Comparison of pre- and postoperative functional dependence in older adults submitted to hip arthroplasty
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Fisioterapia em Movimento |
Texto Completo: | https://periodicos.pucpr.br/fisio/article/view/31289 |
Resumo: | Introduction: Femur fractures and hip osteoarthritis affect the functional independence of older adults. Hip arthroplasty (HA) is a surgery to treat these conditions and physiotherapy can reduce functional dependence levels. Objective: To compare pre- and postoperative functional dependence in older adults submitted to HA, assess the association between functional dependence and independence, and whether age is associated with greater functional dependence in these patients. Methods: A quantitative cross-sectional descriptive comparative study with older adult volunteers submitted to HA evaluated before and after surgery using the Katz index and Functional Inde-pendence Measure (FIM). Comparative analysis was performed via Wilcoxon’s matched pairs test and Spearman’s correlation. Linear regression was applied to assess the influence of functional dependence on postoperative independence (p < 0.05). Results: Forty-eight patients were evaluated in the pre- and postoperative stages using the Katz index, which demonstrated reduced functional dependence after HA. The FIM assessment indicated greater postoperative functional dependence, demonstrating the surgical procedure combined with early physiotherapy while patients were hospitalized promoted functional independence in older adults. Additionally, there was a directly proportional relationship between dependence level and age. Conclusion: Functional dependence declined after HA, which improved independence in older adults. Functional dependence affected postoperative independence and age influenced functional dependence. |
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Fisioterapia em Movimento |
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Comparison of pre- and postoperative functional dependence in older adults submitted to hip arthroplastyComparação do nível de dependência funcional pré e pós-operatório de idosos submetidos à artroplastia de quadril Introduction: Femur fractures and hip osteoarthritis affect the functional independence of older adults. Hip arthroplasty (HA) is a surgery to treat these conditions and physiotherapy can reduce functional dependence levels. Objective: To compare pre- and postoperative functional dependence in older adults submitted to HA, assess the association between functional dependence and independence, and whether age is associated with greater functional dependence in these patients. Methods: A quantitative cross-sectional descriptive comparative study with older adult volunteers submitted to HA evaluated before and after surgery using the Katz index and Functional Inde-pendence Measure (FIM). Comparative analysis was performed via Wilcoxon’s matched pairs test and Spearman’s correlation. Linear regression was applied to assess the influence of functional dependence on postoperative independence (p < 0.05). Results: Forty-eight patients were evaluated in the pre- and postoperative stages using the Katz index, which demonstrated reduced functional dependence after HA. The FIM assessment indicated greater postoperative functional dependence, demonstrating the surgical procedure combined with early physiotherapy while patients were hospitalized promoted functional independence in older adults. Additionally, there was a directly proportional relationship between dependence level and age. Conclusion: Functional dependence declined after HA, which improved independence in older adults. Functional dependence affected postoperative independence and age influenced functional dependence.Introdução: Fraturas de colo do fêmur e osteoartrose no quadril afetam a independência funcional de idosos. A artroplastia de quadril (AQ) é uma cirurgia para tratar essas condições e a fisioterapia pode reduzir o nível de dependência funcional. Objetivo: Comparar o nível de dependência funcional pré e pós-operatório de idosos submetidos à AQ, avaliar a associação entre dependência funcional e independência funcional e verificar se a idade está associada à pior dependência funcional destes pacientes. Métodos: Estudo transversal, descritivo, quantitativo e de associação, onde voluntários idosos submetidos à AQ foram avaliados no pré e pós-operatório usando o índice de Katz e a Medida de Independência Funcional (MIF). A análise comparativa foi realizada com os testes estatísticos Wilcoxon pareado e correlação de Spearman. Uma regressão linear examinou a influência da dependência funcional na independência pós-operatória (p < 0,05). Resultados: Quarenta e oito pacientes foram avaliados tanto no pré quanto no pós-operatório por meio do índice Katz, observando-se uma redução da dependência funcional após o procedimento de AQ. A avaliação da MIF demonstrou que houve aumento da independência funcional no pós-operatório, demonstrando que o procedimento cirúrgico associado à fisioterapia precoce, enquanto o paciente ainda está hospitalizado, promoveu a independência funcional. Além disto, houve uma relação diretamente proporcional entre nível de dependência e idade. Conclusão: A dependência funcional reduziu após a cirurgia de AQ e aumentou a independência em idosos. A dependência funcional impactou a independência após a cirurgia e a idade influenciou a dependência funcional.Editora PUCPRESS2024-04-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/3128910.1590/fm.2024.37114Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 37 (2024): n. cont.Fisioterapia em Movimento; v. 37 (2024): n. cont.1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRengporhttps://periodicos.pucpr.br/fisio/article/view/31289/26591https://periodicos.pucpr.br/fisio/article/view/31289/26592Copyright (c) 2024 PUCPRESSinfo:eu-repo/semantics/openAccessSilva, Jefferson Carlos Araujo Sousa, Gabriela MartinsCota, Natalia BarrelSilva, Thalita Cristinny AraujoOliveira, Murilo RezendeCavalcante, Tamires Barradas2024-04-22T19:08:00Zoai:ojs.periodicos.pucpr.br:article/31289Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2024-04-22T19:08Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false |
