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 .
Pre-surgical sensorimotor training for patients undergoing total hip replacement: a randomised controlled trial.
The aim of this study was to investigate whether pre-operative , sensorimotor training results in improved physical function , quality of life , sensorimotor function and reduced disability in total hip replacement patients . 80 subjects awaiting total hip replacement at a Swiss hospital were recruited for this r and omised controlled trial . The intervention group participated in a pre-operative home exercise sensorimotor training programme ; the control group received no therapy . Primary outcome measure was physical function , secondary outcome measures were quality of life , disability and sensorimotor function . Outcomes were measured using generic and disease-specific question naires as well as objective ly assessed balance ability . Measurements were taken one day before surgery and 10 days , 4 and 12 months after surgery . The intervention showed improved quality of life and sensorimotor function before surgery . These effects were lost following surgery . The intervention group experienced more disability at 4 months than the control group . At one year follow-up group-membership influenced quality of life scores depending on the measurement-time-point . It can be concluded that no useful effect was identified for a pre-operative sensory-motor training-programme . The psychological aspects following total hip replacement need to be considered in order to facilitate coping-strategies , reduce unrealistic expectations and increase satisfaction
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 .