Background
Methods
Study design
Participants, recruitment and setting
Procedure
Data analysis and statistics
Ethics
Results
n | Percent | ||
---|---|---|---|
Professional group
| |||
Exercise therapists | 84 | 26.8 | |
Surgeons / orthopaedic physicians | 18 | 5.8 | |
Rehabilitation physicians | 43 | 13.7 | |
Physiotherapists | 168 | 53.7 | |
Facility type
| |||
Outpatient rehabilitation clinics | 8 | 2.6 | |
Hospitals | 25 | 8.0 | |
Inpatient rehabilitation clinics | 277 | 88.5 | |
mean
|
range
|
Inter-quartile range
| |
Work experience (years)
| 13 | <1–43 | 4.25–20 |
Number of THR patients per month
| 120 | 1–300 | 6–25 |
Personal opinion regarding the optimal treatment
Missing
|
Not important
|
Medium important
|
Important
| |
---|---|---|---|---|
n (%)
|
n (%)
|
n (%)
|
n (%)
| |
Agreement
| ||||
Course of surgery | 10 (3.2) | 13 (4.4) | 39 (12.9) | 251 (80.2) |
Quality of surgery | 7 (2.2) | 8 (2.6) | 30 (9.8) | 268 (87.6) |
Constitution of the patients | 19 (6.1) | 10 (3.4) | 28 (9.5) | 256 (87.1) |
Disagreement
| ||||
Type of prosthesis (cemented / uncemented) | 9 (2.9) | 120 (39.5) | 88 (28.9) | 96 (31.6) |
Primary or secondary hip replacement | 7 (2.2) | 25 (8.2) | 69 (22.5) | 212 (69.3) |
Cemented prosthesis | Uncemented prosthesis | |||
---|---|---|---|---|
n | % | n | % | |
Full weight-bearing
| ||||
0–5 days | 166 | 53.9 | 55 | 18.2 |
6–10 days | 72 | 23.4 | 54 | 17.9 |
11–20 days | 35 | 11.4 | 61 | 20.2 |
21–30 days | 20 | 6.5 | 77 | 25.5 |
5–6 weeks | 9 | 2.9 | 35 | 11.6 |
7–8 weeks | 6 | 1.9 | 14 | 4.6 |
>8 weeks | 0 | 0.0 | 6 | 2.0 |
Missing information | 5 | 1.6 | 11 | 3.5 |
Resistance training
| ||||
1–7 days | 60 | 19.6 | 41 | 13.5 |
2–3 weeks | 183 | 59.8 | 153 | 50.5 |
4–5 weeks | 46 | 15.0 | 68 | 22.4 |
6–7 weeks | 8 | 2.6 | 22 | 7.3 |
>8 weeks | 9 | 2.9 | 19 | 6.2 |
Missing information | 7 | 2.2 | 10 | 3.2 |
Facility-specific objectives and key components of rehabilitation practice
Missing
|
Low priority
|
Medium priority
|
High priority
| |
---|---|---|---|---|
Objectives |
n (%)
|
n (%)
|
n (%)
|
n (%)
|
Agreement
| ||||
Reducing muscular imbalances | 9 (2.9) | 29 (9.5) | 17 (5.6) | 258 (84.9) |
Improving mobility | 7 (2.2) | 30 (9.8) | 12 (3.9) | 264 (86.3) |
Restoring functional gait patterns | 7 (2.2) | 29 (9.5) | 9 (2.9) | 268 (87.6) |
Recovery of activities of daily living | 7 (2.2) | 31 (10.1) | 23 (7.5) | 252 (82.4) |
Pain reduction / freedom of pain | 5 (1.6) | 30 (9.7) | 24 (7.8) | 254 (82.5) |
Strengthening of hip muscles | 3 (1.0) | 31 (10) | 7 (2.3) | 272 (87.7) |
Disagreement
| ||||
Improving balance control | 13 (4.2) | 26 (8.6) | 51 (17.0) | 223 (74.3) |
Improving core stability | 13 (4.2) | 24 (8.0) | 82 (27.3) | 194 (64.7) |
Key exercise therapy components
| ||||
Agreement
| ||||
Gait training | 7 (2.2) | 26 (8.5) | 12 (3.9) | 268 (87.6) |
Stair climbing | 12 (3.8) | 27 (8.7) | 24 (7.7) | 250 (83.1) |
Individual physiotherapy | 7 (2.2) | 28 (9.1) | 8 (2.6) | 270 (88.2) |
Disagreement
| ||||
Gym exercises | 13 (4.2) | 40 (13.4) | 66 (22.0) | 194 (64.7) |
Continuous passive motion | 31 (10.0) | 110 (39) | 60 (21.3) | 112 (39.7) |
Neuromuscular /sensorimotor training | 37 (11.8) | 39 (14.1) | 64 (23.2) | 173 (62.7) |
Stretching | 21 (6.7) | 42 (14.4) | 51 (17.5) | 199 (68.2) |
Water exercises | 12 (3.8) | 36 (12.0) | 49 (16.3) | 216 (71.8) |
Ergometer cycling | 19 (6.1) | 52 (17.6) | 77 (26.2) | 165 (56.1) |
Walking exercises | 38 (12.1) | 149 (54.1) | 63 (22.9) | 63 (22.9) |
Manual therapy | 31 (10.0) | 83 (29.5) | 58 (20.6) | 141 (50.0) |
Group exercises | 16 (5.1) | 40 (13.5) | 36 (12.1) | 221 (74.4) |
Exercise therapy dose
Hip joint load during exercise therapy
Missing
|
Low loading
|
Medium loading
|
High loading
| |
---|---|---|---|---|
n (%)
|
n (%)
|
n (%)
|
n (%)
| |
Disagreement
| ||||
Ergometer cycling, low resistance | 10 (3.1) | 199 (65.7) | 96 (31.7) | 8 (2.6) |
Ergometer cycling, high resistance | 12 (3.8) | 26 (8.6) | 157 (52.2) | 118 (39.2) |
Walking 4 Km/h | 13 (4.2) | 40 (13.3) | 176 (58.7) | 84 (28.0) |
One-leg standing | 9 (2.9) | 16 (5.3) | 91 (29.9) | 197 (64.8) |
Sitting | 11 (3.5) | 129 (42.7) | 146 (48.3) | 27 (8.9) |
Chair rise | 9 (2.9) | 24 (7.9) | 177 (58.2) | 103 (33.9) |
Bridging | 15 (4.8) | 53 (17.8) | 171 (57.4) | 74 (24.8) |
Abduction in lateral position | 12 (3.8) | 31 (10.3) | 158 (52.5) | 112 (37.2) |