title: Total hip replacement in patients with osteoarthritis of the hip: improvement in pain and functional status.
abstract: A simple, self-rating questionnaire was developed to assess the clinical outcome related to pain and function after total hip replacement surgery followed by physical therapy. Twenty-two patients, 57 to 86 years of age, with osteoarthritis of the hip who underwent total hip replacement surgery and received physical therapy following surgery, participated in the study. A questionnaire consisting of 11 items was developed to ascertain the level of pain, functional ability and the assistive ambulatory device used to perform selected activities of daily living. A maximum cumulative score of 55 points was possible. The functional categories monitored included: sitting, standing, sleeping, functional walking, distance walking, stair climbing, sitting/standing from a toilet seat, driving, and sexual activities. The questionnaires were completed preoperatively, and postoperatively at 3 and 6 months. The results showed an overall improvement of 56% at 3 months and 64% at 6 months after surgery. Twenty of 22 patients obtained "excellent" results with total hip replacement surgery and follow-up physical therapy. Results of this study indicated that total hip replacement followed by physical therapy decreases joint pain and improves function in patients with osteoarthritis of the hip.
authors.affiliation: Park Plaza Hospital, Houston, Tex. 77004.
authors.forename: P P
authors.initials: PP
authors.lastname: Gogia
authors.forename: C M
authors.initials: CM
authors.lastname: Christensen
authors.forename: C
authors.initials: C
authors.lastname: Schmidt
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D006622:Hip Prosthesis / Q000534:rehabilitation*; D006801:Humans; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000503:physiopathology / Q000534:rehabilitation* / Q000628:therapy; D010146:Pain / Q000503:physiopathology*; D026741:Physical Therapy Modalities; D011795:Surveys and Questionnaires; D016896:Treatment Outcome