The impact of an orthopedic bases rehabilitation approach for a total hip replacement presenting with hip adductor weakness in an elderly woman: A retrospective case report
Type of Presentation
Event
Location
Hall of Governors
Start Date
4-7-2017 4:00 PM
End Date
4-7-2017 6:00 PM
Abstract
Osteoarthritis (OA) is currently the most common joint disorder in the world. It is estimated that 10% of men and 13% of women are currently impacted by osteoarthritis. The major symptom of OA is pain which typically leads to loss of functionality .At this time, OA is the leading cause for total hip arthroplasties (THA).Though THA has been around since the 1960's,there is still a chance of complications post-surgery such as muscle weakness. Currently, there is little research on the unique complication of post THA adductor weakness .This case report examined a 69 year old white female's course of outpatient physical therapy post L THA. The patient's plan of care focused on therapeutic exercise and a home exercise program with emphasis on increasing L hip muscular strength in all movements, but especially on hip adduction. After 25 visits, the patient had significantly improved her balance and her total function as per the Berg Balance Scale and Lower Extremity Functional Scale outcome measures, respectively. Furthermore, she demonstrated improvement in all L hip muscle force output, but continued to demonstrate weakness at the L hip adductor, though much improved since the beginning of therapy. This leads us to believe that an orthopedic based rehab approach could improve musculoskeletal complications post THA in the elderly.
The impact of an orthopedic bases rehabilitation approach for a total hip replacement presenting with hip adductor weakness in an elderly woman: A retrospective case report
Hall of Governors
Osteoarthritis (OA) is currently the most common joint disorder in the world. It is estimated that 10% of men and 13% of women are currently impacted by osteoarthritis. The major symptom of OA is pain which typically leads to loss of functionality .At this time, OA is the leading cause for total hip arthroplasties (THA).Though THA has been around since the 1960's,there is still a chance of complications post-surgery such as muscle weakness. Currently, there is little research on the unique complication of post THA adductor weakness .This case report examined a 69 year old white female's course of outpatient physical therapy post L THA. The patient's plan of care focused on therapeutic exercise and a home exercise program with emphasis on increasing L hip muscular strength in all movements, but especially on hip adduction. After 25 visits, the patient had significantly improved her balance and her total function as per the Berg Balance Scale and Lower Extremity Functional Scale outcome measures, respectively. Furthermore, she demonstrated improvement in all L hip muscle force output, but continued to demonstrate weakness at the L hip adductor, though much improved since the beginning of therapy. This leads us to believe that an orthopedic based rehab approach could improve musculoskeletal complications post THA in the elderly.