Clinical study on the effect of the therapy of rapid rehabilitation procedures combined with myofascial traction on promoting the recovery of patients with total hip arthroplasty

Objective:To observe the rehabilitation efficacy of the therapy of rapid rehabilitation procedures based on rapid rehabilitation concept combined with myofascial traction on patients with total hip arthroplasty.Methods:97 patients with unilateral total hip arthroplasty were randomly divided into 3 groups according to the random number table,32 cases in the experimental group,34 cases in the control group and 31 cases in the deferred control group.After the operation,patients in the experimental group and control group were all administrated with rapid rehabilitation training procedures,meanwhile the patients in the experimental group were administrated with additional myofascial traction therapy according to differentiation of symptoms and signs;while the others in the deferred control group were administrated with rapid rehabilitation training procedures one week after the operation.Functions of the affected hips were evaluated according to Harris scoring standards before the operation,the 1st week,2nd week and 3 months after the operation respectively,and the complications for each group were observed at the same time.Results:There was statistical difference in Harris scores among different time points(F=7.771,P=0.000).There was no interaction effects between treatment process and measuring time points(F=0.170,P=0.960).On the aspect of Harris scores,there was statistical difference among the 3 groups(F=19.830,P=0.000).However,a further analysis showed that there was no statistical difference among the 3 groups 3 months after the operation and before the operation(F=2.060,P=0.175;F=13.886,P=0.068),and there was statistical difference among the 3 groups 1 week and 2 weeks after the operation(F=19.467,P=0.027;F=17.131,P=0.043).The results of pairwise comparison showed:①One week after the operation,scores of experimental group were higher than those of control group and deferred control group,and scores of control group were higher than those of deferred control group(P=0.035,P=0.001, P=0.045);②Two weeks after the operation,scores of experimental group and control group were higher than those of deferred control group(P=0.015,P=0.042),and there was no statistical difference in scores between experimental group and control group(P=0.071).2 cases with deep vein thrombosis in lower limbs were found in control group and deferred control group respectively,1 case of partly looseness of nail in the operational incision was found in the experimental group.No infection,dislocation and other complications were found in each group.Conclusion:The therapy of rapid rehabilitation procedures based on rapid rehabilitation concept combined with myofascial traction can shorten the rehabilitation time for the patients with total hip arthroplasty,then make them carry out ambulation earlier,which decrease the incidence of complications effectively and improve their life quality.