Effect of Exercise Intervention Combined with Counterbalance Exercise on Joint Function and Quality of Life of Orthopedic Postoperative Patients

  • Weidong Luo
Keywords: Exercise Intervention, Counterbalance Exercise, Total Hip Arthroplasty, Joint Function, Quality of Life

Abstract

In order to explore the effect of exercise intervention combined with counterbalance exercise on joint function
and quality of life of orthopedic postoperative patients, this paper took total hip arthroplasty (THA) as an
example, and chose 160 THA patients who underwent artificial hip replacement at designated hospitals by this
study from June 2013 to June 2018, and divided them into 4 groups according to the random number table
method: routine postoperative nursing (RPN), routine postoperative nursing + exercise intervention (RPN+EI),
routine postoperative nursing + counterbalance exercise (RPN+CE) and routine postoperative nursing + exercise
intervention + counterbalance exercise (RPN+EI+CE) with 40 cases in each group. The RPN group was control
group, and only conducted the routine orthopedic postoperative nursing; the RPN+EI group was supplemented
with exercise intervention training on the basis of routine rehabilitation nursing; the RPN+EI group was
supplemented with counterbalance function exercise on the basis of routine rehabilitation nursing; and the
RPN+EI+CE group was supplemented with exercise intervention combined with counterbalance exercise on the
basis of routine rehabilitation nursing. The observation indicators of Harris hip score and Barthel index scores,
total effectiveness, postoperative exercise compliance rate (PECR), satisfaction, visual analogue scale (VAS)
score and SF-36 scale score in the 4 groups were observed, evaluated and recorded before and 3 and 6 months
after intervention, respectively. The results shows that 3 months after operation, the Harris hip scores, Barthel
index scores, total effectiveness, PECRs, satisfactions, SF-36 scale scores (6 dimensions) of RPN+EI group,
RPN+CE group and RPN+EI+CE group were higher than that of the RPN group, and the difference was
statistically significant (P<0.05), while the VAS scores were lower than that of RPN group, and the difference
was statistically significant (P<0.05). 6 months after operation, the Harris hip scores, Barthel index scores, total
effectiveness, PECRs, satisfactions, and SF-36 scale scores (8 dimensions) in RPN+EI+CE group were
significantly higher than that of RPN group, RPN+EI group and RPN+CE group, and the difference was
statistically significant (P<0.05), while the VAS scores were significantly lower than that of RPN group,
RPN+EI group and RPN+CE group and the difference was statistically significant (P<0.05). Therefore, the
exercise intervention combined with counterbalance exercise can effectively reduce the body pain and other
complications in orthopedic postoperative patient, improve their postoperative exercise compliance, patient joint
function, and quality of life.

Published
2019-09-15