Does aquatic thermal therapy improve quality of life after total hip replacement? A retrospective preliminary pilot study

Authors: Masiero S (1) , Pranovi G (1) , Di Pumpo M (1) , Bernardini S (2) , Dattilo A (2) , Del Felice A (1) , Sale P (3)
(1) Department of Neuroscience, Section of Rehabilitation, University of Padova (2) Medical Thermal Hotel Ermitage, Abano Terme (3) Sant'Isidoro Trescore Balneario FERB Onlus Hospital
Source: Int J Biometeorol. 2020 Jan 7
DOI: 10.1007/s00484-019-01846-3 Publication date: Not specified E-Publication date: Jan. 7, 2020 Availability: abstract Copyright: © 2020 Springer Nature Switzerland AG
Language: English Countries: Not specified Location: Not specified Correspondence address:


Article abstract

Hydrokinesiotherapy has antalgic and muscle relaxant properties, as well as anti-edema and anti-inflammatory effects. Currently, the management of persons with total hip replacement (THR) consists of multiple pharmacologic and non-pharmacologic therapies, which include therapeutic exercise, physical therapies, and education. Our hypothesis is that kinesiotherapy in thermal water would improve functional outcome. The aim of the study was to assess thermal hydrokinesiotherapy efficacy on pain, mood, and quality of life. We enrolled 11 participants (mean age of 70.55 ± 14 years) with total hip replacement (THR) after early hospital discharge at a residential rehabilitation facility. All participants underwent a standardized combined land-based and hydrokinesiotherapy rehabilitation program for 2 consecutive weeks. Clinical data were collected at beginning and end of rehabilitation; pain, anxiety, and quality of life scores were collected at admission, discharge, 3 and 6 months from surgery. Functional outcome scores improved and were maintained at 6-month follow-up. These preliminary data demonstrate that thermal hydrokinesiotherapy may positively influence functional recovery in orthopedic post-surgical patients. Further randomized controlled trials are mandatory to consolidate this finding.

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