Rehabilitation outcome in patients with hip surgery repair, according to aquatic therapy and levels of weight bearing, evaluated with the use of Functional Independence Measure (FIM™).

Pasvantis Demitrios, Kolikopoulos Fokion, Kostikidou Afroditi, Mitsi Panagiota, Georgiadis Ioannis, Bakas Eleftherios, 

7th meeting of the International Medirranean Society of Orthopedic Surgery, 22 – 24 March, Makedonia Palace Hotel, Thessaloniki.

Aim: Fractures and severe osteoarthritic hip diseases in older people are common and usually require surgical repair. Techniques used on a case-by-case basis determine the level of weight bearing postoperatively, that also appear to determine the final Rehabilitation outcome. Our goal is to study the final outcome according to the classic therapeutic program and hydrotherapy and also on the level of weight bearing postoperatively, using the FIM index.

Material – method: We refer to 523 consecutive hip surgery patients who were hospitalized at the “Euromedica Arogi” rehabilitation center in 2017. 451 (group A) (mean age 82 years and median Length of Stay (LoS) 32 days) followed the classical rehabilitation program, while 72 patients (group B) (13.72%) (mean age 74 years and median LoS 37 days) followed additionally aquatic therapy programs. These were divided into three subgroups (B-a, B-b, B-c) depending on the level of weight bearing (without, partial, complete respectively). The FIM index was completed within 3 days after admission and within 3 days before discharge. We did not take into account the type of surgery because FIM does not distinguish the technique followed but only assesses the patient’s functional capacity.

Results: These are shown in the table for all the groups created

GroupPatientsMean admission FIMMean discharge FIMTotal FIM Change
improvem.
Motor admit. param.Motor dischar.
param.
Motor FIM Change% on total FIM change
Α45157,1384,9927,8648,776,0119,1413,1347,13
Β7275,47108,0032,5343,109,3126,2213.9252
Β-a666,1794,6728,5043,075,5018,8313.3346,77
Β-b4076,13110,6334,5045,39,1527,2518,1052,46
Β-c2675,59107,0431,4541,610,4226,3115,8950,52

Conclusions: It appears that patients who followed aquatic therapy after hip surgery repair, although starting with a higher FIM at admission, showed greater percentage improvement of the transfers and locomotion parameters of the specific index of functional independence.

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