Case Study of Physiotherapy Treatment of a Patient with the Diagnosis

of Total Hip Replacement

BACHELOR DEGREE PROGRAM IN PHYSIOTHERAPY

Author: Louis Kyriacou

Supervisor: PhDr Jitka Čemusová

Instructor: Mgr Maja Spiritovic

August 2013, Praha

1 
 
Acknowledgements

Many thanks to my parents who were always supporting me through my studies, and
always standing by me. Also thanks to my supervisor and my instructor for their
valuable help and support during my practice and of course a huge thank you to my
patient. Thanks to all teachers of our faculty, who educated me and helped me to reach
the end.

2 
 
Abstract

The abstract of my study concerns the treatment of the case of my patient who had an
operation of total hip replacement on the right hip joint, caused by rheumatoid arthritis.
My practice was performed at Revmatologický Ústav Albertov. Physiotherapy program
started on Monday 4th of February 2013 and ended on Friday 15th of February 2013.

My Bachelor Thesis is divided in two parts: 1) Theoretical part 2) Practical part

In the theoretical part I analyse everything concerning the hip joint, muscles, joints,
bones, ligaments, nerves, arteries, veins as well as the biomechanical and kinesiological
point of view of the hip joint. In the practical part I analyse every procedure I have done
with my patient, all the examinations, conclusions, therapies and results.

The patient was operated in Kladno hospital at 14th of January, and was transfered to
Revmatologický Ústav in Albertov at 24th of January 2013. Since the patient transferred
at Revmatologický Ústav in Albertov, was following a special physiotherapeutic
treatment.

Goals of the therapy was to decrease pain, decrease swelling, increase range of motion
of the movement, increase mobility and elasticity of skin and also improve strength of
the operated right hip according to the examinations I provided to the practical part.

Finally at the last physiotherapeutic session of my patient, in compared with the first
one it was obvious that L.H was significantly improvemed. Pain was decreased to 2/10
according to VAS scale, swelling was reduced, range of motion (ROM) of the
movements and muscle strength were also improved, as well as the mobility and
elasticity of skin and fascias of the right hip. The results of the final examinations
showed that the stability and the endurance of the patient in walking with crutches were
improved, and very soon the patient will be fully recovered and able to perform all the
activities of daily living (ADL).

3