Effects of Very Early versus Early Mobilization and Walking on Functional and Psychosocial Outcomes in Acute Phase After Total Hip Arthroplasty: A Prospective Observational Study
Year: 2025
Type: article
Study design: Observational Study
Abstract: Background: Mobilization and walking after total hip arthroplasty (THA) are delivered as early as patients are able, but heterogeneity in administration timing has been reported. The study aimed to investigate the effects of very early (within 8 hours from surgery) vs early (between 12 and 24 hours from surgery) mobilization and walking on functional and psychosocial outcomes after THA. Methods: In this prospective observational study, 237 patients with THA performed very early (n = 174) or early (n = 63) mobilization and walking. After collecting demographic (age, gender, body mass index) and clinical (osteoarthritis severity, preoperative functional status and comorbidities) characteristics at baseline, participants were assessed for mobility (Timed Up and Go) and pain (Numeric Pain Rating Scale) at baseline, first (T1) and third (T2) postoperative days. Fear of movement (Tampa Scale of Kinesiophobia) and anxiety (Visual Analog Scale for anxiety) were investigated at baseline and T2. Percentage of participants who achieved independent walking at T1, time to meet ambulatory discharge criteria, length of stay, adverse events and satisfaction (Visual Analog Patient Satisfaction Scale) were collected. Results: > .05). Conclusions: Very early mobilization and walking were not superior to early mobilization and walking on functional and psychosocial outcomes after THA.
Source: Arthroplasty Today
Institutions: IRCCS Humanitas Research Hospital, Humanitas University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,500
OpenAlex ID: W7117382789