Editor's Choice
REVIEW PAPER
Physiotherapy interventions in treating patients following total hip arthroplasty: a narrative review
 
More details
Hide details
1
Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka, Bangladesh
 
2
Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), Savar, Dhaka, Bangladesh
 
 
Submission date: 2023-03-22
 
 
Acceptance date: 2023-08-28
 
 
Online publication date: 2024-08-02
 
 
Corresponding author
Faruq Ahmed   

Department of Physiotherapy, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka-1313, Bangladesh
 
 
Physiother Quart. 2024;32(3):1-6
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Total hip arthroplasty (THA) is the most common, successful modern surgical intervention in orthopedic practice. Physiotherapy interventions are a major part of patient rehabilitation following THA. This study aimed to evaluate the effectiveness of physiotherapy interventions for improving functional outcomes following THA.

Methods:
This narrative review was conducted on electronic platforms and databases, including PubMed, PEDro, CINAHL, and EMBASE, using a combination of search terms related to “physical therapy”, “physiotherapy”, “physical exercise”, “physiotherapy intervention”, “hip arthroplasty”, “total hip arthroplasty”, and “hip joint replacement”. Inclusion criteria included randomized controlled trials or clinical trials published in English from 2014 to 2021. Where THA was recognized as the primary concern, and physiotherapy management was one of the treatment options.

Results:
The initial search of the databases revealed a total of 77 studies. Of those studies, 19 were selected as potentially meeting the inclusion criteria. Eventually, 10 studies were analyzed for the narrative review’s final conclusions. The evaluations supported the hypothesis that physiotherapy interventions have favorable outcomes for patients with THA.

Conclusions:
After reviewing, it has been revealed that physiotherapy can improve physical function, balance, range of motion, muscle strength, and gait pattern following THA.

REFERENCES (30)
1.
Bagarić I, Šarac H, Borovac JA, Vlak T, Bekavac J, He­brang A. Primary total hip arthroplasty: health-related quality of life outcomes. Int Orthop. 2014;38(3):495–501; doi: 10.1007/s00264-013-2142-8.
 
2.
Freburger JK. An analysis of the relationship between the utilization of physical therapy services and outcomes of care for patients after total hip arthroplasty. Phys Ther. 2000;80(5):448–58.
 
3.
Coulter CL, Scarvell JM, Neeman TM, Smith PN. Physiotherapist-directed rehabilitation exercises in the outpatient or home setting improve strength, gait speed, and cadence after elective total hip replacement: a systematic review. J Physiother. 2013;59(4):219–26; doi: 10.1016/S1836-9553(13)70198-X.
 
4.
Okoro T, Lemmey AB, Maddison P, Andrew JG. An appraisal of rehabilitation regimes used for improving functional outcomes after total hip replacement surgery. Sports Med Arthrosc Rehabil Ther Technol. 2012;4(1):5; doi: 10.1186/1758-2555-4-5.
 
5.
Jogi P, Overend TJ, Spaulding SJ, Zecevic A, Kramer JF. Effectiveness of balance exercises in the acute post-operative phase following total hip and knee arthroplasty: a randomized clinical trial. SAGE Open Med. 2015;3:2050312115570769; doi: 10.1177/2050312115570769.
 
6.
Trudelle-Jackson E, Smith SS. Effects of a late-phase exercise program after total hip arthroplasty: a randomized controlled trial. Arch Phys Med Rehabil. 2004;85(7):1056–62; doi: 10.1016/j.apmr.2003.11.022.
 
7.
Buirs LD, Van Beers LW, Scholtes VA, Pastoors T, Spra­gue S, Poolman RW. Predictors of physical functioning after total hip arthroplasty: a systematic review. BMJ Open. 2016;6(9):e010725; doi: 10.1136/bmjopen-2015-010725.
 
8.
Shih CH, Du YK, Lin YH, Wu CC. Muscular recovery around the hip joint after total hip arthroplasty. Clin Orthop Relat Res. 1994;302:115–20.
 
9.
Skoffer B, Dalgas U, Mechlenburg I. Progressive resistance training before and after total hip and knee arthroplasty: a systematic review. Clin Rehabil. 2015;29(1):14–29; doi: 10.1177/0269215514537093.
 
10.
Monaghan B, Cunningham P, Harrington P, Hing W, Blake C, O’Dohertya D, Cusack T. Randomised controlled trial to evaluate a physiotherapy-led functional exercise program after total hip replacement. Physiotherapy. 2017;103(3):283–8; doi: 10.1016/j.physio.2016.01.003.
 
11.
Nakanowatari T, Suzukamo Y, Izumi S. Specific exercises and heel lift improve functional and patient-perceived leg length discrepancies after total hip arthroplasty: a randomized controlled trial. Physiotherapy. 2015;101(suppl 1):e1074; doi: 10.1016/j.physio.2015.03.1961.
 
