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 .
Secure tracks device improves functional recovery and pain after total knee arthroplasty: a prospective, randomized, pilot study.
This prospect i ve , r and omized study compares functional outcomes between a novel support device ( Secure Tracks ™ ) and a st and ard walker  following unilateral total knee replacement . Thirty patients were r and omized for the study ; 15 walker patients ( 70.7±6.4 yrs ) and 15 Secure Track patients ( 68.2±6.7 yrs ) ( p=0.31 ) . Total distance walked during all therapy sessions was nearly two times greater in the Secure Track ( 2,332 ft ) than with the walker ( 1,241 ft)(p=.053 ) . This trend began on the day of surgery ( 275 ft vs. 176 ft , p<.069 ) and was statistically significant by the following morning ( 287 ft vs. 151 ft , p=.019 ) . Patients in the Secure Track spent a greater amount of time up and ambulating with the therapists in all sessions ( .006.30 ) . At the first clinical follow-up , patients that had walked in the Secure Track completed the timed up and go test ( TUG ) , a predictor of fall risk , 3 seconds faster than the st and ard rehabilitation group ( 9.6 vs. 12.9 seconds , p<.091 ) . The novel therapy patients demonstrated significantly greater pain relief following the TUG test ( p=.005 ) . This study demonstrates that the choice of support device can increase patient ambulation following surgery , which will in turn improve functional outcomes and pain relief
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 .