Exercise Improves Early Functional Recovery After Total Hip Arthroplasty

Gilbey, Helen; Ackland, Timothy R.; Wang, Allan W.; Morton, Alan R.; Trouchet, Therese; Tapper, J.

doi:10.1097/00003086-200303000-00025

Cited by 143 publications

(156 citation statements)

References 14 publications

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Section: The Role Of Preoperative Education and Interventionsmentioning

confidence: 92%

“…After completing the intervention, the exercise group demonstrated significant improvements in self-reported physical function and pain, hip strength, and hip range of motion as compared with the control group (79). At 12 and 24 weeks postoperatively, the exercise group had significantly higher strength and self-reported physical function than the control group (79). Therefore, there is some evidence that exercise before THA is beneficial to a person's recovery of function; however, more data are needed from large RCTs to determine the efficacy of preoperative exercise on the recovery from surgery and of function in this patient population.…”

Section: The Role Of Preoperative Education and Interventionsmentioning

confidence: 98%

“…A recent RCT of patients scheduled for THA involved a larger sample size and compared a progressive, preoperative and postoperative strength training intervention with a nonexercising control group (79). After completing the intervention, the exercise group demonstrated significant improvements in self-reported physical function and pain, hip strength, and hip range of motion as compared with the control group (79).…”

Section: The Role Of Preoperative Education and Interventionsmentioning

confidence: 99%

See 2 more Smart Citations

Update on hip and knee arthroplasty: Current state of evidence

Jones¹,

Westby²,

Greidanus³

et al. 2005

Arthritis & Rheumatism

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Section: The Role Of Preoperative Education and Interventionsmentioning

confidence: 92%

Section: The Role Of Preoperative Education and Interventionsmentioning

confidence: 98%

Section: The Role Of Preoperative Education and Interventionsmentioning

confidence: 99%

See 1 more Smart Citation

Update on hip and knee arthroplasty: Current state of evidence

Jones¹,

Westby²,

Greidanus³

et al. 2005

Arthritis & Rheumatism

View full text Add to dashboard Cite

“…The results were based on 57 patients: 32 in the exercise group and 25 in the control group. The exercise group had improvement in all variables 1 week before and up to 6 months after surgery [18]. Gocen et al [20] reported a prospective randomized study of 60 patients with osteoarthritis undergoing THA.…”

Section: Preoperative Physical Therapymentioning

confidence: 97%

“…The functional outcome assessment in this study was limited to gait and stamina rather than activities of daily living or functional scores [62]. Gilbey et al [18] performed a prospective randomized study of 76 patients that examined the effectiveness of preoperative exercise programs. They measured the outcomes at intervals similar to those of Wang et al [62] and measured strength of thigh flexors, extensors and abductors, and range of motion of the hip.…”

Section: Preoperative Physical Therapymentioning

confidence: 99%

Factors Influencing Early Rehabilitation After THA: A Systematic Review

Sharma

Morgan

Cheng

2009

Clin Orthop Relat Res

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A wide variation exists in rehabilitation after total hip arthroplasty (THA) in part due to a paucity of evidence-based literature. We asked whether a minimally invasive surgical approach, a multimodal approach to pain control with revised anesthesia protocols, hip restrictions, or preoperative physiotherapy achieved a faster rehabilitation and improved immediate short-term outcome. We conducted a systematic review of 16 level I and II studies after a strategy-based search of English literature on OVID Medline, PubMed, CINAHL, Cochrane, and EMBASE databases. We defined the endpoint of assessment as independent ambulation and ability to perform activities of daily living. Literature supports the use of a multimodal pain control to improve patient compliance in accelerated rehabilitation. Multimodal pain control with revised anesthesia protocols and accelerated rehabilitation speeds recovery after minimally invasive THA compared to the standard approach THA, but a smaller incision length or minimally invasive approach does not demonstrably improve the short-term outcome. Available studies justify no hip restrictions following an anterolateral approach but none have examined the question for a posterior approach. Preoperative physiotherapy may facilitate faster postoperative functional recovery but multicenter and welldesigned prospective randomized studies with outcome measures are necessary to confirm its efficacy.

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Effect of Prehabilitation Before Total Knee Replacement for Knee Osteoarthritis on Functional Outcomes

et al. 2022

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IMPORTANCE Multidisciplinary prehabilitation before total knee replacement (TKR) for osteoarthritis may improve outcomes in the postoperative period. OBJECTIVE To compare multidisciplinary prehabilitation with usual care before TKR for osteoarthritis in terms of functional independence and activity limitations after surgery. DESIGN, SETTING, AND PARTICIPANTSThis prospective, open-label randomized clinical trial recruited participants 50 to 85 years of age with knee osteoarthritis according to the American College of Rheumatology criteria for whom a TKR was scheduled at 3 French tertiary care centers.

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Exercise Improves Early Functional Recovery After Total Hip Arthroplasty

Cited by 143 publications

References 14 publications

Update on hip and knee arthroplasty: Current state of evidence

Update on hip and knee arthroplasty: Current state of evidence

Factors Influencing Early Rehabilitation After THA: A Systematic Review

Effect of Prehabilitation Before Total Knee Replacement for Knee Osteoarthritis on Functional Outcomes

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