Journal of Rehabilitation Research & Development (JRRD)

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Volume 51 Number 10, 2014
   Pages 1567 — 1578

Abstract — Rehabilitation following total hip arthroplasty evaluation over short follow-up time: Randomized clinical trial

Carolina Sant'anna Umpierres, MSc;1–2 Tiango Aguiar Ribeiro, PhD;1–2 Ângela Elisabete Marchisio;1–2 Lívia Galvão;1–2 Íngrid Nemitz Krás Borges;2 Carlos Alberto de Souza Macedo, PhD;2 Carlos Roberto Galia, PhD1–2*

1Postgraduate Program of Surgical Sciences, Faculty of Medical Sciences, Federal University of Rio Grande do Sul, Rio Grande do Sul, Brazil; 2Department of Orthopedics, Hospital de ClÍnicas de Porto Alegre, Rio Grande do Sul, Brazil

Abstract — Hip osteoarthritis (OA) is a degenerative disease, and total hip arthroplasty (THA) is one of the surgical procedures of choice to improve the OA patient’s quality of life. Without a rehabilitation program, THA patients will develop functional limitations. A randomized double-blind trial was performed between July 2009 and October 2011 to compare over a short follow-up time two groups of patients who underwent THA for OA. The THA protocol (THAP) group received verbal instructions and physiotherapy exercise demonstrations, and the THA physiotherapy care protocol (THAPCP) group received the same verbal instructions and demonstrations associated with daily exercise practice guided by a physiotherapist. The outcomes that were assessed preoperatively and 15 d postoperatively in 106 patients were muscle strength force, goniometry, Medical Outcomes Study 36-Item Short Form Health Survey, and Merle d’Aubigné and Postel score. Higher muscle strength force scores and degrees in range of motion were found in the THAPCP group. Greater improvements were also observed for the THAPCP group than the THAP group in the Merle d’Aubigné and Postel score. At the end of the follow-up period, the intervention in the THAPCP group improved functional capacity, quality of life, mobility, muscle strength, goniometry, and pain. It appears to be a safe tool for accelerating recovery in THA patients.

ClinicalTrials.gov; NCT01491048, "Evaluation of functional rehabilitation in patients undergoing physiotherapy after total hip arthroplasty (arthrosis)";
https://clinicaltrials.gov/ct2/show/NCT01491048

Key words: activities of daily living, arthroplasty, hip osteoarthritis, Medical Outcomes Study 36-Item Short Form, musculoskeletal manipulations, osteoarthritis, physiotherapy, postoperative care, randomized controlled trial, total hip arthroplasty.


View HTML ¦ View PDF ¦ Contents Vol. 51, No.10

This article and any supplementary material should be cited as follows:
Umpierres CS, Ribeiro TA, Marchisio ÂE, Galvão L, Borges ÍN, Macedo CA, Galia CR. Rehabilitation following total hip arthroplasty evaluation over short follow-up time: Randomized clinical trial. J Rehabil Res Dev. 2014; 51(10):1567–78.
http://dx.doi.org/10.1682/JRRD.2014.05.0132
ResearcherID/ORCID: Tiango Aguiar Ribeiro, PhD: E-5674-2013; Carlos Roberto Galia, PhD: N-3717-2014
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