1. TOTAL HIP ARTHROPLASTY: DETERMINATION OF PATIENT APPLICATION AND RECOGNITION OF UNIVERSAL HIP PRECAUTIONS WITH EMPHASIS ON ACTIVITIES OF DAILY LIVING
- Author
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Brennan Polvoorde, G, Castil, J, Hiroshima, L, Kotecki, A, Loeffler, D, Peyton, E, Ramiro, J, and Tonnu, T
- Subjects
Evaluation ,Usage ,Research ,Surgery -- Usage -- Research ,Arthroplasty -- Evaluation -- Research -- Usage ,Physical therapy -- Research -- Usage ,Hip prostheses -- Usage -- Research ,Hip joint -- Research -- Usage ,Artificial hip joints -- Usage -- Research ,Therapeutics, Physiological -- Research -- Usage - Abstract
Brennan Polvoorde G, Castil J, Hiroshima L, Kotecki A, Loeffler D, Peyton E, Ramiro J, Tonnu T. School of Allied Health Professions, Loma Linda University, Loma Linda, [...], PURPOSE: Physical therapists teach three; standard total hip precautions (THP) to all total hip arthroplasty (THA) patients. Non-compliance with these hip precautions is the most frequent cause of early post-operative dislocation. The purpose of this study was to assess THA patients' ability to recognize and apply the hip precautions to specific tasks of daily living. SUBJECTS: The subjects (10 females, 2 males, mean age 73.2 years) had undergone THA within the last 40 days with physical therapy post-THA rehabilitation (mean duration=17 days). METHODS AND MATERIALS: Two examinations were administered at time of physical therapy discharge. Subjects were asked to physically demonstrate three specific tasks associated with activities of daily living in the Physical Application Examination (PAE). A video with six corresponding questions (Cognitive Recognition Examination, CRE) was also administered to test the subject's ability to recognize hip precautions within activities of daily living. ANALYSIS: Means, standard deviations and frequency distributions were used to describe age, length of treatment time, and results from the PAE and CRE score-sheets. A chi-square test was used to evaluate the relationship between responses on the PAE and the CRE. RESULTS: Subjects were able to move from sit to stand correctly (flexion), 91.7% performed supine to sitting at edge of mat (adduction) correctly, and 75% were able to correctly turn a corner (internal rotation). In the CRE, 100% of subjects chose the correct answer for the sit to stand from a portable commode scene; 83.3% marked the correct answer for turning a corner with a front wheeled walker; 75% chose the correct answer for supine to sit at edge of bed, reaching for remote control, crossing midline to don slippers, and reaching for salt shaker at table. No relationship was found between the PAE and the CRE relative to hip precautions (p [is greater than] 0.34); hip flexion was recognized and applied with 100% accuracy. CONCLUSIONS: The majority of patients apply and recognize THP, demonstrating greatest compliance with flexion and least with internal rotation.
- Published
- 2001