Effects of Immediate Post Operative Orthopaedic Rehabilitation in Lower Limb Open Reduction Internal Fixation’s Orthopaedic Surgeries to Reduce Fear Avoidance Behaviour and Early Ambulation
Keywords:IPOR, PFN, IMLN, FABQ, VAS, gait training.
Background :This study is to investigate the effects of immediate post operative orthopaedic Rehabilitation
on lower limb. Orthopaedic internal fixations like proximal femoral nailing femur, Intramedullary nailing
tibia to reduce fear avoidance belief and early ambulation. Which reduces the long stay duration in hospital
and prevent post operative stiffness, other complications. This early mobilization improvesresolution of
healing of wounds and pain. When compare to conventional methods of physiotherapy.
Materials and Methods: 45 subjects selected randomly and subdivided into 3 groups experiment. I=IPOR,
n=15 Experiment II =conventional group, control group, n=15 subjects selected from inpatients post
operative orthopaedic wards both female and males selected subjects are n=15 in each group being to age
group (30-56) both male and female patients with fractures femur and tibia respectively primary outcome
measures assessed by 3 different assessment questionnaire fear avoidance belief questionnaire and visual
analogue pain scale for those who undergone physiotherapy for 10 days.
Results :3 groups of 10 days under supervision by physiotherapist inpatient orthopaedic wards and pretherapy
FABQ ( Fear avoidance belief questionnaire) and visual analogue scale pain scale questionnaire and post
therapy after 10 days given among 3 groups experimental group 1. IPOR shows significant improvement
in fear avoidance belief and early ambulation. So this early mobilization reduces pain stiffness and reduces
the hospital stay. When compare to other 2 groups ‘P’ value shows difference, SD=+5 Anacova method
statistical analysis done.
Conclusion :Immediate post operative orthopaedic rehabilitation which is more beneficial and effective
in reducing, overcoming fear avoidance behaviour and enhances early ambulation which is more beneficial
and enhances early ambulation which makes. Quick recovery in post operative orthopaedic surgeries when
compare to other methods
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