Posts Tagged ‘Replacement’

Physiotherapy and the Management of Knee Replacement

Major joint replacement is one of the success stories of the late twentieth century, providing the greatest changes in quality of life measurements of all medical treatments or operations. Total knee replacement has now developed from a less predictable operation to a routine procedure with good long-term results for severely osteoarthritic joints. Populations in developed countries are rapidly getting older and total knee replacement is set to overtake total hip replacement as the most performed joint replacement.

Osteoarthritis is a degenerative joint condition which is more common the older a person becomes, and is the most prevalent joint condition in human populations. The most affected joints vary, with some people having spinal and finger changes whilst other suffer OA of the major joints such as the hips and the knees. Major joint disease is more disabling as it tends to compromise normal mobility and so reduce independence. The patient can suffer from loss of knee movement, reduction of knee power, grating and crunching of the joint and pain, for which weight loss, muscle strengthening, painkilling medication and physiotherapy can be useful. If normal therapies are not successful then knee replacement is the remaining option. Read more…

Be the first to comment - What do you think?  Posted by admin - September 14, 2017 at 4:29 am

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Hip Replacement and Physiotherapy

Total hip replacement has matured into a routine operation for the relief of hip pain and disability due to hip arthritis, giving some of the greatest quality of life increases of all medical procedures. Typically performed in older people, many get a good result from their hip replacement surgery but many do not reach their greatest potential due to lack of follow up rehabilitation in the post-operative period.

An osteoarthritic hip joint is likely to cause a degree of pain and disability for a year or more before the person comes to operation. This period of difficulty can cause influential changes in the tissues around the hip which can be relevant in the postoperative period. Pain and weakness can make us use our joints less, avoiding pushing them to the ends of their movement, a process which gradually reduces the joint’s range of motion. Adaptive shortening occurs in the hip’s ligaments, as the structures shorten in response to the fact that the joint is not being put through its full range any more in the normal daily pattern. Read more…

Be the first to comment - What do you think?  Posted by admin - August 21, 2017 at 4:29 am

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Physiotherapy Shows Benefits Following Knee Replacement Surgery

According to a recent study published on bmj.com, physiotherapy can improve the daily lives of osteoarthritis patients who have undergone knee replacement surgery. Osteoarthritis is the most common type of disability found in oler people, so total knee replacement surgery is a routinely performed procedure. Since some patients continue to experience problems with everyday tasks shortly after surgery, researchers reviewed data to determine if short term physiotherapy is an effective solution.

The study involved over 600 patients who were reviewed for effectiveness of physiotherapy treatments accordng to improved function, quality of life, walking, range of knee joint motion, and muscle strength. The results found a small to moderate effect of functional exercise on joint motion and quality of life at three to four months after surgery. This effect, however, was not sustained at one year. Read more…

Be the first to comment - What do you think?  Posted by admin - August 15, 2017 at 4:27 am

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Physiotherapy – Management of Hip Replacement

Osteoarthritis (OA) is the commonest joint degeneration condition in the world, resulting in huge amounts of pain and suffering, work loss, expense and disability. Ageing of western developed populations, soon to be followed by some developing countries such as China, will place an increasing burden on medical services as the occurrence of OA rises steadily with age. There will be an increasing need to provide medical and physiotherapy treatment for OA over the next 50 years and for many thousands of people this will involve joint replacement.Â

Medical interventions can be rated on a scale which calculates the improvement in quality of life which results and here hip replacement comes out top of all treatments. The 1960s saw its development into a standard treatment for hip arthritis but the 21st century has seen the technique evolve into a complex and predictable approach to many hip conditions, with excellent fifteen year plus results. Once conservative treatments have been exhausted due to a worsening joint then joint replacement becomes the standard choice. Read more…

Be the first to comment - What do you think?  Posted by admin - August 9, 2017 at 4:34 pm

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