Effect Of Functional Exercise Based On Dynamic And Static Complementary Balance Theory On Hip Joint Function In Patients With Total Hip Arthroplasty

ObjectiveTo investigate the application of the theory of the balance of complementary motion and quiescence in functional exercise of patients with femoral neck fracture undergoing total hip arthroplasty.By observing the postoperative pain,hip function,ability of daily living,self-efficacy of rehabilitation exercise and postoperative complications of patients with total hip replacement,the effect was evaluated,so as to enrich the postoperative functional exercise methods of clinical patients with total hip replacement,enhance its efficacy,and lay the foundation for the rapid discharge of patients.MethodsThe subjects were patients with femoral neck fracture who underwent total hip arthroplasty from November 2019 to December 2020 in the Hip Department of a third-grade hospital in Henan Province.A total of 80 patients were included according to inclusion and exclusion criteria.Using the random number table method,they were randomly divided into two groups: the experimental group(40 cases)and the control group(40 cases).The control group was treated with orthopedic routine nursing,and the experimental group was treated with "complementary motion and quiescence" functional therapy on the basis of the control group.The degree of pain and the incidence of complications during hospitalization were compared before surgery,1 week and 2 weeks after surgery and 1 month after surgery.The hip function and the ability of daily living were compared between the two groups 2 weeks,1month and 2 months after operation.The self-efficacy of rehabilitation exercise was compared1 week and 2 weeks after surgery.Results1.Comparison of baseline dataThe general information(age,sex,height,weight,education background,payment type,family support system,affected side and type of complications)of the two groups before the trial were compared,and there was no statistical significance(P>0.05).There were no significant differences in the amount of blood loss during the operation,the duration of operation,the material of the hip prosthesis,the time of drainage tube removal and the time of analgesia pump removal(P>0.05).2.Comparison of pain scoreThere was no statistically significant difference in the pain scores between the experimental group and the control group before and 1 week after surgery(P>0.05),but there was statistically significant difference in the pain scores 2 weeks and 1 month after surgery(P<0.05).3.Comparison of hip function scoresThere was no statistically significant difference in hip function score between the two groups 2 weeks after surgery(P>0.05),while there was statistically significant difference between the two groups 1 month after surgery(P<0.05),and there was statistically significant difference between the two groups 2 months after surgery(P<0.05).4.Comparison of ability scores for activities of daily livingThere was no statistically significant difference in the ability of daily living between the two groups 2 weeks after surgery(P>0.05),but there was statistically significant difference between the two groups 1 month and 2 months after surgery(P<0.05).5.Comparison of rehabilitation exercise self-efficacy scoresThere was no statistically significant difference in the self-efficacy scores of rehabilitation exercise between the two groups 1 week after surgery(P>0.05),while there was statistically significant difference between the two groups 2 weeks after surgery(P<0.05).6 Comparison of postoperative complicationsPostoperative complications(nausea and vomiting,constipation,pressure sores,prosthesis dislocation,pulmonary infection,deep vein thrombosis)were significantly different between the two groups during hospitalization(P<0.05),and the complications in the test group were less than those in the control group.Compared with the control group,there was statistically significant difference in the total duration of vertigo during sitting up or standing up out of bed and exercising in the experimental group(P<0.05),and there was statistically significant difference in the number of vertigo between the two groups(P<0.05).ConclusionFunctional exercise based on the theory of the balance of complementary motion and quiescence can promote hip joint function recovery in patients undergoing total hip arthroplasty for femoral neck fracture,enhance the ability of daily living activities,improve the self-efficacy of rehabilitation exercise and reduce postoperative complications.