Abstract:

OBJECTIVE: To explore the method and effect of rehabilitative functional training following hip replacement.
METHODS: A computer-based online search of PubMed database (http://www.ncbi.nlm.nih.gov/PubMed) and Wanfang database (http://www.wanfangdata.com.cn) was performed for articles regarding hip joint prosthesis replacement and rehabilitative treatment following hip replacement, with the key words “artificial, replacement, rehabilitation, hinesiatrics, hip joint prosthesis” in English and “artificial hip joint prosthesis, replacement, rehabilitation training” in Chinese. Repetitive studies were excluded.
RESULTS: The rehabilitation following hip replacement is to relieve hip pain, correct hip deformity, improve hip functional status and better quality of life. Early continuous, directional rehabilitation training can reduce postoperative complications, accelerate hip functional restoration and shorten hospital stay. There are significant period differences between rehabilitation training and weight loading following prosthesis implantation, which should be performed according to prosthesis designs. Rest is important in the first 3 months of rehabilitation training to prevent severe pain. Retrieved data show that operation and rehabilitation treatment greatly improved hip function and reduced complications. In addition, the mental state of patients at different stages, degree and intensity of training should be paid attention. It is necessary to prevent injury during rehabilitation treatment. Therefore, the passive flexion exercise should be performed under the guidance of rehabilitation therapist to prevent tendon breakage of quadriceps femoris. The range of motion at 2 weeks postoperatively is the most important, which may maximize hip prosthesis function improvement.
CONCLUSION: Early functional exercise following replacement should be performed step by step, from passive to active. The process is muscle stretch and contraction, joint flexion and extension, standing out of bed, assisted walking and independent walking.