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PERAN LATIHAN PREHABILITASI PADA OPERASI ELEKTIF TOTAL HIP REPLACEMENT PADA OSTEOARTHRITIS HIP : LITERATUR REVIEW Rhona Agasti; Dini Nur Alpiah; Zeth Boroh
JURNAL ILMIAH RESEARCH AND DEVELOPMENT STUDENT Vol. 2 No. 2 (2024): Juni
Publisher : CV. ALIM'SPUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/jis.v2i2.754

Abstract

The increasing of elderly population, the prevalence of joint diseases including hip joints, and the need for a holistic approach to patient care have become major concerns in the development of prehabilitation exercise strategies that can be effectively applied. The length of stay, functional abilities, daily living activities, and post-total hip replacement (THR) quality of life are areas that need continuous improvement. This research aims to analyze the impact of prehabilitation exercises on post-operative outcomes in patients undergoing total hip replacement for hip osteoarthritis. A literature review study was conducted using PICO and MeSH search strategies in four databases, namely ProQuest, ScienceDirect, EMBASE, and MEDLINE. The screening process was performed according to criteria, and critical appraisal was conducted using a checklist. The literature search yielded a total of 20 articles meeting the criteria, indicating an impact on functional capacity in 12 articles and no impact in 4 articles. The length of hospital stay was discussed in 6 articles with the results of 3 significant articles and 3 insignificant articles. The most recommended type of exercise was strengthening/resistance exercise combined with endurance training. Although there is no guideline for prehabilitation exercises, it is recommended to perform exercises at least twice a week for a minimum of six weeks before surgery. Analysis indicates that prehabilitation exercises, especially strengthening and endurance exercises, are effective in improving functional capacity.
EARLY MOBILIZATION PADA PASIEN OSTEOARTHRITIS KNEE DENGAN POST TOTAL KNEE REPLACEMENT: NARRATIVE REVIEW Bernardus Edwin Dewantoro; Noraeni Arsyad; Zeth Boroh
JURNAL MULTIDISIPLIN ILMU AKADEMIK Vol. 1 No. 3 (2024): Juni
Publisher : CV. KAMPUS AKADEMIK PUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jmia.v1i3.1731

Abstract

Background: Total knee replacement (TKR) is a common orthopedic surgical procedure for advanced knee osteoarthritis (OA). Early mobilization is a rehabilitation strategy that needs to be considered to facilitate optimal recovery post-TKR. Despite the proposed benefits of early mobilization, there is no strong consensus in the literature regarding its effectiveness in post-TKR patients. Therefore, it is important to conduct a comprehensive literature review to evaluate existing evidence on the impact of early mobilization on post-TKR recovery. This will help strengthen understanding of the benefits and influencing factors on post-TKR rehabilitation outcomes. Method: This study is a qualitative research with a narrative review approach. Article searches were conducted using the online databases EBSCO, SCOPUS, ProQuest, and ScienceDirect. Literature identification was performed using the PICO search strategy. Results: The initial search with full-text articles yielded 4153 articles. Study selection was based on pre-established inclusion and exclusion criteria, resulting in 20 final articles that will be qualitatively synthesized. Conclusion: Early mobilization is significantly associated with a reduction in the length of stay for post-TKR patients. Mobilization starting from day 0 of the operation will shorten the hospitalization duration. Additionally, early mobilization has been proven to decrease the risk of complications, thereby preventing prolonged care.