IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i22p15067-d974185.html
   My bibliography  Save this article

Cost-Effective Healthcare in Rehabilitation: Physiotherapy for Total Endoprosthesis Surgeries from Prehabilitation to Function Restoration

Author

Listed:
  • Tünde Szilágyiné Lakatos

    (Clinical Center Gyula Kenezy Campus Clinic of Medical Rehabilitation and Physical Medicine, University of Debrecen, 4031 Debrecen, Hungary)

  • Balázs Lukács

    (Department of Physiotherapy, Faculty of Health Sciences, University of Debrecen, 4028 Debrecen, Hungary)

  • Ilona Veres-Balajti

    (Department of Physiotherapy, Faculty of Health Sciences, University of Debrecen, 4028 Debrecen, Hungary)

Abstract

Knee and hip joint replacements for the elderly are increasingly placing a burden on healthcare. Our aim was to verify the efficiency of the prehabilitation program among patients with knee arthroplasty (TKA) and hip arthroplasty (THA), taking into account the length and cost of postoperative rehabilitation and the restoration of function. We introduced a two-week preoperative physiotherapy program for patients awaiting knee and hip replacement surgery. We measured the duration and costs of the hospital stays, the active and passive range of motion of the hip and knee joints, and the quality of life. In the study, 99 patients participated (31 male, 68 female), with a mean age of 69.44 ± 9.69 years. We showed that, as a result of the prehabilitation program, the length of postoperative hospital stay decreased (THA: median 31.5 (IQR 26.5–32.5) vs. median 28 (IQR 21–28.5), TKA: median 36.5 (IQR 28–42) vs. median 29 (IQR 26–32.5)), and the patients’ quality of life showed a significant improvement (TKA: median 30.5 (IQR 30–35) vs. median 35 (IQR 33–35), THA: median 25 (IQR 25–30) vs. median 33 (IQR 31.5–35)). The flexion movements were significantly improved through prehabilitation in both groups. Based on our positive results, we recommend the introduction of prehabilitation into TKA- and THA-related care.

Suggested Citation

  • Tünde Szilágyiné Lakatos & Balázs Lukács & Ilona Veres-Balajti, 2022. "Cost-Effective Healthcare in Rehabilitation: Physiotherapy for Total Endoprosthesis Surgeries from Prehabilitation to Function Restoration," IJERPH, MDPI, vol. 19(22), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15067-:d:974185
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/22/15067/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/22/15067/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Jungae An & Ho-Kwang Ryu & Suk-Joo Lyu & Hyuk-Jong Yi & Byoung-Hee Lee, 2021. "Effects of Preoperative Telerehabilitation on Muscle Strength, Range of Motion, and Functional Outcomes in Candidates for Total Knee Arthroplasty: A Single-Blind Randomized Controlled Trial," IJERPH, MDPI, vol. 18(11), pages 1-15, June.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jungae An & Young-Wan Son & Byoung-Hee Lee, 2023. "Effect of Combined Kinematic Chain Exercise on Physical Function, Balance Ability, and Gait in Patients with Total Knee Arthroplasty: A Single-Blind Randomized Controlled Trial," IJERPH, MDPI, vol. 20(4), pages 1-14, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15067-:d:974185. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.