Physical rehabilitation of patients after total hip arthroplasty (THA) using the SMART goal achievement system

the aim of the study is to evaluate the effectiveness of applying the goal-setting system based on the SMART methodology in the physical rehabilitation of patients after total hip arthroplasty (THA). The introduction of the article substantiates the relevance of the problem of restoring motor activity in patients with prosthetic joints, noting that traditional rehabilitation techniques often do not take into account the individual characteristics of each patient and do not promote the achievement of the highest possible level of functional recovery. The research methodology was based on the use of a structured protocol in which rehabilitation goals were divided into specific, measurable, attainable, relevant, and time-bound stages (SMART). The sample included patients aged between 50 and 75 years who had undergone THA as a result of osteoarthritis or traumatic injuries. The methodological approach included the development of personalized physical therapy programs, regular monitoring of progress through objective tests, and adjustment of the treatment plan based on the dynamics of recovery. The results of the study demonstrated a significant improvement in mobility, muscle strength, and functional independence of patients undergoing rehabilitation using the SMART system compared to the control group, which received standard rehabilitation. Statistical analysis showed a high level of significance in the differences (p < 0.05), confirming the hypothesis of the advantages of an individualized approach. The data obtained indicate that the use of SMART allows for the structuring of therapeutic goals and optimization of the operations in medical rehabilitation centers.

physical rehabilitation, THA, arthroplasty, hip joint, SMART