Vita Lizdenienė, Svetlana Lenickienė
Application of new fast-track methods following endoprosthetic hip surgery results in faster recovery for the patients as well as earlier rehabilitation of working capacity. Consequently, the patients may be discharged the third or fourth day following their surgery. The purpose of the research was to determine the influence of fast-track methods on mobility, pain and anxiety during acute period following endoprosthetic hip surgery. The research was being conducted at the Centre of Orthopaedics and Traumatology of Vilnius University Hospital Santariskiu clinics from April 2015 to March 2016. 60 patients who had undergone endoprosthetic hip surgery by anterior-lateral incision, including 34 female and 26 male patients, took part in the research. Their mobility was assessed by performing a 10-meter walk test and, in order to determine physical fitness, their pulse was measured before the test, right after the test, 1 minute, 3 minutes and 5 minutes after the test and isometric strength of leg abductors, adductors and knee extensors was tested using a manual Lafayette dynamometer. The research revealed that fast-track does more to improve mobility and muscle strength than common kinesiotherapy. Statistically significant differences (p<0.005) in mobility and muscle strength changes were obtained in the experimental and control groups.
Keyword(s): fast – track; mobility; pain; anxiety; hip replecment.
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