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EFFECT OF PREOPERATIVE PHYSICAL EDUCATION ON POSTOPERATIVE OUTCOME IN PATIENTS WITH TOTAL HIP REPLACEMENT - A
Ivana Grle1, Maki Grle2, Damir Franjić2
1Department of Physical Medicine and Rehabilitation, University Clinical Hospital Mostar", Mostar, Bosnia and Herzegovina.
Acta Clinica Croatica
|February 17, 2025
Summary
Preoperative physical education significantly improves outcomes for patients undergoing total hip arthroplasty (THA). Patients receiving this training experienced less pain and better function post-surgery.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Gerontology
Background:
- Hip osteoarthritis is a primary cause of hip pain globally.
- Patients seek rapid pain relief and return to daily activities after total hip arthroplasty (THA).
Purpose of the Study:
- To evaluate the impact of preoperative physical education on postoperative rehabilitation following THA.
- To compare functional outcomes and pain levels between patients with and without preoperative training.
Main Methods:
- A study involving 60 patients undergoing THA, divided into two groups: one receiving 3-day preoperative education, the other not.
- Postoperative assessment included visual analog scale (VAS), range of motion (ROM), Harris Hip Score (HHS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), and SF-36.
Main Results:
- Patients with preoperative training demonstrated significantly lower VAS scores and WOMAC scores.
- These patients also showed improved ROM and higher HHS scores on postoperative day 42.
- No complications were reported in the preoperative education group.
Conclusions:
- A preoperative rehabilitation protocol before THA leads to reduced pain and disability.
- Patients undergoing preoperative training experience enhanced functional outcomes after total hip arthroplasty.

