Zależność między sprawnością funkcjonalną a jakością życia u pacjentów po alloplastyce stawu biodrowego

Paulina Szumilas; Natalia Habik-Tatarowska; Jadwiga Krawczyńska

doi:10.31749/2451-0858-SaS-2026-105

Published: 2026-09-07

Vol. 26 (2026)

Relationship between functional status and quality of life in patients after total hip arthroplasty

Paulina Szumilas

, Natalia Habik-Tatarowska

, Jadwiga Krawczyńska

Section: Health Sciences

https://doi.org/10.31749/2451-0858-SaS-2026-105

Abstract

Total hip arthroplasty is one of the most commonly performed and most effective methods for treating advanced osteoarthritis and other conditions leading to significant functional impairment and chronic pain. This procedure enables pain reduction, improvement in joint function and increased patient independence in daily activities. Assessing the relationship between functional parameters and quality of life in patients who have had surgery is a crucial component in planning comprehensive rehabilitation care.

The study included 106 patients who had undergone total hip arthroplasty. A diagnostic survey method was employed using an original questionnaire that collected sociodemographic and clinical data. Functional capacity was assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), while quality of life was evaluated using the World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire developed by the World Health Organization. The statistics were analyzed using descriptive statistics and non-parametric tests. Spearman’s rank correlation coefficient was used to assess relationships between variables.

Statistical analysis revealed significant negative correlations between WOMAC scores and quality of life scores across individual domains of the WHOQOL-BREF questionnaire. The strongest associations were observed in the physical domain of quality of life, indicating a significant relationship between the level of functional capacity and patients’ overall perception of health and everyday functioning. Higher quality of life scores were more frequently observed among women, younger patients, and individuals who received cementless prostheses. No statistically significant relationship was found between pain intensity and overall quality of life.

The findings indicate that functional capacity, particularly the level of physical performance and hip joint stiffness, is a key determinant of quality of life in patients who have undergone total hip arthroplasty. This highlights the importance of comprehensive rehabilitation aimed not only at pain reduction but also at improving functional performance, joint stability and the ability to perform daily activities. An integrated therapeutic approach may contribute to improved long-term treatment outcomes and increased patient satisfaction with the surgical procedure.

Keywords:

hip arthroplasty , functional capacity , quality of life , WOMAC index

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Szumilas, Paulina, et al. “Relationship Between Functional Status and Quality of Life in Patients After Total Hip Arthroplasty”. Państwo I Społeczeństwo State and Society, vol. 26, Sept. 2026, p. 105, doi:10.31749/2451-0858-SaS-2026-105.

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