Abstract
Introduction: Hip dysplasia is a condition affecting young, active adults and causes severe pain, reduces sports performance and impacts quality of life. Periacetabular osteotomy (PAO) is a common surgical treatment, requiring comprehensive rehabilitation. However, perspectives around rehabilitation of individuals undergoing PAO have not been considered.
The present study aimed to explore the perceived challenges of daily life, hopes for, and expectations of post-PAO rehabilitation from the perspective of individuals with acetabular dysplasia in Denmark and Australia.
Methods:
We used a hermeneutic phenomenological approach with semi-structured interviews to explore the perspectives of 25 participants (four males), aged 16-43 years, with hip dysplasia who underwent a PAO. Purposeful sampling was used to provide variations in age and sex. Inclusion criteria were age above 15 years, radiographic evidence of acetabular dysplasia, PAO within the last seven weeks, and undergoing postoperative rehabilitation. Inductive content analysis was adopted to code and analyze the interviews.
Results:
The analysis of the interview transcripts revealed four major themes: (i) different expectations, (ii) self-confidence, (iii) tailored rehabilitation, and (iv) aligning expectations. Within the different expectations theme two subthemes emerged including “living the life you want to live” and “living a meaningful life means being important to others”. The self-confidence theme revealed a subtheme of “the significance of being understood”. Within the tailored rehabilitation theme, five subthemes emerged including “individualized exercise and guidance", "sharing experiences with peers", "flexibility is crucial", "easy access to information", and "relatedness is important". The final theme of aligning expectations included three subthemes which were “choosing surgery with risks”, “experiencing challenges in daily life”, and “the gap between hope and reality”.
Similar patterns with minor variations were identified across countries. However, the financial burden of self-funded surgery and rehabilitation challenged some Australian participants, whereas none of the Danish participants mentioned this challenge.
Discussion:
Our findings elucidate the diverse range of hopes and expectations in individuals undergoing PAO, and how these relate to their perceived challenges. In particular, the findings highlight the importance of aligning expectations between individuals and clinicians when designing the rehabilitation.
Impact/Application to the field:
Young active people with hip dysplasia expressed a wide range of challenges, aspirations, and expectations concerning post-surgery rehabilitation.
They expected physiotherapists to provide tailored rehabilitation that aligned with their expectations and boost their self-confidence to return to their desired level of function.
These findings will guide physiotherapists to provide rehabilitation allowing young active adults to return to full function
Declaration:
My co-authors and I acknowledge that we have no conflict of interest of relevance to the submission of this abstract.
The present study aimed to explore the perceived challenges of daily life, hopes for, and expectations of post-PAO rehabilitation from the perspective of individuals with acetabular dysplasia in Denmark and Australia.
Methods:
We used a hermeneutic phenomenological approach with semi-structured interviews to explore the perspectives of 25 participants (four males), aged 16-43 years, with hip dysplasia who underwent a PAO. Purposeful sampling was used to provide variations in age and sex. Inclusion criteria were age above 15 years, radiographic evidence of acetabular dysplasia, PAO within the last seven weeks, and undergoing postoperative rehabilitation. Inductive content analysis was adopted to code and analyze the interviews.
Results:
The analysis of the interview transcripts revealed four major themes: (i) different expectations, (ii) self-confidence, (iii) tailored rehabilitation, and (iv) aligning expectations. Within the different expectations theme two subthemes emerged including “living the life you want to live” and “living a meaningful life means being important to others”. The self-confidence theme revealed a subtheme of “the significance of being understood”. Within the tailored rehabilitation theme, five subthemes emerged including “individualized exercise and guidance", "sharing experiences with peers", "flexibility is crucial", "easy access to information", and "relatedness is important". The final theme of aligning expectations included three subthemes which were “choosing surgery with risks”, “experiencing challenges in daily life”, and “the gap between hope and reality”.
Similar patterns with minor variations were identified across countries. However, the financial burden of self-funded surgery and rehabilitation challenged some Australian participants, whereas none of the Danish participants mentioned this challenge.
Discussion:
Our findings elucidate the diverse range of hopes and expectations in individuals undergoing PAO, and how these relate to their perceived challenges. In particular, the findings highlight the importance of aligning expectations between individuals and clinicians when designing the rehabilitation.
Impact/Application to the field:
Young active people with hip dysplasia expressed a wide range of challenges, aspirations, and expectations concerning post-surgery rehabilitation.
They expected physiotherapists to provide tailored rehabilitation that aligned with their expectations and boost their self-confidence to return to their desired level of function.
These findings will guide physiotherapists to provide rehabilitation allowing young active adults to return to full function
Declaration:
My co-authors and I acknowledge that we have no conflict of interest of relevance to the submission of this abstract.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Journal of Science and Medicine in Sport |
| Vol/bind | 27 |
| Udgave nummer | Supplement 1 |
| Sider (fra-til) | S61 |
| ISSN | 1440-2440 |
| DOI | |
| Status | Udgivet - 2024 |
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