人工股関節全置換術を受けた患者の退院後の消費エネルギーとROM・ADLとの関連

Abstract

The patients who were undergone an operation of total hip replacement are advised to regulate their body weight to alleviate the burden imposed on the replaced artificial hip. Quantitative increase in energy consumption through suitable exercise may be helpful for the discharged patients to achieve the purpose. Range of motion of replaced hip joint (ROM) and scores of activities of daily living (ADL) putatively correlate with energy consumption in these cases. We studied the interrelation between the amount of energy consumption, ROM, and ADL scores by personal interviews or direct measurements. Total amount of energy consumption, ROM scores, and ADL scores of these patients tended to decrease from 12 months after discharge. Factors related to the reduction of energy consumption were aging, inoccupation, and assistive devices. Total sum of energy consumption was well proportionated to the ADL scores, while no relation was noted between energy consumption and ROM scores. The ways to motivate the discharged patients to understand the importance of long-term selfrehabilitation were discussed.