Hip arthroplasty: Effective rehabilitation protocols

Authors

DOI:

https://doi.org/10.33448/rsd-v10i4.14370

Keywords:

Hip arthroplasty; Physiotherapy; Arthroplasty; Rehabilitation; Hip.

Abstract

Purpose: To identify the effectiveness of protocols in the functional rehabilitation process in the postoperative treatment of the hip. Methods: This is a systematic review study, composed of 4 blind and independent evaluators divided into three schematic phases. For the construction of this manuscript, the Recommendation Preferred Reporting Items for Systematic Reviews and Meta-Analyzes was applied. The descriptors used were: "rehabilitation", "physical therapy", "arthroplasty" and "hip" using the Boolean operator “AND” between each of them in the indexing bases. Results: Initially, 136 studies were found in LILACS, MEDLINE, MEDCARIB, PAHO-IRIS and WHOLIS, 99 studies in MEDLINE and 08 articles in PEDro. After reading the abstracts, 13 studies were selected, which were carefully analyzed. Discussion: Among the thirteen selected articles, the main clinical effects observed in the evaluated protocols were: improved functionality, quality of life, reduced pain, increased muscle strength. Conclusion: The functional rehabilitation of postoperative hip arthroplasty was significant in protocols that adopted early physical therapy intervention. These protocols resulted in rapid improvement in functionality, reduction of pain and quality of life. These improvements were also seen in protocols applied at home.

Author Biographies

Luan dos Santos Mendes Costa, Federal University of Ceara

Student of the Bachelor's Degree in Physiotherapy at the Faculty of Medicine of the Federal University of Ceará (UFC). Member of the Research Group on Technological Innovations in Human Rehabilitation - INOVAFISIO (CNPq - UFC) and of the Study Group on Education, Technology and Health - GETS (CNPq - UFC). He has experience with Scientific Initiation (PIBIC -CNPq 2018, 2019, 2020) and Technological Development and Innovation (PIBITI - PRPPG - UFC 2020). He is currently an extension worker in the Child Development Promotion and Monitoring Program - PADI (PREX - UFC) and a member of the Education Program for Work for Health (PET SAÚDE-UFC). He is also the monitor of the UFC Physiotherapy course, in the Introduction to Research I and II modules, through the Teaching Initiation Program (PID-UFC). He worked as an extension worker in the projects: Academic League of Dermato-functional Physiotherapy-LAFIDEF (2017-2018) and Academic League of Physiotherapy Applied to the Movement (2016-2017) both linked to the Federal University of Piauí (UFPI). He has level B2 (advanced) in the Spanish language and technical knowledge of English and Italian. He also has experience with administration and management of people and in the development of health software and software management. Since 2020 he has been a Reviewer for the Asian Journal of Dental Sciences.

Vanessa Garcia de Lima, Federal University of Ceara

Graduated in Physiotherapy at the University of Fortaleza. Member of the Center for Research and Technological Innovations in Human Rehabilitation (INOVAFISIO / CNPq / UFC) working in research related to technological development and assistive technologies for the Unified Health System; she is also a member of the research and extension project Liga do Pulmão da Fisioterapia-UFC. He was an extension worker for the League of Studies on Women and Adolescent Health (LEMA / 2017-2018), for the Physiotherapy Extension Service Project, RespiraFisio Study and Research Group (UNIFOR), working on research in the field of respiratory physiotherapy and rehabilitation. pulmonary disease both linked to the University of Fortaleza.

Francisco Douglas da Silva Freires Barros, Federal University of Ceara

Graduating in Physiotherapy at the Federal University of Ceará. Telecommunications Technician by the Federal Institute of Education, Science and Technology of Ceará. Extensionist of the Child Development Promotion and Monitoring Program. Scholarship for Academic Initiation of the Project Care Centered on Multidisciplinary Monitoring of Children with Atypical Development.

Paloma Almeida Pereira, Federal University of Ceara

Student of the bachelor's degree in Physiotherapy at the Faculty of Medicine of the Federal University of Ceará. He is currently a member of the extension project entitled: Liga de Fisioterapia Esportiva (LIFE - UFC), as an academic initiation scholarship student at the Dean of UFC Student Affairs (BIA - PRAE - UFC). Collaborator of the Research Group Evaluation and Intervention of Tendon Changes? Tendon Research Group (TENDON - UFC), Has knowledge of English.

Raiana Maria Alves Lima, Federal University of Ceara

Student of the 4th semester of the Bachelor's Degree in Physiotherapy at the Faculty of Medicine of the Federal University of Ceará (UFC). Worked as an extension worker in the Program for the Promotion and Monitoring of Child Development (2018-2019) linked to the UFC. He has good knowledge of the English language and technical knowledge in Spanish. He has experience in the field of pediatrics.

