Educational Intervention in Rehabilitation to Improve Functional Capacity after Hip Arthroplasty: A Scoping Review

Abstract

(1) Background: The prevalence of coxarthrosis associated with ageing is one of the main reasons for the increase in hip arthroplasty. Educational intervention in the pre- and postoperative period of hip arthroplasty can improve functionality and, consequently, quality of life. Therefore, we intend to map the educational interventions that improve the functional capacity of people undergoing hip arthroplasty on their rehabilitation process. (2) Methods: Scoping review. The search was carried out in the databases: CINAHL complete, MEDLINE Complete, Nursing and Allied Health Collection: Comprehensive, Cochrane Methodology Register, Library, Information Science and Technology Abstracts, MedcLatina, and Google Academic. We included studies that evaluated the implementation of educational rehabilitation interventions that enable the empowerment and teaching of people undergoing hip arthroplasty. (3) Results: Thirteen studies were analysed that met the eligibility criteria and allowed the research question to be answered. Education in the perioperative period promotes training to perform rehabilitation exercises, improves the hospitalisation experience, increases participation in the rehabilitation process, allows early mobilisation, and increases the functional potential, thus enabling faster reintegration into society. (4) Conclusion: Early mobilisation plays a very important role in a person′s functional recovery, as well as in the prevention of thromboembolic complications. Exercise produces benefits in relation to physical function, namely, in improving strength, balance, facilitating functional activities, and preventing complications.

Comparison between pericapsular nerve group (PENG) block with lateral femoral cutaneous nerve block and supra-inguinal fascia iliaca compartment block (S-FICB) for total hip arthroplasty: a randomized controlled trial

“…Early mobility is an important component of the Enhanced Recovery After Surgery (ERAS) theory. Scholars recommend that on-and-off bed functional exercise can be performed on the day of surgery, and patients can be guided to train lower limb function and get out of bed as early as 4 h postoperatively [ 18 , 19 ]. Ambulation with physical therapy began within 6 h of surgery in the fast-track pathway.…”

Comparison of pericapsular nerve group block alone versus combined with suprainguinal fascia ilica compartment block for postoperative analgesia and quality of recovery in older adult patients with hip fractures: A retrospective study

“…The similar opioid consumption was thought to be related to the similar pain scores at 24 hours and there was no difference between the groups in the time to mobilisation. High levels of opioid consumption cause an increased risk of complications [24]. The low pain scores in both groups in the current study reduced the opioid consumption.…”

“…In patients older than 60 years, especially between 70 and 79 years of age, there is a predisposition to falls and fractures because of the loss of bone and muscle mass. The most frequently seen fractures are in the upper section of the femur, especially in the neck and trochanteric regions [24]. In the evaluation of recovery quality, no significant difference in QoR-15 scores was found between the groups on postoperative day 1 or after the first month.…”

Evaluating qigong as integrative support for COVID-19 and Long-COVID-19 rehabilitation: a systematic review

“…From a scientific perspective, evidence-based rehabilitative protocols must include effective strategies addressing four fundamental points (Osadnik et al, 2015 ; Pt and Ccc-A/slp, 2015 ; Stott and Quinn, 2017 ; Nicolau et al, 2022 ):…”