I would have to agree with Doug - there are not many hospitals that would
not provide rehab for their THR patients. Most of the patients follow a
fairly routine protocol. A quick reference for standard protocols would be
Clinical Orthopedic Rehabilitation by S. Brent Brotzman; Chap 7
Rehabilitation after Total Joint Arthroplasty.
At 11:21 PM 10/10/2001 -0400, you wrote:
>I haven't seen any responses to your inquiry so I will try to offer you what
>I would be very surprised if there are many hospitals that do not offer
>daily PT for patients with THA. I would also expect that it would be daily
>until d/c, 5-7 days sounds typical. I think that who goes to rehab
>(inpatient) and who goes home varies greatly depending on many factors.
>Unfortunately pt. needs and function are only part of the equation. Often
>who goes to rehab. varies by region, surgeon and financial considerations.
>If the pt. goes home from the acute hospital they would likely receive PT
>tiw to qd.
>Patients with complications or those who are progressing slowly are the most
>likely candidates for out pt. PT. Most pts. do not require out pt. PT. Hope
>Douglas M. White, PT, OCS
>Physical Therapist, Consultant
>191 Blue Hills Parkway
>Milton, MA USA 02186
>[log in to unmask]
>| I wonder if our american list members can help.
>| We are doing some evidence based practice work on rehab after THR. Lit
>| searches has revealled there isn't alot written - es[ecially from the UK.
>| couple of articles we critiqued this week were looking at physio
>| and rehab effects in USA. They talked of the acute care apparently from
>| days and then rehabilitation. One paper implied that not all patients had
>| physio during the acute phase and I assume by the discharge to a
>| rehabilitation centre is further in-patient care.
>| Can anyone out there clarify how it works out there! What I would also
>| to know is does anyone see these patients as out patients? I know they do
>| a certain practice in Western Australia.
>| It just shows how difficult it can sometimes be to relate article results
>| your own demographics.
>| Thanks in advance
Rege Turocy, DHCE, PT
Department of Physical Therapy
Rangos School of Health Sciences
Pittsburgh, PA 15282