Accelerated rehabilitation protocol in Total Hip Arthroplasty (THA-AR).
The accelerated rehabilitation protocol in Total Hip Arthroplasty (THA-AR) was designed to improve the functionality and optimize early discharge of patients undergoing THA surgery. This study compared physical therapy protocol in Total Hip Arthroplasty (THA-PT) already deployed in Porto Alegre Clinical Hospital with THA-AR.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
48
* Day 1) Patients started approach after discharged anesthesia. Patients received verbal orientation and demonstration of the physiotherapy exercises that would strengthen muscles (gluteal and thigh). They were oriented to the decubitus changes and how to leave bed. They practiced 3 repetitions of 12 complete movements for each exercise; * Day 2) Patients repeated the exercises learned from day 1. Following the proposed activities patients received verbal instructions on gait training and then starting gait training. Patients started gait training on this second day only if they felt safe and claimed that their pain was controlled. Otherwise, training was postponed to the next day; * Day 3) Patients repeated the day 2. And the patient who had not started gait training in the day 2, began it on the day 3; * Day 4 and other days) Patients repeated the gait training until the discharge date.
* Day 1-1°approach) Patients started after discharged anesthesia. Received verbal orientation and demonstration of the physiotherapy exercises that would strengthen muscles (gluteal and thigh). They were oriented to the decubitus changes and how to leave bed. They practiced 3 repetitions of 12 complete movements for each exercise; * Day 1-2°approach) Patients repeated the exercises learned from day 1-1°approach. Following patients received verbal instructions on gait training and then starting gait training. Patients started gait training on this Day 1-2°approach only if they felt safe and claimed that their pain was controlled. Otherwise, training was postponed to next approach; * Day 1-3°approach) Patients repeat the day 1-2°approach. And the patient, who had not started gait training in the day 1 - second approach, began it in this third approach; * Day 2) Patients repeated three times the day 1-3°approach; * Day 3) Patients repeated three times the day 1-3°approach.
Hospital de Clínicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, Brazil
Federal University Rio Grande do Sul
Porto Alegre, Rio Grande do Sul, Brazil
Merle D'Aubigné and Postel score
Time frame: From the moment of hospitalization until the day of hospital discharge, assessed up to four days.
Length of hospital stay
Time frame: From the moment of hospitalization until the day of hospital discharge, assessed up to four days.
Muscle strength force
Measured based on Kendall's criteria. Measured in the operated hip.
Time frame: From the moment of hospitalization until the day of hospital discharge, assessed up to four days.
Goniometry
Evaluate the range of motion in flexion, extension, adduction, abduction, and internal and external rotation in the operated hip.
Time frame: From the moment of hospitalization until the day of hospital discharge, assessed up to four days.
Time to beginning the gait.
Time frame: From the date of hospitalization until the day that began gait, assessed up to four days.
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