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Aim

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

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Aim

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  1. Rehabilitation following total hip arthroplasty evaluation over short follow-up time: Randomized clinical trial Carolina Sant’anna Umpierres, MSc; Tiango Aguiar Ribeiro, PhD; Ângela Elisabete Marchisio; Lívia Galvão; Íngrid Nemitz Krás Borges; Carlos Alberto de Souza Macedo, PhD; Carlos Roberto Galia, PhD

  2. Aim • Determine effectiveness of physiotherapeutic in-hospital intervention protocol for reducing functional impairments in total hip arthroplasty (THA) patients during a short follow-up period. • Relevance • Without a rehabilitation program, THA patients will develop functional limitations.

  3. Method • 106 THA patients. • THA protocol (THAP) group: • Verbal instructions + physiotherapy exercise demonstrations. • THA physiotherapy care protocol (THAPCP) group: • Same verbal instructions and demonstrations + daily exercise practice guided by physiotherapist. • Outcomes: • Muscle strength force, goniometry, Medical Outcomes Study 36-Item Short Form Health Survey, and Merle d’Aubigné and Postel score. • Assessed preoperatively and 15 d postoperatively.

  4. Results • THAPCP group: • Higher muscle strength force scores. • More degrees in range of motion. • Greater improvements in Merle d’Aubigné and Postel score.

  5. Conclusion • Intervention in THAPCP group: • Improved functional capacity, quality of life, mobility, muscle strength, goniometry, and pain at end of follow-up period. • Appears to be a safe tool for accelerating recovery in THA patients. • Emphasizes importance of physiotherapist in successful THA rehabilitation.

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