Analysis of factors influencing patient satisfaction after total hip arthroplasty in a Japanese cohort: the significant effect of postoperative physical activity
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- Fujita Tsutomu
- Department of Rehabilitation, Kyushu University Hospital, Japan
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- Hamai Satoshi
- Department of Medical-Engineering Collaboration for Healthy Longevity, Faculty of Medical Sciences, Kyushu University: 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan
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- Shiomoto Kyohei
- Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
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- Okazawa Kazuya
- Department of Rehabilitation, Kyushu University Hospital, Japan
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- Nasu Yu-ki
- Department of Rehabilitation, Kyushu University Hospital, Japan
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- Hara Daisuke
- Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
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- Harada Satoru
- Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
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- Motomura Goro
- Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
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- Ikemura Satoshi
- Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
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- Fujii Masanori
- Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
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- Kawahara Shinya
- Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
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- Kawaguchi Ken-ichi
- Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
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- Nakashima Yasuharu
- Department of Orthopedic Surgery, Faculty of Medical Sciences, Kyushu University, Japan
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Description
<p> [Purpose] To determine patient satisfaction after total hip arthroplasty in a Japanese cohort and to identify factors that significantly influence patient satisfaction. [Participants and Methods] This study included 285 patients who underwent primary total hip arthroplasty for osteoarthritis. Postoperative satisfaction, Oxford hip score, short form-12 mental component summary score, and University of California Los Angeles activity score were investigated. Muscle strength and daily step counts were determined using a hand-held dynamometer (μ-Tas F1) and activity monitor (ActivPAL) in 89 and 26 patients, respectively. Factors associated with postoperative satisfaction, Oxford hip score-activities of daily living, and University of California Los Angeles activity score were identified. The relationship between the Oxford hip score-activities of daily living and daily step counts was examined. [Results] Overall, 94.7% of the patients reported satisfaction with total hip arthroplasty. The Oxford hip score-activities of daily living and University of California Los Angeles activity score were significantly associated with patient satisfaction. Younger age and hip abductor strength were significantly associated with a higher Oxford hip score-activities of daily living and University of California Los Angeles activity score. The average daily step count was significantly correlated with the Oxford hip score-activities of daily living. [Conclusion] Self-reported physical activity levels significantly influenced patient satisfaction and were correlated with objective muscle strength and daily step count measurements. These findings can guide total hip arthroplasty patient counseling on the importance of muscle strength and activity levels.</p>
Journal
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- Journal of Physical Therapy Science
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Journal of Physical Therapy Science 34 (2), 76-84, 2022
The Society of Physical Therapy Science