Valluri Nandini, Chrysolyte Mohanan, Antony Leo Aseer Peter, Artaban Johnson Jeldi, Mohamed Sameer, Soundararajan Kannan
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引用次数: 0
Abstract
Background: A structured exercise program following hip arthroplasty for hip fractures is crucial for improving patients' physical function and quality of life. Despite the increasing incidence of hip fractures, there is a dearth of literature on exercise programs for hip arthroplasty performed for fractures. This study aimed to obtain an expert consensus on a structured exercise program for hip arthroplasty patients.
Methods: A literature search was performed in electronic databases such as PubMed, Web of Science, PEDro, and Scopus, and evidence was pooled and formulated into items for the protocol. A three-round, online modified Delphi survey was conducted to validate the results of the framed exercise protocol which included national and international physiotherapy experts as panelists.
Results: In round 1, 59 items about rehabilitation were mailed to the panelists, and 50 items reached a consensus. Round 2 had 19 items, and 13 items reached a consensus. Consensus was sought on items for which the authors disagreed by sending them for review before the next round. In round three, a model exercise program was framed based on the results of previous rounds and was mailed to the panelists for their feedback. Based on their comments and suggestions, the framework of the structured exercise program was finalized.
Conclusions: Based on the results of the Delphi survey, the exercise protocol for hip arthroplasty was framed and validated. The validated exercise program can serve as guidance for physiotherapists in enhancing optimal recovery following hip arthroplasty.
Supplementary information: The online version contains supplementary material available at 10.1007/s43465-025-01335-3.
背景：髋部骨折髋关节置换术后有组织的锻炼计划对改善患者的身体功能和生活质量至关重要。尽管髋部骨折的发生率越来越高，但关于髋关节置换术治疗髋部骨折的锻炼方案的文献却很少。本研究旨在获得专家对髋关节置换术患者结构化锻炼计划的共识。方法：在PubMed、Web of Science、PEDro、Scopus等电子数据库中进行文献检索，汇集证据形成方案条目。进行了三轮在线修正德尔菲调查，以验证框架运动方案的结果，其中包括国内和国际物理治疗专家作为小组成员。结果：第1轮共邮寄康复相关项目59项，达成共识的项目50项。第二轮共有19个议题，达成共识的议题有13个。对于作者不同意的项目，在下一轮谈判前将其送交审议，以寻求共识。在第三轮中，根据前几轮的结果制定了一个示范锻炼计划，并将其邮寄给小组成员以征求他们的反馈。根据他们的意见和建议，最终确定了结构化锻炼计划的框架。结论：基于德尔菲调查的结果，构建并验证了髋关节置换术的运动方案。经过验证的运动计划可以作为物理治疗师在髋关节置换术后增强最佳恢复的指导。补充资料：在线版本包含补充资料，下载地址：10.1007/s43465-025-01335-3。
期刊介绍：
IJO welcomes articles that contribute to Orthopaedic knowledge from India and overseas. We publish articles dealing with clinical orthopaedics and basic research in orthopaedic surgery. Articles are accepted only for exclusive publication in the Indian Journal of Orthopaedics. Previously published articles, articles which are in peer-reviewed electronic publications in other journals, are not accepted by the Journal. Published articles and illustrations become the property of the Journal. The copyright remains with the journal. Studies must be carried out in accordance with World Medical Association Declaration of Helsinki.
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