Marwa Mosaad Ali Mahdy
Professor
Effect of Evidence Based Progressive Exercise Program on Functional Outcomes for Patients after Total Hip Replacement Surgery
International Journal of Novel Research in Healthcare and Nursing • 2025
Publication Information
Authors
Marwa Mosaad Ali (1), Nehal Mahmoud Abo El-Fadl(2)
Keywords
Evidence Based, Functional Outcomes, Progressive Exercise Program, Total Hip Replacement.
Journal
International Journal of Novel Research in Healthcare and Nursing
Publisher
Marwa Mosaad Ali
Volume
8
Issue
1
Pages
336-351
publication.type
Local
Paper Link
Open Link
Supplementary Materials
Marwa Mosaad Ali Mahdy_1.pdf
Abstract
Hip replacement (total hip arthroplasty) is surgery to replace a worn-out or damaged hip joint. The
surgeon replaces the old joint with an artificial joint (prosthesis). This surgery may be a choice after a hip fracture
or for severe pain because of arthritis. It also helps relieve hip pain that can’t be controlled by other treatments.
Aim of the study: To evaluate the effect of evidence based progressive exercise program on functional outcomes for
patients after total hip replacement surgery. Aquasi-experimental design was used to conduct the current study in
orthopedic unit and outpatient clinics, at Benha university hospital during the period from beginning of November
2019 till beginning of November 2020. Subjects: A convenient sample of 60 patients recruited according to the
study criteria. Tools: Four tools were utilized for data collection, 1) Structured interviewing questionnaire sheet,
2) Structured Knowledge questionnaire, 3) Performance based measures and 4) Self-reported measures. Results:
Showed that the mean score regarding knowledge, performance based and self- reported measures were
significantly higher after implementing the evidence based progressive exercise program than before program
implementation. Moreover, there was a positive significant correlation between knowledge and each of HOOS and
hip ROM scores, while a negative significant correlation with TUG. Also, there was a negative and significant
correlation between Hip disability and Osteoarthritis Outcome and timed up and go test, where the higher the
HOOS score the lower the score of TUG (p=
surgeon replaces the old joint with an artificial joint (prosthesis). This surgery may be a choice after a hip fracture
or for severe pain because of arthritis. It also helps relieve hip pain that can’t be controlled by other treatments.
Aim of the study: To evaluate the effect of evidence based progressive exercise program on functional outcomes for
patients after total hip replacement surgery. Aquasi-experimental design was used to conduct the current study in
orthopedic unit and outpatient clinics, at Benha university hospital during the period from beginning of November
2019 till beginning of November 2020. Subjects: A convenient sample of 60 patients recruited according to the
study criteria. Tools: Four tools were utilized for data collection, 1) Structured interviewing questionnaire sheet,
2) Structured Knowledge questionnaire, 3) Performance based measures and 4) Self-reported measures. Results:
Showed that the mean score regarding knowledge, performance based and self- reported measures were
significantly higher after implementing the evidence based progressive exercise program than before program
implementation. Moreover, there was a positive significant correlation between knowledge and each of HOOS and
hip ROM scores, while a negative significant correlation with TUG. Also, there was a negative and significant
correlation between Hip disability and Osteoarthritis Outcome and timed up and go test, where the higher the
HOOS score the lower the score of TUG (p=
