Intensive rehabilitation of an individual with Marfan syndrome after multiple total hip arthroplasty revisions in an outpatient setting: A case report Journal Article

  


Author: Berengut, E.
Article Title: Intensive rehabilitation of an individual with Marfan syndrome after multiple total hip arthroplasty revisions in an outpatient setting: A case report
Abstract: Background and Purpose: Marfan syndrome (MFS) is a rare disorder affecting 1 in 5000 individuals that impacts connective tissue and is associated with a higher prevalence of osteoarthritis. Total joint arthroplasty has been used to treat joint damage resulting from osteoarthritis in individuals with MFS. To date there has been no description of rehabilitation of individuals with MFS. The purpose of this report is to describe the rehabilitation of a patient with MFS, following multiple total hip arthroplasty revisions and multi-systemic comorbidities. Methods: The patient is a 58-year-old male presenting for rehabilitation at an outpatient physical therapy clinic. During the initial stage, his rehabilitation focused on transfer training and hip stability to prevent dislocation. In the following rehabilitation phase, the focus shifted to strengthening the hip musculature in the upright position, gait training with Lofstrand crutches, and step-up progression. During the final phase, the treatment was aimed at increasing ambulation tolerance and endurance with 1 Lofstrand crutch, reciprocating steps, and maximal functional independence. Results: The outcomes were assessed using the Lower Extremity Functional Scale, Short- Form Health Survey 36, and the Western Ontario McMaster Osteoarthritis Index at intake, 6 weeks, 16 weeks, and 3 months after discharge. The outcome measures indicated improvement in the patient's functional ability and quality of life. Conclusion: This case report highlights intensive rehabilitation of an individual with MFS after multiple total hip arthroplasty revisions and significant medical co-morbidities.
Journal Title: Orthopaedic Physical Therapy Practice
Volume: 29
Issue: 3
ISSN: 1532-0871
Publisher: APTA  
Date Published: 2017-09-01
Start Page: 154
End Page: 157
Language: English
ACCESSION: 124209495
PROVIDER: EBSCOhost
PROVIDER: cin20
DOI/URL:

http://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=124209495&site=ehost-live
Notes: Accession Number: 124209495 -- Entry Date: In Process -- Revision Date: 20170725 -- Publication Type: Article -- Journal Subset: Allied Health; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. -- Source: cin20