Analyzing the characteristics of rising from the bed in patients having undergone total hip arthroplasty immediately after surgery

Publication date: July 2018
Source:Gait & Posture, Volume 64
Author(s): Jun Yamahara, Keisuke Hagio, Hirofumi Saka, Kohei Kushimoto, Masaki Inaba, Naotaka Tazaki, Yoichi Taniguchi, Masanobu Saito
BackgroundImmediately after patients undergo total hip arthroplasty (THA), they are often coached through the process of rising from the bed to prevent dislocation. However, motion analysis of this process, which can guide coaching methods, has not been conducted. The purpose of this study was to clarify whether there is a difference in hip joint angle, rise time, pain, and difficulty based on the method of rising from the bed in postoperative patients, immediately after THA.MethodsTwenty patients who underwent THA were enrolled in this study. Seven days after surgery, 3-D motion analysis was performed while subjects rose from the bed using six different methods that include rising from the bed using either the affected or non-affected side either with or without assistance. Hip joint angle, rise time, pain, and difficulty were evaluated.ResultsIn all six methods, the maximal hip joint angle of the affected side was in the safe range. The maximal hip adduction angle and adduction angle at maximum flexion of the affected side were significantly lower in patients who rose from the bed using their affected side than in those who rose using their non-affected side. There were no differences in maximal hip flexion angle, internal rotation angle, internal rotation angle at maximum flexion of the affected side, rise time, pain, or difficulty regardless of the direction of rising from the bed or the use of assistance.SignificanceCoaching patients to rise from the bed is better performed when using the most optimal method that takes into consideration the movement direction and patient’s individuality.



from #Audiology via ola Kala on Inoreader https://ift.tt/2JY5asc
via IFTTT