The Relationship Between Rehabilitation Exercise Compliance And Mobility Recovery In Post-Orthopedic Surgery Patients

Authors

  • Sultan Akbar Ibrahim ST. Fatimah Institute of Health and Business, Mamuju , Indonesia
  • Rezqiqah Aulia Rahmat Bosowa University, Indonesia
  • Rahmat Pannyiwi Republic of Indonesia Defense University, Indonesia

DOI:

https://doi.org/10.59585/ijhs.v4i3.1471

Keywords:

Adherence, Rehabilitation, Mobility, Orthopedic Surgery, Postoperative Patients

Abstract

Background : Orthopedic surgery May cause mobility limitations due to muscle pain​ weakness , restricted range of motion , and tissue healing . Rehabilitation exercises are an important component of recovery , but their effectiveness is strongly influenced by patient adherence to the prescribed exercise program. Objective : To analyze the relationship between adherence to rehabilitation exercises and improvement in mobility scores among patients after orthopedic surgery. Methods : This study used a quasi-experimental one-group pretest-posttest design . The sample consisted of 60 postoperative orthopedic patients selected using consecutive sampling. Participants received a structured rehabilitation exercise program for 14 days . Exercise adherence was assessed based on the percentage of prescribed exercises completed , while mobility was assessed using mobility scores before and after the rehabilitation program. Pearson correlation and paired t- test were used for data analysis with a significance level of α=0.05. Results : The mean mobility score increased from 48.37 ± 9.14 before the rehabilitation program to 70.82 ± 8.76 after the program. The mean improvement was 22.45 points . Thirty-eight patients (63.3%) had high Adherence , 16 patients (26.7%) had moderate adherence , and 6 patients (10.0%) had low adherence . A significant positive correlation was found between rehabilitation exercise adherence and improvement in mobility scores (r=0.612; p<0.001). Conclusion : Higher adherence to rehabilitation exercises was associated with greater improvement in mobility scores among postoperative orthopedic patients . Structured rehabilitation exercises and adherence monitoring should be incorporated into postoperative orthopedic care.

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References

American Academy of Orthopedic Surgeons . Management of hip fractures in older adults : clinical practice guidelines . Rosemont (IL): American Academy of Orthopedic Surgeons ; 2021.

American Physical Therapy Association . Physical therapy management of patients following orthopedic surgery . Alexandria (VA): American Physical Therapy Association ; 2022.

Adam, A., Alim, A., Edison Nufninu , R., Zamli , & Bahri, S. (2026). Strengthening Oral Health and Oral Hygiene Behavior among School-Aged Children through the Healthier Smiles Phase 7 Programme : Results of an End-line Assessment in North Luwu and East Luwu Regencies , South Sulawesi, Indonesia. International Journal of Health Sciences , 4(3), 696–709. https://doi.org/10.59585/ijhs.v4i3.1407

Brukner P, Khan K. Brukner & Khan's clinical sports medicine . 6th ed. Sydney: McGraw -Hill Education ; 2021.

Cameron MH. Physical agents in rehabilitation : an evidence-based approach to practice . 6th ed. St. Louis: Elsevier ; 2023.

Dutton M. Dutton's orthopedic examination , evaluation , and intervention . 5th ed. New York : McGraw -Hill Education ; 2020.

Fransen M, McConnell S, Hernandez -Molina G, Reichenbach S. Exercise for osteoarthritis of the knee . Cochrane Database System Rev . 2015;(1):CD004376.

Kisner C, Colby LA, Borstad J. Therapeutic exercise : foundations and techniques . 7th ed. Philadelphia : F.A. Davis Company; 2018.

Ministry of Health of the Republic of Indonesia. National Guidelines for Medical Services for Pain Management . Jakarta: Ministry of Health of the Republic of Indonesia; 2020.

Magee DJ. Orthopedic physical assessment . 7th ed. St. Louis: Elsevier ; 2021.

Mahoklory, SS, Fitriani. K, F., & Ibrahim, S. A. (2025). The Effect of Basic Life Support Training on Nurses ' Ability to Performance Cardiopulmonary Resuscitation in the Emergency Department. International Journal of Health Sciences , 3(3), 575–582. https://doi.org/10.59585/ijhs.v3i3.832

Mulia, M., Rosmiati, R., Rahmat, RA, Pannyiwi, R., & Wijayanti, LA (2026). Bullying And Its Relationship To Anxiety , Depression , And Self-Esteem . International Journal of Health Sciences , 4(1), 61–67. https://doi.org/10.59585/ijhs.v4i1.1097

National Institute for Health and Care Excellence . Rehabilitation after traumatic injury . London: NICE; 2022.

Oatis CA. Kinesiology : the mechanics and pathomechanics of human movement . 3rd ed. Philadelphia : Wolters Kluwer ; 2017.

Pannyiwi, R., Azis, MNSA, & Rahmat, RA (2025). Analysis of Nurses ' Obstacles in Implementing Therapeutic Communication in Healthcare Environments . Barongko : Journal of Health Sciences , 4(1), 231–243. https://doi.org/10.59585/bajik.v4i1.921

Pannyiwi, R., & Ali, A. (2026). The Roles of School Health Education in Increasing Adolescent Awareness of the Dangers of Drugs . JIMAD: Multidisciplinary Scientific Journal , 3(4), 226–231. Retrieved from https://jurnal.agdosi.com/index.php/JIMAD/article/view/1324

Page P, Frank CC, Lardner R. Assessment and treatment of muscle imbalance : the Janda approach . 2nd ed. Champaign (IL): Human Kinetics ; 2010.

Potter PA, Perry AG, Stockert PA, Hall AM. Fundamentals of nursing . 11th ed. St. Louis: Elsevier ; 2023.

World Health Organization . Rehabilitation in health systems . Geneva : World Health Organization ; 2017.

World Health Organization . Package of interventions for rehabilitation : module 1 . Geneva : World Health Organization ; 2023.

World Health Organization . Rehabilitation in health emergency preparedness , readiness , response and resilience . Geneva : World Health Organization ; 2024.

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Published

2026-08-10

How to Cite

Ibrahim, S. A., Rahmat , R. A., & Pannyiwi, R. (2026). The Relationship Between Rehabilitation Exercise Compliance And Mobility Recovery In Post-Orthopedic Surgery Patients. International Journal of Health Sciences, 4(3), 772–782. https://doi.org/10.59585/ijhs.v4i3.1471