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Impact of Early Mobilization Versus Immobilization on Pain and Mobility After Total Hip Replacement

Early Mobilization After Total Hip Replacement

Authors

  • Rizwan Khan Lodhi Assistant Professor, Department of Orthopedic Surgery, Hayat Memorial Hospital, Continental Medical College, Lahore, Pakistan
  • Imran Manzoor Associate Professor and Head, Department of Orthopedic Surgery, Continental Medical College. Lahore, Pakistan
  • Muhammad Moueen Consultant, Department of Orthopedic Surgery, Hayat Memorial Hospital, Continental Medical College, Lahore, Pakistan
  • Jehanzeb Khan Consultant, Department of Orthopedic Surgery, Hayat Memorial Hospital, Continental Medical College, Lahore, Pakistan
  • Imanullah Riaz Post Graduate Trainee, Department of Orthopedic Surgery, Hayat Memorial Hospital, Continental Medical College, Lahore, Pakistan

DOI:

https://doi.org/10.51846/jucmd.v4i2.4137

Keywords:

Early Mobilization, Harris Hip Score, Immobilization, Range of Motion, Postoperative Rehabilitation, Total Hip Replacement, Visual Analogue Scale

Abstract

Objective: To evaluate the impact of early range of motion (ROM) exercises versus initial immobilization on postoperative pain and joint mobility in patients undergoing total hip replacement (THR).
Methodology: This single-centre, comparative experimental study was conducted at the Orthopaedic Surgery Department, Hayat Memorial Teaching Hospital, affiliated with Continental Medical College, Lahore, from 15th of October, 2024 till 15th of April, 2025. Forty adults, including both genders, aged 40–70 years undergoing unilateral or bilateral THR for advanced (Grade 4) primary osteoarthritis were randomly assigned into two groups: Group A (Early Mobilization, n=20) initiated supervised ROM exercises within 24 hours of surgery, while Group B (Immobilization, n=20) remained immobilized for the first postoperative week before starting the same protocol. Patients undergoing THR for fractures, tumours, infections, or revision surgery, or with comorbidities precluding early mobilization, were excluded. Pain was assessed using the Visual Analogue Scale (VAS), and hip mobility using the ROM subsection of the Harris Hip Score. Assessments were conducted at the 1st, 3rd, and 6th postoperative weeks by a blinded physiotherapist. Statistical analysis was done using SPSS v23, with significance set at p<0.05.
Results: Patients in the early mobilization group A demonstrated significantly greater reductions in VAS pain scores (Week 1: 5.0 vs 6.0; Week 3: 3.1 vs 5.0; Week 6: 1.0 vs 4.0; all p<0.05) and superior ROM scores (Week 1: 3.1 vs 2.0; Week 3: 4.1 vs 3.3; Week 6: 4.7 vs 4.0; all p<0.05) compared to the immobilization group B. No adverse events were reported in either group.
Conclusion: Early ROM exercises following THR result in faster pain relief and improved hip mobility compared to initial immobilization. Therefore, early mobilization should be incorporated into postoperative rehabilitation protocols to enhance recovery and patient outcomes.

Keywords: Total Hip Replacement, , Immobilization, Range of Motion, Visual Analogue Scale, Harris Hip Score, Postoperative Rehabilitation

Published

29-06-2025

How to Cite

1.
Lodhi RK, Imran Manzoor, Muhammad Moueen, Jehanzeb Khan, Imanullah Riaz. Impact of Early Mobilization Versus Immobilization on Pain and Mobility After Total Hip Replacement: Early Mobilization After Total Hip Replacement. J Univ Coll Med Dent. [Internet]. 2025 Jun. 29 [cited 2025 Jul. 5];4(2). Available from: https://journals.uol.edu.pk/jucmd/article/view/4137

Issue

Volume 4 Issue 2

Section

Original Articles

License

Copyright (c) 2025 Rizwan Khan Lodhi, Imran Manzoor, Muhammad Moueen, Jehanzeb Khan, Imanullah Riaz

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