PhD Scientific Days 2025

Poster Session I. - N: Health Sciences

Functional status of patients awaiting for hip joint replacement surgery and aspects of a prehabilitation programme, practical application

Name of the presenter

Kiss Rebeka

Institute/workplace of the presenter

Semmelweis University, Faculty of Health Sciences, Department of Physiotherapy

Authors

Rebeka Kiss¹, Dr. Ágnes Andrea Mayer¹, Anna Várnagy², Dr. Gábor Skaliczki²

1: Semmelweis University, Faculty of Health Sciences, Department of Physiotherapy
2: Semmelweis University, Faculty of Medicine, Department of Orthopaedics

Text of the abstract

Introduction: Degenerative joint diseases lead to significant functional deficits and deterioration of quality of life, for which prosthesis implantation is often unavoidable. The preoperative functional status influences the success of postoperative rehabilitation, which can be optimized by adequate prehabilitation interventions.
Aim: The aim of our study was to assess the preoperative status of patients with osteoarthritis of the hip joint in order to design and implement an optimal prehabilitation programme at the Department of Orthopaedics, Semmelweis University.
Material and methods: 12 patients with hip osteoarthritis (age: 63±5.5 years) waiting for hip replacement participated in the pilot study. Hip pain, range of motion, muscle strength around the hip and functional performance were assessed using standardised tests and scales. Statistical analysis of data was performed using IBM SPSS Statistics 26 (α=0.05).
Results: Patients' hip pain was 5.25±2 on a visual analogue scale. Hip joint range of motion on the affected side was significantly lower in all planes compared to the opposite side. Muscle strength of the iliopsoas and gluteus medius muscles was significantly lower on the affected side. Harris Hip Score was 68.1±15.4 (poor) and Merle D'Aubigne was 13.4±2 (good). The results of the Timed Up and Go was 9.2±5.3s and the 10 m walk test was 113.7±26.5cm/s with a low fall risk. The mean of the 6-minute walk test was 444.3±86.4m. Significant correlations were found between the survey scales and functional tests and between the pain of the affected side and muscle strength of both sides. Individuals participating in the prehabilitation programme had preoperative improvements in survey scales and gait parameters.
Conclusions: The functional mobility of the osteoarthritis patients studied was reduced, associated with reduced hip function. The key elements of the prehabilitation programme were an overall increase in hip joint range of motion, muscle strengthening and improvement of functional mobility. The programme results support the potential preoperative functional improvement and pain reduction effects of the prehabilitation intervention.
Funding: Supported by the 2024-2.1.1-EKÖP-2024-00004 University Reasearch Scholarship Programme of the Ministry For Culture And Innovation from the source of the national research, developement and innovation fund