Ana Karoline Almeida da Silva, Physical Therapist

Bachelor in Physiotherapy at Centro Universitário Ateneu (UNIATENEU). Computer technician from the State Technical School of São Paulo, with emphasis on software development and management of operational programs. She works as a preceptor and researcher at the Center for Research and Technological Innovations in Human Rehabilitation at the Federal University of Ceará (UFC).

José Carlos Tatmatsu-Rocha, Federal University of Ceara

Adjunct Professor at the Federal University of Ceará-UFC. Graduated in physiotherapy. Master in Biophysics from the Federal University of Pernambuco (UFPE) and PhD in Physiotherapy from the Federal University of São Carlos (UFSCAR) with a sandwich internship at Harvard Medical School / Massachusetts General Hospital. Advisor of the Graduate Program in Biomedical Engineering PPGEB / FGA of the University of Brasília-UnB. Advisor of the Graduate Program in Research and Innovation in Family Health - Ministry of Health. Preceptor of the Multiprofessional Residence in Diabetes - University Hospital Walter Cantidio (HWUFC). Main Lines of Study: Phototherapy and Photodynamics and their applications in tissue repair in chronic diseases, especially in Diabetes. In phototherapy, his clinical studies investigate the translationality of his experimental results. In his work groups, he seeks to implement innovative methodologies, working on the development of products and equipment for the health area. Member of the Editorial Board of ROS (Reactive Oxygen Species) - Cell Med Press, AIMSCI and Family Medicine and Medical Science Research Magazine - reviewer of Skin Pharmacology and Physiology, Biophysics, Photodermatolgy, Photoimmunology & Photomedicine. Member of the Research Ethics Committee Involving Humans of the Dean of Research and Graduate Studies at UFC-PROPESQ / UFC. Coordinator of the Research Group on Technological Innovation in Human Rehabilitation (dgp.cnpq.br/dg/espelhogrupo/1582019729814368). 

References

Almeida, F. D. J. F., Carvalho, C. A. D., Fonsêca, P. C. D. A., Nina, V. J. D. S., & Mochel, E. G. (2016). Application of kinesiotherapy and electrothermotherapy in the treatment of elderly with knee osteoarthrosis: a comparative study. Fisioterapia em Movimento, 29(2), 325-334.

Barker, K. L., Newman, M. A., Hughes, T., Sackley, C., Pandit, H., Kiran, A., & Murray, D. W. (2013). Recovery of function following hip resurfacing arthroplasty: a randomized controlled trial comparing an accelerated versus standard physiotherapy rehabilitation programme. Clinical rehabilitation, 27(9), 771-784.

Busato, M., Quagliati, C., Magri, L., Filippi, A., Sanna, A., Branchini, M., ... & Stecco, A. (2016). Fascial manipulation associated with standard care compared to only standard postsurgical care for total hip arthroplasty: a randomized controlled trial. PM&R, 8(12), 1142-1150.

Cavill, S., McKenzie, K., Munro, A., McKeever, J., Whelan, L., Biggs, L., ... & Haines, T. P. (2016). The effect of prehabilitation on the range of motion and functional outcomes in patients following the total knee or hip arthroplasty: A pilot randomized trial. Physiotherapy theory and practice, 32(4), 262-270.

Coulter, C., Perriman, D. M., Neeman, T. M., Smith, P. N., & Scarvell, J. M. (2017). Supervised or unsupervised rehabilitation after total hip replacement provides similar improvements for patients: a randomized controlled trial. Archives of physical medicine and rehabilitation, 98(11), 2253-2264.

Ferreira, M. D. C., Oliveira, J. C. P., Zidan, F. F., Franciozi, C. E. D. S., Luzo, M. V. M., & Abdalla, R. J. (2018). Artroplastia total de joelho e quadril: a preocupante realidade assistencial do Sistema Único de Saúde brasileiro. Revista Brasileira de Ortopedia, 53(4), 432-440.

Galvão, T. F., Pansani, T. D. S. A., & Harrad, D. (2015). Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Epidemiologia e Serviços de Saúde, 24, 335-342.

Husby, V. S., Helgerud, J., Bjørgen, S., Husby, O. S., Benum, P., & Hoff, J. (2009). Early maximal strength training is an efficient treatment for patients operated with total hip arthroplasty. Archives of physical medicine and rehabilitation, 90(10), 1658-1667.

Jadad, A. R., Moore, R. A., Carroll, D., Jenkinson, C., Reynolds, D. J. M., Gavaghan, D. J., & McQuay, H. J. (1996). Assessing the quality of reports of randomized clinical trials: is blinding necessary?. Controlled clinical trials, 17(1), 1-12.

