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ROLE OF THE PHYSICAL THERAPY IN THE TREATMENT OF PAIN IN PATIENTS WITH ARTICULAR PROSTHESIS. PHYSICAL THERAPY PROGRAM IN TOTAL KNEE ARTHROPLASTY. A CASE STUDY


Abstract

Background: In 2020, the osteoarthritis will be the fourth leading cause of disability worldwide. Nowadays, according to the World Health Organization (WHO), this impairment affects 80% of the population older than 65 years. The treatment in advanced stages is the total knee arthroplasty (TKA). After surgery procedure, it is essential the early beginning of a program of physiotherapy to recover the physical and functional capacity of the patients.

Objectives: The objective of this study was to perform an 8-week physical therapy program (3 sessions per week) to recover the functionality to a patient who underwent TKA.

Methods: A case study of TKA for secondary osteoarthritis was carried out.  The variables were measured at baseline, 4, 6 and 8 weeks. This analysis was performed using percentages of change with respect to baseline assessment for the following variables: joint balance, muscle balance, circumferential data, Tinetti test, Timed Up and Go test, Flamingo test, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Hospital Anxiety and Depression Scale (HADS), Visual Analogue Scale (VAS), Short Form-36 Health Survey (SF-36) and Barthel Index.

Results: The physical therapy program was well tolerated with an adherence rate of 100%. There were improvements in all variables, highlighting the joint balance where were obtained ranges between 46.66-120%.

Conclusions: The results obtained have been beneficial. We found important improvements in all variables assessed. It has improved quality of life, functional capacity and pain. Subsequent studies would be required to approach the patterns of miofascial pain associated with this intervention due to the results found in this study.

Poster
non-peer-reviewed

ROLE OF THE PHYSICAL THERAPY IN THE TREATMENT OF PAIN IN PATIENTS WITH ARTICULAR PROSTHESIS. PHYSICAL THERAPY PROGRAM IN TOTAL KNEE ARTHROPLASTY. A CASE STUDY


Author Information

Eloísa Delgado-Delgado Corresponding Author

Health Science Department, University of Granada

Mª Magdalena Moral-Castro

Health Science Department, University of Jaén

Jonatan Fernández-Ruiz

Nursing Department, University of Granada

Lydia Martín-Martín

Health Science Department, University of Granada

Manuel Arroyo-Morales

Health Science Department, University of Granada

Noelia Galiano-Castillo

Health Sciences, University of Jaén


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  • Author Information
    Eloísa Delgado-Delgado

    Health Science Department, University of Granada

    Mª Magdalena Moral-Castro

    Health Science Department, University of Jaén

    Jonatan Fernández-Ruiz

    Nursing Department, University of Granada

    Lydia Martín-Martín

    Health Science Department, University of Granada

    Manuel Arroyo-Morales

    Health Science Department, University of Granada

    Noelia Galiano-Castillo Corresponding Author

    Health Sciences, University of Jaén

    Poster Information
    Meeting

    First International Online BioMedical Conference September 09, 2015 - September 12, 2015

    Publication history

    Received by Cureus: September 05, 2015
    Published: September 09, 2015

    License

    This is an open access poster distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: In 2020, the osteoarthritis will be the fourth leading cause of disability worldwide. Nowadays, according to the World Health Organization (WHO), this impairment affects 80% of the population older than 65 years. The treatment in advanced stages is the total knee arthroplasty (TKA). After surgery procedure, it is essential the early beginning of a program of physiotherapy to recover the physical and functional capacity of the patients.

Objectives: The objective of this study was to perform an 8-week physical therapy program (3 sessions per week) to recover the functionality to a patient who underwent TKA.

Methods: A case study of TKA for secondary osteoarthritis was carried out.  The variables were measured at baseline, 4, 6 and 8 weeks. This analysis was performed using percentages of change with respect to baseline assessment for the following variables: joint balance, muscle balance, circumferential data, Tinetti test, Timed Up and Go test, Flamingo test, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Hospital Anxiety and Depression Scale (HADS), Visual Analogue Scale (VAS), Short Form-36 Health Survey (SF-36) and Barthel Index.

Results: The physical therapy program was well tolerated with an adherence rate of 100%. There were improvements in all variables, highlighting the joint balance where were obtained ranges between 46.66-120%.

Conclusions: The results obtained have been beneficial. We found important improvements in all variables assessed. It has improved quality of life, functional capacity and pain. Subsequent studies would be required to approach the patterns of miofascial pain associated with this intervention due to the results found in this study.

Eloísa Delgado-Delgado

Health Science Department, University of Granada

For correspondence:
eloisde@hotmail.com

Mª Magdalena Moral-Castro

Health Science Department, University of Jaén

Jonatan Fernández-Ruiz

Nursing Department, University of Granada

Lydia Martín-Martín

Health Science Department, University of Granada

Manuel Arroyo-Morales

Health Science Department, University of Granada

Noelia Galiano-Castillo

Health Sciences, University of Jaén

Eloísa Delgado-Delgado

Health Science Department, University of Granada

For correspondence:
eloisde@hotmail.com

Mª Magdalena Moral-Castro

Health Science Department, University of Jaén

Jonatan Fernández-Ruiz

Nursing Department, University of Granada

Lydia Martín-Martín

Health Science Department, University of Granada

Manuel Arroyo-Morales

Health Science Department, University of Granada

Noelia Galiano-Castillo

Health Sciences, University of Jaén

Eloísa Delgado-Delgado

Health Science Department, University of Granada

For correspondence:
eloisde@hotmail.com

Mª Magdalena Moral-Castro

Health Science Department, University of Jaén

Jonatan Fernández-Ruiz

Nursing Department, University of Granada

Lydia Martín-Martín

Health Science Department, University of Granada

Manuel Arroyo-Morales

Health Science Department, University of Granada

Noelia Galiano-Castillo

Health Sciences, University of Jaén

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