthesis loosening , femoral neck fractures and other complications . CONCLUSION The early comprehensive rehabilitation after minimally invasive total hip replacement is the key to decrease postoperative complications and to decide the success or failure of surgery
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 .