Physiotherapy Management After Total Hip Replacement at PKU Muhammadiyah Yogyakarta: A Case Report

Abstract

Background: Early physiotherapy after hip arthroplasty aims to reduce pain, prevent immobility-related complications 
and restore basic mobility, it helps to return to daily activities as quick as possible. Objective: To describe early 
physiotherapy management and short-term clinical changes after left hip arthroplasty at RSU PKU Muhammadiyah 
Yogyakarta. Methods: A case report based on an inpatient record covering three physiotherapy sessions. The patient 
was a 65-year-old woman who underwent left total hip replacement with the AMP method after traumatic caput femoris 
fracture. The patient underwent surgery 3 days ago. Data included symptoms, examination findings, pain scores, manual 
muscle testing, hip range of motion, modified Trendelenburg findings, Harris Hip Score and the FITT-based treatment 
plan. Outcomes were summarized descriptively across T1-T3. Results: Main problems were intermittent left groin pain, 
restricted hip motion, gluteal/quadriceps weakness, hip-flexor spasme, dyspnea during prolonged sitting, and poor 
function of lower extrimity. Treatment comprised breathing exercise, muscle activation, stability-proprioception training, 
walker-assisted gait training, education, and hip precautions. Across three sessions, rest pain decreased from 2 to 1, 
passive pain from 8 to 6, active-exercise pain from 10 to 6, sagittal hip motion from 8°-0°-85° to 12°-0°-90°, frontal 
motion from 0°-0°-0° to 20°-0°-5°, partial weight bearing progressed to 40%, and Harris Hip Score improved from 18 to 
28. Conclusion: Early physiotherapy was associated with lower pain and better mobility, protected weight-bearing 
tolerance, and functional readiness.