Hydrotherapy after total hip arthroplasty: A follow-up study

Authors: Giaquinto S (1) , Ciotola E (1) , Dall'armi V (1) , Margutti F (1)
(1) IRCCS San Raffaele Pisana
Source: Arch Gerontol Geriatr. 2010 Jan-Feb;50(1):92-5
DOI: 10.1016/j.archger.2009.02.005 Publication date: 2010 Jan E-Publication date: March 12, 2009 Availability: abstract Copyright: © 2009 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
Language: English Countries: Not specified Location: Not specified Correspondence address: Giaquinto S : salvatore.giaquinto@sanraffaele.it


Article abstract

The aim of the study was to evaluate the subjective functional outcome of total hip arthroplasty (THA) in patients who underwent hydrotherapy (HT) 6 months after discharge. A prospective randomized study was performed on 70 elderly inpatients with recent THA, who completed a rehabilitation program. After randomization, 33 of them were treated in conventional gyms (no-hydrotherapy group=NHTG) and 31 received HT (hydrotherapy group=HTG). Interviews with the Western-Ontario MacMasters Universities Osteoarthritis Index (WOMAC) were performed at admission, at discharge and 6 months later. Kruskal-Wallis, Mann-Whitney and Wilcoxon tests were applied for statistical analysis. Both groups improved. Pain, stiffness and function were all positively affected. Statistical analysis indicated that WOMAC sub-scales were significantly lower for all patients treated with HT. The benefits at discharge still remained after 6 months. We conclude that HT is recommended after THA in a geriatric population.

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