Hip arthroplasty: effective rehabilitation protocols

Abstract

Purpose: To identify the effectiveness of protocols in the functional rehabilitation process in the postoperative treatment of the hip. Methods: This is a systematic review study, composed of 4 blind and independent evaluators divided into three schematic phases. For the construction of this manuscript, the Recommendation Preferred Reporting Items for Systematic Reviews and Meta-Analyzes was applied. The descriptors used were: "rehabilitation", "physical therapy", "arthroplasty" and "hip" using the Boolean operator “AND” between each of them in the indexing bases. Results: Initially, 136 studies were found in LILACS, MEDLINE, MEDCARIB, PAHO-IRIS and WHOLIS, 99 studies in MEDLINE and 08 articles in PEDro. After reading the abstracts, 13 studies were selected, which were carefully analyzed. Discussion: Among the thirteen selected articles, the main clinical effects observed in the evaluated protocols were: improved functionality, quality of life, reduced pain, increased muscle strength. Conclusion: The functional rehabilitation of postoperative hip arthroplasty was significant in protocols that adopted early physical therapy intervention. These protocols resulted in rapid improvement in functionality, reduction of pain and quality of life. These improvements were also seen in protocols applied at home.