What about hip’s rehabilitation before and after arthroplasty?

We talk about it at the first dedicated conference, organized by the University of Pavia and EdiAcademy.

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Rehabilitate and even play sports after hip arthroplasty: it can be done. To specific exercise-therapy protocols, EdiAcademy and UNIPV are devoting a two-day 7.7 CME credit event, curated by LAMA | Adapted Motor Activity Laboratory.

Hip arthroplasty: from prehabilitation to rehabilitation. The conference

We therefore met in Pavia, at Campus Aquae, on February 17 and 18, 2023. Waiting for us were more than two hundred Physiatrists, Physical Therapists and Exercise Science Professionals.

The objective: to present our model of telemonitoring management of the rehabilitation patient before and after hip arthroplasty surgery.

Waiting for us at Campus Aquae was Luca Marin, PhD in Advanced Sciences and Technologies in Rehabilitation, Medicine and Sport and Coordinator of the Rehabilitation Area at the City of Pavia Care Institute.

Luca Marin has also been a member for years of our team of Specialists, and is an expert in those rehabilitation methods and protocols that integrate Euleria Health‘s medical devices.

University of Pavia and Wellnet invite us to the first conference dedicated to rehabilitation before and after hip arthroplasty.

For us, Clinical Advisor Foivos Papaioannou and Customer Success Manager Gabriele Cera produced a contribution in keeping with the practical slant of the conference-60 percent of the time, in fact, saw operative demonstrations of exercise-therapy protocols specific to hip arthroplasty.

Hip: the role of telerehabilitation in recovering joint function

So we asked our Foivos Papaioannou to introduce us to one of Euleria Health’s methods for rehabilitation before and after hip arthroplasty.

Ph.D. and Ph.D. candidate in Neuroscience, Biomedicine and Movement at the University of Verona, Foivos Papaioannou coordinates Euleria Care, where he follows 42 patients in teriabilitation with Euleria Health devices.

Telerehabilitation is a care setting in which the movement professional assigns his or her patient an exercise-therapy pathway that the patient will carry out remotely (usually at home), being able to rely on the practitioner’s constant monitoring,” explains Dr. Papaioannou.

“In the stage prior to hip arthroplasty surgery, the patient is about to undergo total reconstruction of an essential joint; and, in patients of this type, joint function is often compromised long before the operation. With LAMA | Adapted Motor Activity Laboratory at UniPV, we have demonstrated the importance for patients to be involved in prehabilitation programs, which increase functional capacity, reduce hospitalization time and mitigate the risk of co-morbidities that may be associated,” adds Prof. Luca Marin.

Telerehabilitation with Euleria Health devices in use at the Istituto Auxologico Italiano. Photos by Ugo De Berti | UDB Studio

“From prehabilitation to post-surgical rehabilitation, even in the case of hip arthroplasty the goal is recovery of joint and postural capacity,” Dr. Papaioannou continues.

Before and after arthroplasty. The rehabilitation protocol for the hip according to Euleria Health

“Euleria Health’s method starts with the initial motor assessment, which is done in the clinic or rehabilitation gym, preferably with medical devices that can measure movement,” explains Dr. Papaioannou.

Below, our rehabilitation protocol for hip arthroplasty includes:

1. The assignment of an individualized exercise therapy program: the patient will perform, remotely and with telerehabilitation-specific medical idispieces, exercises in load transfer and enhancement of balance, stability, strength, and speed in preparation for surgery.

2. Telemonitoring, in which the practitioner reviews the patient’s partial results and proceeds to refine the program.

3. After surgery, at least one in-person evaluation visit and one video call televisit, in which to re-educate the patient in the performance of postural transitions and load transfers, especially to avert the risk of dislocation.

4. Teleconsultation both with the patient and possible caregiver to clarify the expected goals of the postoperative rehabilitation phase. Again, “If telerehabilitation is emerging as a valuable complementary supplement to in-clinic rehabilitation, it is mainly due to technologically advanced applications that can provide rehabilitative care to patients with chronic pain and disability. Interactivity, ease of use, and chat/video calls with one’s physical therapist are important incentives when choosing a medical device.”

Exercises in the form of video tutorials are shown on the tablet screen, and the user is instructed to perform them simultaneously with the system by wearing the sensor on a specific body part (trunk, thigh, shin, foot, arm, wrist) using the appropriate band, provided in the kit. The movements performed are recorded in real-time by the sensor and transmitted via Bluetooth to the app, based on which it then provides acoustic and visual feedback to the user on the goodness and quality of execution of the motor gesture. In particular, they provide insight into how far the target is, in terms of the angular target, for that movement. This training method, termed biofeedback in the literature, is designed to promote and stimulate learning, conditioning and recovery of neuro-motor patterns, with greater effectiveness and motivation than traditional practices.

Telerehabilitation with Euleria Health. User’s manual for the patient

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