Skip to main content

Table 2 Data on responses related to hip precautions and movement restriction for people who receive primary THR

From: UK survey of occupational therapist’s and physiotherapist’s experiences and attitudes towards hip replacement precautions and equipment

  % (Frequency)
Duration patients advised to follow hip precautions
 For the first 6 weeks post-operation. 55 (94)
 For the first 3 months post-operation. 36 (62)
 For the first 12 months post-operation. 2 (3)
 Forever after their total hip replacement. 4 (6)
 For as long as the patient feels appropriate. 4 (7)
 Did not respond 0
Principle providers of hip precaution advice and information
 Occupational Therapists (or Occupational Therapy Assistants) 75 (128)
 Physiotherapists (or Physiotherapy Assistants) 71 (121)
 Generic therapy advanced practitioners 15 (36)
 Nurses (and Health Care Assistants) 27 (46)
 Surgeons and medical team 30 (51)
 Did not respond 0
Timing of provision on hip precaution advice and information
 Pre-operatively in a one-on-one consultation 39 (67)
 Pre-operatively in a group setting with other THR patients 52 (89)
 Pre-operative in the form of a leaflet or DVD or website 29 (50)
 Post-operatively during the patient’s in-patient stay 43 (73)
 Post-operative after hospital discharge 10 (17)
 Did not respond 0
Specific groups who would not routinely receive hip precaution advice
 No specific exceptions 79 (134)
 Cognitively impaired 7 (12)
 The younger patient (aged 60 or below) 2 (4)
 The older patient (age 85 years or over) 1 (1)
 Very ‘fit’ patients (e.g. runners or those who engage in vigorous physical activity) 1 (2)
 Anterior surgical approach 2 (3)
 Constrain hip replacement 1 (1)
 Did not respond 8 (13)
Specific groups who would definitely routinely receive hip precaution advice
 No specific exceptions 74 (125)
 Cognitively impaired 5 (8)
 The younger patient (aged 60 or below) 6 (11)
 The older patient (age 85 years or over) 9 (15)
 Very ‘fit’ patients (e.g. runners or those who engage in vigorous physical activity) 9 (16)
 Posterior surgical approach 1 (2)
 Did not respond 0
Factors which dictate clinical reasoning
 Surgeon protocol/care pathway 72 (122)
 Therapy protocol/care pathway 50 (85)
 Surgical approach (i.e. posterior, anterior, anterolateral) 25 (42)
 My clinical assessment of the patient 44 (74)
 Research and evidence-based guidelines 28 (47)
 Did not respond 0
  1. THR total hip replacement