Article

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'Aubigne 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'Aubigne 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.
ClinicalTrials.gov; NCT01491048.

Langue : ANGLAIS