title: Rehabilitation following total hip arthroplasty evaluation over short follow-up time: randomized clinical trial.
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 in 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. Higher improvements were also observed for the THAPCP group compared with 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.
  
  
  BACKGROUND
  ClinicalTrials.gov; NCT01491048.
authors: Carolina Sant'anna
authors: CS
authors: Umpierres
authors: Tiango Aguiar
authors: TA
authors: Ribeiro
authors: Ângela Elisabete
authors: ÂE
authors: Marchisio
authors: Lívia
authors: L
authors: Galvão
authors: Íngrid Nemitz Krás
authors: ÍN
authors: Borges
authors: Carlos Alberto de Souza
authors: CA
authors: Macedo
authors: Carlos Roberto
authors: CR
authors: Galia
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000534:rehabilitation*; D004311:Double-Blind Method; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength; D015207:Osteoarthritis, Hip / Q000601:surgery; D052097:Quadriceps Muscle / Q000503:physiopathology; D016059:Range of Motion, Articular; D013997:Time Factors; D016896:Treatment Outcome
keywords: Medical Outcomes Study 36-Item Short Form; activities of daily living; arthroplasty; hip osteoarthritis; musculoskeletal manipulations; osteoarthritis; physiotherapy; postoperative care; randomized controlled trial; total hip arthroplasty