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