| Abstract [eng] |
SUMMARY Vilnius University Faculty of Medicine Department of Rehabilitation, Physical and Sports Medicine Master of Rehabilitation Program FAST – TRACK EFFECT ON MOBILITY, PAIN AND ANXIETY AFTER HIP ARTHROPLASTY Rehabilitation Master's thesis The Author: Vita Lizdenienė Academic advisor: lekt. dr. Svetlana Lenickienė, Vilnius University Faculty of Medicine, Department of Rehabilitation, Physical and Sports Medicine; Vilnius University Hospital Santariškių klinikos, the Centre of the Rehabilitation, Physical and Sport Medicine. Keywords: fast – track, mobility, pain, anxiety, hip replesment. The purpose of the thesis: To determine the influence of fast - track methods on mobility, pain and anxiety during acute period following endoprosthetic hip surgery. Objectives of the thesis: 1. To determine the influence of fast - track methods on mobility, fear of movement following endoprosthetic hip surgery. 2. To evaluate the influence of fast – track on the change in the level pain following endoprosthetic hip surgery. 3. To analyse the influence of fast - track on the change of anxiety following endoprosthetic hip surgery. 4. To determine the correlations between mobility, fear of movement, pain and anxiety. Research methodology: 60 patients who have undergone endoprosthetic hip surgery by anterior-lateral incision at the Centre of Orthopaedics and Traumatology of Vilnius University Hospital Santariskiu Klinikos took part in the research. Their mobility was assessed by performing a 10-meter walk test. In addition, in order to determine physical fitness the pulse was measured before the test, right after the test, 1 minute, 3 minutes and 5 minutes after the test and isometric strength of leg abductors, adductors and knee extensors was tested using a manual Lafayette dynamometer. Fear of movement was assessed on the Tampa scale for kinesiophobia, the pain was measured on the VAS scale and anxiety was evaluated on the Spielberger scale. The data was analysed by using SPSS 13.0 and Excel 2007 statistical analysis software. Findings: It was determined that the changes in the mobility and muscle strength of the experimental group were statistically significantly greater than those in the control group (p<0.05). The final testing revealed that the fear of movement in the experimental group of patients was statistically significantly lower and changes were greater than in the patients in the control group (p<0.05). The pain in the experimental group of patients at the time of the final testing was statistically significantly lower and its change was greater as compared to the patients in the control group (p<0.05). The final testing determined that the anxiety state indicators in the experimental group of patients were statistically significantly lower and their changes were greater than in the patients in the control group (p<0.05). Conclusions: It was determined that fast - track does more to improve mobility and muscle strength than common kinesiotherapy. It was also found that fast - track reduces the fear of movement, pain and anxiety traits better than common kinesiotherapy. It was not established that early kinesiotherapy influenced anxiety traits. There were statistically significant correlations between fear of movement, mobility (walking time), pain and anxiety. There were no statistically significant relations between the age of subjects and fear of movement, mobility, anxiety and pain. The male and female fear of movement, mobility, anxiety and pain were found to be similar. |
