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Title: Optimising patient function following elective total hip replacement surgery
Author: Okoro, Tosan
Awarding Body: Prifysgol Bangor University
Current Institution: Bangor University
Date of Award: 2013
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Symptomatic hip osteoarthritis is associated with poor general health status and surgical intervention (total hip replacement; THR) is the most effective treatment for end stage disease. This procedure generally resolves pain, but function usually remains substantially sub-optimal. This protracted disability has detrimental economic, social and health consequences. 'Standard rehabilitation' (SR), (i.e. low intensity exercise, not involving progressive resistance training (PRT)), typically permits patients to regain basic levels of function but fails to resolve the significant muscle wasting and subsequent strength deficits associated with the condition. Supervised PRT following THR produces good results in terms of muscle strength and function. However, delivery of this type of program is expensive due to the high costs associated with supervision, facility provision, and transport of patients. A home-based program featuring relatively high intensity PRT but not requiring a high degree of supervision, would potentially overcome these problems. Before commencing this study, evidence was lacking regarding whether home-based PRT regimes with weekly supervision in the early postoperative period were effective in restoring muscle mass and physical function in THR patients.
Supervisor: Lemmey, Andrew ; Maddison, Peter Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available