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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2026, vol. 32, issue1
Subject Area: Public Health
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DOI: 10.5272/jimab.2026321.6752
Published online: 19 March 2026
Original article
J of IMAB. 2026 Jan-Mar;32(1):6752-6754
QUALITY OF LIFE AND MULTIMURBIDITY: A CHALLENGE FACING REHABILITATION AND WORKING CAPACITY AFTER TOTAL HIP REPLACEMENT
Denitsa Grozdeva
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Department of Conservative dentistry and oral pathology, Faculty of Dental Medicine, Medical University - Varna, Bulgaria.
ABSTRACT:
Introduction: Pathological changes in the musculoskeletal system, including the hip joint, are often the prime cause of multimorbidity and significant disability. Individual-oriented physiotherapy, compatible with the concomitant diseases, promotes quality of life and restoration of working capacity.
Purpose: to evaluate the quality of life after an individualised rehabilitation program in patients with total hip replacement.
Methods: The subjects of the study are 72 multimorbid patients with total hip replacement who visited the Clinic for Physical and Rehabilitation Medicine at UMHAT "St. Marina", located in Estreya Residence, Varna, Bulgaria, from 2021 until 2022; research methods: sociological (administrative questionnaire, WHOQOL BREF), functional, and statistical methods; methods of influence: individualised rehabilitation program.
Results: All multimorbid respondents suffer from coxarthrosis and concomitant chronic diseases, including cancer (1,4%). The overall self-assessment of quality of life increased by 15,39 points after the individual rehabilitation program. The average values in the domain "Physical health" increased by 7,125 points, in the domain "Psychological" - by 3,542 points, and in the domains "Social relationships" and "Environment"—by 0.417 and 4,306 points, respectively (p<0.05).
Conclusions: An individualised rehabilitation program assists in the recovery despite the restrictions associated with concomitant diseases. The results correspond with the strategy for the optimisation of national and public financial expenses for working capacity restoration. After the individual rehabilitation program was conducted, the overall self-assessment of quality of life improved. A positive dynamic is observed in all domains, mainly at the expense of "Physical health" and "Environment".
Keywords: quality of life, disability, rehabilitation, hip replacement,
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Please cite this article as: Grozdeva D. Quality of life and multimurbidity: a challenge facing rehabilitation and working capacity after total hip replacement. J of IMAB. 2026 Jan-Mar;32(1):6752-6754. [Crossref - 10.5272/jimab.2026321.6752]
Correspondence to: Denitsa Grozdeva, Department of Conservative dentistry and oral pathology, Faculty of Dental Medicine, Medical University – Varna; 84, Tsar Osvoboditel Blvd., 9002 Varna, Bulgaria E-mail: Denitsa.Grozdeva@mu-varna.bg
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Received: 02 September 2025
Published online: 19 March 2026