Accelerated Rehabilitation Starting on the Surgery Day of Total Hip Arthroplasty:Accelerated Rehabilitation Effective in Accelerating Recovery? Takashi IKEDA 1,2 , Koji SUZUKI 1 , Mariko OSAWA 1 , Riichirou TSUKAMOTO 1 , Koji TSUJI 1 , Hiroshi NAGASAWA 2 , Kazuo HIRAKAWA 1 1Shonan Kamakura Joint Reconstruction Center 2Kanagawa University of Human Services Graduate School Keyword: 人工股関節全置換術(total hip arthroplasty) , 積極的リハビリテーション(accelerated rehabilitation) , C反応性蛋白(C-reactive protein) pp.981-987
Published Date 2012/10/25
DOI https://doi.org/10.11477/mf.1408102483
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 Purpose:The purpose of this study was to assess the efficacy of starting accelerated rehabilitation on the day of surgery.

 Methods:This prospective study enrolled 148 osteoarthritis patients who were scheduled for total hip arthroplasty(THA). The patients were divided into two groups according to the postoperative rehabilitation schedule:an accelerated rehabilitation group, in which rehabilitation was started on the day of surgery, and a control group in which rehabilitation was started on postoperative day (POD) 1.

 Results:The patients in the accelerated group were older, and their isometric hip abductor strength on PODs 1 to 4 was significantly greater different. There were no significant differences between the two groups in serum C-reactive protein or other laboratory test values.

 Conclusion:The results of this study suggested that accelerated rehabilitation starting on the day of surgery was effective in accelerating recovery of the lower limb function of elderly patients. Starting rehabilitation on the day of surgery led to earlier recovery and discharge of elderly patients after THA.

Copyright © 2012, Igaku-Shoin Ltd. All rights reserved.


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