Judd, D. L., Winters, J. D., Stevens-Lapsley, J. E., & Christiansen, C. L. (2016). Effects of neuromuscular reeducation on hip mechanics and functional performance in patients after total hip arthroplasty: a case series. Clinical Biomechanics, 32, 49-55.

Juliano, K., Edwards, D., Spinello, D., Capizzano, Y., Epelman, E., Kalowitz, J., ... & Ghomrawi, H. (2011). Initiating physical therapy on the day of surgery decreases length of stay without compromising functional outcomes following total hip arthroplasty. HSS Journal®, 7(1), 16-20.

Larsen, K., Hansen, T. B., Thomsen, P. B., Christiansen, T., & Søballe, K. (2009). Cost-effectiveness of accelerated perioperative care and rehabilitation after total hip and knee arthroplasty. JBJS, 91(4), 761-772.

Musumeci, A., Pranovi, G., & Masiero, S. (2018). Patient education and rehabilitation after hip arthroplasty in an Italian spa center: a pilot study on its feasibility. International journal of biometeorology, 62(8), 1489-1496.

NAKANOWATARI, T., SUZUKAMO, Y., & IZUMI, S. I. (2016). The effectiveness of specific exercise approach or modifiable heel lift in the treatment of functional leg length discrepancy in early post-surgery inpatients after total hip arthroplasty: A randomized controlled trial with a PROBE design. Physical therapy research, 19(1), 39-49.

Okoro, T., Whitaker, R., Gardner, A., Maddison, P., Andrew, J. G., & Lemmey, A. (2016). Does an early home-based progressive resistance training program improve function following total hip replacement? Results of a randomized controlled study. BMC musculoskeletal disorders, 17(1), 1-9.

Rosenlund, S., Broeng, L., Holsgaard-Larsen, A., Jensen, C., & Overgaard, S. (2017). Patient-reported outcome after total hip arthroplasty: comparison between lateral and posterior approach: A randomized controlled trial in 80 patients with 12-month follow-up. Acta orthopaedica, 88(3), 239-247.

Stockton, K. A., & Mengersen, K. A. (2009). Effect of multiple physiotherapy sessions on functional outcomes in the initial postoperative period after primary total hip replacement: a randomized controlled trial. Archives of physical medicine and rehabilitation, 90(10), 1652-1657.

Tejedor Zarzuela, M. H. (2015). Fisioterapia en prótesis total de cadera. Revisión bibliográfica.

Tsukagoshi, R., Tateuchi, H., Fukumoto, Y., Okumura, H., & Ichihashi, N. (2012). Stepping exercises improve muscle strength in the early postoperative phase after total hip arthroplasty: a retrospective study. American journal of physical medicine & rehabilitation, 91(1), 43-52.

Villafañe, J. H., Pirali, C., Isgrò, M., Vanti, C., Buraschi, R., & Negrini, S. (2016). Effects of action observation therapy in patients recovering from total hip arthroplasty arthroplasty: a prospective clinical trial. Journal of chiropractic medicine, 15(4), 229-234.

Winther, S. B., Foss, O. A., Husby, O. S., Wik, T. S., Klaksvik, J., & Husby, V. S. (2018). A randomized controlled trial on maximal strength training in 60 patients undergoing total hip arthroplasty: Implementing maximal strength training into clinical practice. Acta orthopaedica, 89(3), 295-301.

Wu, C., Wu, Z., Yang, L., Zhu, W., Zhang, M., Zhu, Q., ... & Pan, Y. (2018). Evaluation of the clinical outcomes of telehealth for managing diabetes: a PRISMA-compliant meta-analysis. Medicine, 97(43).

Downloads

Published

18/04/2021

How to Cite

COSTA, L. dos S. M.; LIMA, V. G. de; BARROS, F. D. da S. F.; PEREIRA, P. A.; LIMA, R. M. A.; SILVA, A. K. A. da; TATMATSU-ROCHA, J. C. Hip arthroplasty: Effective rehabilitation protocols. Research, Society and Development, [S. l.], v. 10, n. 4, p. e45510414370, 2021. DOI: 10.33448/rsd-v10i4.14370. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/14370. Acesso em: 12 nov. 2024.

Issue

Vol. 10 No. 4

Section

Health Sciences

License

Copyright (c) 2021 Luan dos Santos Mendes Costa; Vanessa Garcia de Lima; Francisco Douglas da Silva Freires Barros; Paloma Almeida Pereira; Raiana Maria Alves Lima; Ana Karoline Almeida da Silva; José Carlos Tatmatsu-Rocha

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.