Volders, E.L.D. (2016) Influence of physical therapy on the extent of recovery after revision arthroplasty of the hip and knee in the Netherlands and Germany. thesis, Medicine.
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Abstract
Background: Global aging and overweight are two major problems that result in more people having osteoarthritis. Well-accepted treatment in end-stage osteoarthritis is total joint arthroplasty. Higher prevalence of osteoarthritis and thus total joint arthroplasty results in more people having a revision arthroplasty as well. Until now there is little known about the extent of recovery after revision arthroplasties and what can be of influence on this. Objectives: Primary objective is to get insight into the influence of physical therapy on the extent of recovery (physical functioning) after revision hip or knee arthroplasty. In addition the influence of living situation and comorbidity is analyzed. Secondary objective is to analyze differences in amount of physical therapy, health insurances and recovery outcomes between the Netherlands and Germany. Methods: Dutch and German patients filled in a questionnaire about the amount of physical therapy, physical functioning and health insurance 6-12 months after revision hip or knee arthroplasty. Physical functioning was measured with the Western Ontario and McMaster Universities Arthritis Index (WOMAC). Descriptive statistics, ANCOVA, Mann Whitney U test and Kruskal-Wallis test were used to measure the influence of the different factors on the extent of recovery. Results: Knee patients scored significantly lower on WOMAC than hip patients (p<.001), but both knee and hip patients scored higher if they had more physical therapy. Less comorbidity, not living alone and less physical therapy were associated with a higher WOMAC score for aseptic hip revision patients. In addition, German patients have more physical therapy than Dutch patients, but do not show better recovery outcomes. Conclusion: No statistically significant main effect of physical therapy on extent of recovery was found. Presumption exists that preoperative health and living status, in terms of comorbidity and living situation, are of bigger influence on the extent of recovery. Further research with bigger sample sizes is needed to gain more insight in the factors that are of influence on the extent of recovery after revision arthroplasties.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Faculty supervisor: and Stevens, Dr. M. |
| Supervisor name: | 2nd supervisor: and Seeber, S. Carl von Ossietzky University Oldenburg; Departme |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:01 |
| Last Modified: | 25 Jun 2020 11:01 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2164 |
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