Marchisio Angela Elizabeth, Ribeiro Tiango Aguiar, Umpierres Carolina Sant Anna, GalvÃo LÍvia, Rosito Ricardo, Macedo Carlos Alberto DE Souza, Galia Carlos Roberto
Postgraduate Program in Medicine: Surgical Sciences, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
Hip Surgery of the Department of Orthopedic Surgery, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil.
Rev Col Bras Cir. 2020;47:e20202548. doi: 10.1590/0100-6991e-20202548. Epub 2020 Aug 12.
compare an accelerated physiotherapeutic protocol to a conventional physiotherapeutic protocol in total hip arthroplasty patients.
a randomized double blinded clinical trial performed from August 2013 to November 2014. Forty-eight patients diagnosed with hip osteoarthritis submitted to a total hip arthroplasty surgery. An accelerated rehabilitation physiotherapy applied three times a day and start gait training on the first day or standard physiotherapy applied once a day and start gait training on the second or third day of hospitalization. The Merle dAubigné and Postel score (mobility, pain and gait), muscle strength force, range of motion, in hospital stay and time to start of gait training, were the outcomes.
the mean age was 64.46 years (10.37 years standard deviation). No differences were observed in age in different genders, and the two randomization groups were homogeneous. In hospital stay was lower in the intervention group compared to the control group, 3 (3-4) days [median (interquartile range)] versus 4 (4-5) days. Time to the start of gait training was early in the intervention group compared to the control group, 1 (1-1) days versus 2 (2-2) days. Higher muscle strength values were observed in the postoperative results in the intervention group compared to the control group for internal rotation, external rotation and abduction.
an accelerated physiotherapeutic protocol should be encouraged, because it shows favourable results in gait, muscle strength and length of hospital stay, even upon hospital discharge.
比较全髋关节置换术患者中加速物理治疗方案与传统物理治疗方案的效果。
于2013年8月至2014年11月进行一项随机双盲临床试验。48例被诊断为髋骨关节炎的患者接受了全髋关节置换手术。加速康复物理治疗每天进行3次，并在术后第一天开始步态训练；或标准物理治疗每天进行1次，并在住院第二天或第三天开始步态训练。评估指标包括Merle d'Aubigné和Postel评分（活动度、疼痛和步态）、肌肉力量、关节活动范围、住院时间以及开始步态训练的时间。
平均年龄为64.46岁（标准差为10.37岁）。不同性别在年龄上无差异，两个随机分组组具有同质性。干预组的住院时间低于对照组，分别为3（3 - 4）天[中位数（四分位间距）]和4（4 - 5）天。干预组开始步态训练的时间早于对照组，分别为1（1 - 1）天和2（2 - 2）天。干预组术后内旋、外旋和外展的肌肉力量值高于对照组。
应鼓励采用加速物理治疗方案，因为即使在出院时，该方案在步态、肌肉力量和住院时间方面都显示出良好的效果。
