| Summary: | 碩士 === 國立臺灣大學 === 物理治療學研究所 === 87 === The patients with serious hip problems are mostly treated by total hip replacement. It is then important to design a set of exercise for these patients, to help them enhance their muscle strength, promote functional recovery and prevent postoperative complications. In the current insurance system in Taiwan, total hip replacement patient can not get completely physical therapy. Thus, the purpose of this study is to find out if it is feasible to apply home exercise program on them and to help them enhance their muscle strength and operative outcome. Also, we would like to evaluate the compliance of total hip replacement patients in executing the home exercise program, and to investigate the effect of such compliance to the exercise program. The results of this study show that the experimental group and control group have significant differences on Harris hip score and the peak torque of affected hip abductor, flexor, extensor. However, there is no significant difference on operated hip adductor, all hip muscles of non-operated side, and pace speed. The improvement of Harris hip score and peak torque of hip flexor is related to the extent of exercise distortion. The increases of peak torque of hip abductor and flexor are related to the exercise hobby. The practice ratio depends on loyalty, post-exercise fatigue and the extent of exercise distortion. Therefore, for those patients who had done the total hip replacement operation for more than half year, if give them three month home exercise, and at least six telephone follow ups. This study found out that those patients who execute their home exercise seriously-- those who had more accurate movements or those who do exercise regularly will have better performance. Exercise distortion and compliance of home program are highly related. It is recommended that the patient who execute the home exercise incorrectly will also tend to have lower exercise compliance, the instructor should emphasize on connection or through outpatients department of physical therapy, not just by home exercise only.
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