Tag: choroba zwyrodnieniowa stawu biodrowego

Long-term evaluation of the quality of life of patients with osteoarthritis treated conservatively and surgically

Marcin Świątczak, Aneta Nowicka, Agnieszka Leszczyńska, Agnieszka Przedborska, Magdalena Pruszyńska, Katarzyna Glibov, Jan W. Raczkowski

Marcin Świątczak, Aneta Nowicka, Agnieszka Leszczyńska, Agnieszka Przedborska, Magdalena Pruszyńska, Katarzyna Glibov, Jan W. Raczkowski – Long-term evaluation of the quality of life of patients with osteoarthritis treated conservatively and surgically. Fizjoterapia Polska 2021; 21(3); 198-204

Abstract
Introduction. Osteoarthritis of the hip joint is one of the most common chronic diseases of the locomotor system. Total hip replacement (THR) is a treatment option of choice alongside conservative treatment. The aim of the study was the long-term assessment of the quality of life of patients after total hip replacement surgery and after conservative treatment.
Material and methods. The study group consisted of 35 patients diagnosed with many years of osteoarthritis of the hip who underwent THR with posterolateral surgical approach. The assessment was carried out at the Department of Orthopedics and Traumatology of the University Teaching Hospital WAM – CSW in Łódź. The control group consisted of 15 patients with long-term osteoarthritis of the hip, treated conservatively. Medical data were obtained from the history of the disease and the author’s questionnaire, while the World Health Organization Quality OF Life (WHOQOL) – BREF questionnaire was used to assess the quality of life.
The obtained results were statistically analyzed with the use of MS Office and the Student’s T-test, considering the results below p <0.05 as statistically significant.
Results. The assessment of domains was similar in both groups, the greatest dissonance was observed in the assessments of the somatic and social domains. Based on WHOQOL-BREF questionnaire, the majority of patients in the study group rated the quality of life from 60% to 70% of the maximum value, the highest psychological sphere, the least somatic. In the control group, the social domain obtained 78% of the maximum value, other domains – 74% of the maximum value.
Conclusions. Patients treated conservatively assessed their quality of life higher in all domains than patients who underwent THR. In both studied groups, the “positive” variant of the answer was the most frequently chosen in the WHOQOL-BREF questionnaire.
Key words:
quality of life, osteoarthrotic hip disease, alloplasty
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The Efficiency of Physiotherapy for Hip Osteoarthritis in the Light of Self-assessed Health-related Quality of Life

Daria Chmielewska, Joanna Wawrzyńczyk, Janusz Kubacki, Edward Błaszczak, Agnieszka Perkowska

Daria Chmielewska, Joanna Wawrzyńczyk, Janusz Kubacki, Edward Błaszczak, Agnieszka Perkowska – The Efficiency of Physiotherapy for Hip Osteoarthritis in the Light of Self-assessed Health-related Quality of Life. Fizjoterapia Polska 2012; 12(1); 59-70

Abstract
The aim of this study was to assess the effectiveness of a 4-week osteoarthritis rehabilitation program in terms of the amount of change in pain severity, range of motion in the hip affected as well as changes in function subscales as determined by SF-36 Health Survey, version 2 (SF-36v2) both in the total study population and in relation to gender. Correlations between the changes and range of motion and pain indices were also analyzed. The study group comprised 30 patients with hip osteoarthritis participating in a 4-week reha­bilitation program. Both active and passive. range of motion (ROM) in the hip joint was assessed Pain severity was measur­ed using the Numerical Rating Scale (NRS). Health-related quality of life was determined by means of SF-36 Health Survey, version 2 (SF-36v2) before and after the rehabilitation program. The analysis of mean scores in SF-36v2 function subscales obtained before and after therapy demonstrated major improvements in health-related quality of life subscales except general physical function. Pain severity decreased as suggested by the bodily pain subscale of the SF-36v2 and numerical rating pain scale. Statistically significant changes in active range of motion after therapy compared to the baseline values observed in the total study population as well as in female and male subgroups seem to confirm the effectiveness of physiotherapy for hip osteoarthritis.
Key words:
Osteoarthritis, Quality of Life, SF36v2 Health Survey
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