Influence of physiotherapy on gait performance of patients after hip replacement
Keywords:
walking speed, 6 minute walking test, hip replacement, rehabilitationAbstract
Aim: Assessment of walking speed of patients after hip replacement, influence of 3-week physiotherapy on gait performance and assessment whether the time after surgery has an impact on the effectiveness of rehabilitation.
Material and method: The study included 30 patients (22 women, 8 men) aged 64.5 years (33-80 years) after hip replacement hospitalized for the purpose of rehabilitation. Patients were divided into two groups depending on the time elapsed since surgery (up to 1 year – group I and over 1 year after surgery – group II). The 6-minute walking test (6-MWT) was performed, walking speed was calculated and information on the pain and difficulties that occur during walking were collected at the beginning and after a 3-week of stay.
Results: In both groups after rehabilitation period the walking distance measured by 6-MWT and walking speed increased. Increase of walking distance in 6-MWT and walking speed after rehabilitation period was similar in group I and II. In group I, there was a reduction in pain and in difficulty during walking on a flat surface. In the second group difficulty during walking up the stairs decreased, without no change in pain relief.
Conclusion: Mean walking speed in patients after hip replacement is 0.71±0.35m/s, and the walking distance in 6-MWT is 255.7±127.7m. The effect of a 3-week rehabilitation program was an improvement of gait efficiency, regardless of time after the surgery. Rehabilitation performed early after hip replacement surgery can relieve the pain.
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