title: Effectiveness of standardized approach versus usual care on physiotherapy treatment for patients submitted to alveolar bone graft: a pilot study.
abstract: OBJECTIVE
  To compare the acute effects of a standardized physiotherapy protocol versus a typical non-standardized physiotherapy protocol on pain and performance of patients undergoing alveolar bone graft (ABG).
  
  
  METHODS
  Sixteen patients (9 males; 12 [11-13] years) with cleft lip and palate undergoing ABG were allocated into two groups: (1) experimental group--EG (standardized physiotherapy protocol); and (2) control group--CG (typical, non-standardized physiotherapy treatment). Range of motion, muscle strength, gait speed, and pain level were assessed prior to surgical intervention (PRE), as well as on the first, second, and third post-operative days (1st, 2nd, and 3rd PO, respectively).
  
  
  RESULTS
  Recovery with respect to range of motion of hip flexion was more pronounced in the EG (64.6 ± 11.0°) in comparison to the CG (48.5 ± 17.7° on the 3rd PO; p < 0.05). In addition, less pain was observed in the EG (0 [0-0.2] versus 2 [0.7-3] in the CG on the 3rd PO; p < 0.05).
  
  
  CONCLUSIONS
  A standardized physiotherapy protocol appears to be better than a non-standardized physiotherapy protocol for acute improvement of range of motion of hip flexion and for reducing pain in patients undergoing ABG.
authors.affiliation: Centro de Pesquisa em Ciências da Saúde (CPCS), e Laboratório de Pesquisa em Fisioterapia Pulmonar (LFIP), Universidade do Norte do Paraná (UNOPAR) , Londrina, Paraná , Brasil .
authors.forename: Laís Silva
authors.initials: LS
authors.lastname: Vidotto
authors.forename: Marcelo
authors.initials: M
authors.lastname: Bigliassi
authors.forename: Tatiane Romanini Rodrigues
authors.initials: TR
authors.lastname: Alencar
authors.forename: Thaísa Maria Santos
authors.initials: TM
authors.lastname: Silva
authors.forename: Vanessa Suziane
authors.initials: VS
authors.lastname: Probst
mesh_terms: D000293:Adolescent; D064728:Alveolar Bone Grafting / Q000009:adverse effects* / Q000379:methods; D001696:Biomechanical Phenomena; D001938:Brazil; D002648:Child; D002971:Cleft Lip / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D002972:Cleft Palate / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005684:Gait; D006621:Hip Joint / Q000503:physiopathology; D006801:Humans; D007085:Ilium / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D053580:Muscle Strength; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D026741:Physical Therapy Modalities; D010865:Pilot Projects; D011446:Prospective Studies; D016059:Range of Motion, Articular; D020127:Recovery of Function; D013997:Time Factors; D020858:Tissue and Organ Harvesting / Q000009:adverse effects* / Q000379:methods; D016896:Treatment Outcome
keywords: Bone grafting; cleft lip; cleft palate; pediatrics; physical therapy modalities