UDC

616.728.2:616-036.8

DOI

10.37482/2687-1491-Z080

Authors

Nadezhda I. Ishekova* ORCID: https://orcid.org/0000-0002-0506-4375
Aleksandr N. Ishekov* ORCID: https://orcid.org/0000-0001-7692-9818
Nadezhda A. Goryannaya* ORCID: https://orcid.org/0000-0002-6127-6540

*Northern State Medical University (Arkhangelsk, Russian Federation)

Abstract

The aim of this study was to determine the functional state of the affected hip joint after hip arthroplasty and to analyse patients’ quality of life during rehabilitation. Materials and methods. The study involved patients with 3rd degree hip osteoarthritis that underwent hip replacement. The research was conducted in three stages: 1) before the operation; 2) early postoperative rehabilitation period (10th – 12th day after the operation); 3) late recovery rehabilitation period (10th – 12th week after the operation). At stages 1 and 2, we examined 140 people (mean age 57.0 ± 9.0 years), at stage 3, 43 patients (mean age 55.81 ± 7.8 years). At all three stages, the patients’ hip range of motion, hip circumference and strength endurance of the affected limb were determined. The function of the hip joint was evaluated using the Harris Hip Score, and the quality of life was estimated with the help of the SF-36 questionnaire. Results. The research revealed that during the rehabilitation period, the range of motion increased significantly, hip flexion being restored best of all. Moreover, we observed a statistically significant increase in strength endurance. However, not all indicators reached normal values by the end of the research. The patients’ quality of life improved due to better physical functioning, general health and vitality as well as lower pain intensity. However, we observed no progress in role functioning due to the emotional state. Evaluation according to the Harris Hip Score showed that before the operation 78.6 % of the patients had unsatisfactory joint function, while during the late rehabilitation period, only 20.9 %, which indicates the treatmentʼs effectiveness.

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Corresponding author: Nadezhda Goryannaya, address: prosp. Troitskiy 51, Arkhangelsk, 163000, Russian Federation; e-mail: nadachka@rambler.ru
For citation: Ishekova N.I., Ishekov A.N., Goryannaya N.A. Dynamics of the Functional State of the Hip Joint and Quality of Life in Patients After Hip Replacement (During Rehabilitation). Journal of Medical and Biological Research, 2021, vol. 9, no. 4, pp. 426–434. DOI: 10.37482/2687-1491-Z080

Keywords

hip arthroplasty, hip range of motion, strength endurance, quality of life, rehabilitation

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