dc.title.none.fl_str_mv |
Comparison of pre- and postoperative functional dependence in older adults submitted to hip arthroplasty Comparação do nível de dependência funcional pré e pós-operatório de idosos submetidos à artroplastia de quadril |
title |
Comparison of pre- and postoperative functional dependence in older adults submitted to hip arthroplasty |
spellingShingle |
Comparison of pre- and postoperative functional dependence in older adults submitted to hip arthroplasty Silva, Jefferson Carlos Araujo |
title_short |
Comparison of pre- and postoperative functional dependence in older adults submitted to hip arthroplasty |
title_full |
Comparison of pre- and postoperative functional dependence in older adults submitted to hip arthroplasty |
title_fullStr |
Comparison of pre- and postoperative functional dependence in older adults submitted to hip arthroplasty |
title_full_unstemmed |
Comparison of pre- and postoperative functional dependence in older adults submitted to hip arthroplasty |
title_sort |
Comparison of pre- and postoperative functional dependence in older adults submitted to hip arthroplasty |
author |
Silva, Jefferson Carlos Araujo |
author_facet |
Silva, Jefferson Carlos Araujo Sousa, Gabriela Martins Cota, Natalia Barrel Silva, Thalita Cristinny Araujo Oliveira, Murilo Rezende Cavalcante, Tamires Barradas |
author_role |
author |
author2 |
Sousa, Gabriela Martins Cota, Natalia Barrel Silva, Thalita Cristinny Araujo Oliveira, Murilo Rezende Cavalcante, Tamires Barradas |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Silva, Jefferson Carlos Araujo Sousa, Gabriela Martins Cota, Natalia Barrel Silva, Thalita Cristinny Araujo Oliveira, Murilo Rezende Cavalcante, Tamires Barradas |
description |
Introduction: Femur fractures and hip osteoarthritis affect the functional independence of older adults. Hip arthroplasty (HA) is a surgery to treat these conditions and physiotherapy can reduce functional dependence levels. Objective: To compare pre- and postoperative functional dependence in older adults submitted to HA, assess the association between functional dependence and independence, and whether age is associated with greater functional dependence in these patients. Methods: A quantitative cross-sectional descriptive comparative study with older adult volunteers submitted to HA evaluated before and after surgery using the Katz index and Functional Inde-pendence Measure (FIM). Comparative analysis was performed via Wilcoxon’s matched pairs test and Spearman’s correlation. Linear regression was applied to assess the influence of functional dependence on postoperative independence (p < 0.05). Results: Forty-eight patients were evaluated in the pre- and postoperative stages using the Katz index, which demonstrated reduced functional dependence after HA. The FIM assessment indicated greater postoperative functional dependence, demonstrating the surgical procedure combined with early physiotherapy while patients were hospitalized promoted functional independence in older adults. Additionally, there was a directly proportional relationship between dependence level and age. Conclusion: Functional dependence declined after HA, which improved independence in older adults. Functional dependence affected postoperative independence and age influenced functional dependence. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-04-22 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/31289 10.1590/fm.2024.37114 |
url |
https://periodicos.pucpr.br/fisio/article/view/31289 |
identifier_str_mv |
10.1590/fm.2024.37114 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/31289/26591 https://periodicos.pucpr.br/fisio/article/view/31289/26592 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2024 PUCPRESS info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2024 PUCPRESS |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora PUCPRESS |
publisher.none.fl_str_mv |
Editora PUCPRESS |
dc.source.none.fl_str_mv |
Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 37 (2024): n. cont. Fisioterapia em Movimento; v. 37 (2024): n. cont. 1980-5918 reponame:Fisioterapia em Movimento instname:Pontifícia Universidade Católica do Paraná (PUC-PR) instacron:PUC_PR |
instname_str |
Pontifícia Universidade Católica do Paraná (PUC-PR) |
instacron_str |
PUC_PR |
institution |
PUC_PR |
reponame_str |
Fisioterapia em Movimento |
collection |
Fisioterapia em Movimento |
repository.name.fl_str_mv |
Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR) |
repository.mail.fl_str_mv |
rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br |
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1799138750102503424 |