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

Slideshow ProjectDOI:10.1682/JRRD.2014.05.0132JSP

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

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

Slideshow ProjectDOI:10.1682/JRRD.2014.05.0132JSP

• 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.

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

Slideshow ProjectDOI:10.1682/JRRD.2014.05.0132JSP

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.

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

Slideshow ProjectDOI:10.1682/JRRD.2014.05.0132JSP

Results

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

score.

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

Slideshow ProjectDOI:10.1682/JRRD.2014.05.0132JSP

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.