12.
Long W, Dorr L, Healy B, Perry J. Functional recovery of noncemented total hip arthroplasty. Clin Orthop Relat Res. 1993;288:73–7.
 
13.
Wijnen A, Bouma SE, Seeber GH, van der Woude LH, Bulstra SK, Lazovic D, Stevens M, van den Akker-Scheek I. The therapeutic validity and effectiveness of physiotherapeutic exercise following total hip arthroplasty for osteoarthritis: a systematic review. PLOS ONE. 2018;13(3):e0194517; doi: 10.1371/journal.pone.0194517.
 
14.
Jan M-H, Hung J-Y, Lin J-C, Wang S-F, Liu T-K, Tang P-F. Effects of a home program on strength, walking speed, and function after total hip replacement. Arch Phys Med Rehabil. 2004;85(12):1943–51; doi: 10.1016/j.apmr.2004.02.011.
 
15.
Papalia R, Campi S, Vorini F, Zampogna B, Vasta S, Papalia G, Fossati C, Torre G, Denaro V. The role of physical activity and rehabilitation following hip and knee arthroplasty in the elderly. J Clin Med. 2020;9(5):1401; doi: 10.3390/jcm9051401.
 
16.
Winther SB, Foss OA, Husby OS, Wik TS, Klaksvik J, Husby VS. A randomized controlled trial on maximal strength training in 60 patients undergoing total hip arthroplasty: implementing maximal strength training into clinical practice. Acta Orthop. 2018;89(3):295–301; doi: 10.1080/17453674.2018.1441362.
 
17.
Umpierres CS, Ribeiro TA, Marchisio ÂE, Galvão L, Bor­ges ÍN, de Souza Macedo CA, Galia CR. Rehabilitation following total hip arthroplasty evaluation over short follow-up time: a randomized clinical trial. J Rehabil Res Dev. 2014;51(10):1567–78; doi: 10.1682/JRRD.2014.05.0132.
 
18.
Rampazo-Lacativa MK, D’Elboux MJ. Effect of cycle ergometer and conventional exercises on rehabilitation of older patients with total hip arthroplasty: study protocol for a randomized controlled trial. Trials. 2015;16(1):1–9; doi: 10.1186/s13063-015-0647-8.
 
19.
Nakanowatari T, Suzukamo Y, Izumi SI. The effectiveness of specific exercise approach or modifiable heel lift in the treatment of functional leg length discrepancy in early post-surgery in patients after total hip arthroplasty: a randomized controlled trial with a PROBE design. Phys Ther Res. 2016;19(1):39–49; doi: 10.1298/PTR.E9892.
 
20.
Matheis C, Stöggl T. Strength and mobilization training within the first week following total hip arthroplasty. J Bodyw Mov Ther. 2018;22(2):519–27; doi: 10.1016/j.jbmt.2017.06.012.
 
21.
Nankaku M, Ikeguchi R, Goto K, So K, Kuroda Y, Matsuda S. Hip external rotator exercise contributes to improving physical functions in the early stage after total hip arthroplasty using an anterolateral approach: a randomized controlled trial. Disabil Rehabil. 2016;38(22):2178–83; doi: 10.3109/09638288.2015.1129453.
 
22.
Krastanova MS, Ilieva EM, Valcheva DE. Rehabilitation of patients with hip joint arthroplasty. Folia Med. 2017;59(2):217–21; doi: 10.1515/folmed-2017-0016.
 
23.
Siggeirsdottir K, Olafsson Ö, Jonsson Jr H, Iwarsson S, Gudnason V, Jonsson BY. Short hospital stay augmented with education and home-based rehabilitation improves function and quality of life after hip replacement: a randomized study of 50 patients with 6 months of follow-up. Acta Orthop. 2005;76(4):555–62; doi: 10.1080/17453670510041565.
 
24.
Roberts D, Ageberg E, Andersson G, Fridén T. Effects of short-term cycling on knee joint proprioception in ACL-deficient patients. Knee Surg Sports Traumatol Arthrosc. 2004;12(5):357–63; doi: 10.1007/s00167-003-0468-2.
 
25.
Sady SP, Wortman MV, Blanke D. Flexibility training: ballistic, static or proprioceptive neuromuscular facilitation? Arch Phys Med Rehabil. 1982;63(6):261–3.
 
26.
Heiberg KE, Bruun-Olsen V, Ekeland A, Mengshoel AM. Effect of a walking skill training program in patients who have undergone total hip arthroplasty: follow-up one year after surgery. Arthritis Care Res. 2012;64(3):415–23; doi: 10.1002/acr.20681.
 
27.
Bade MJ, Stevens-Lapsley JE. Early high-intensity rehabilitation following total knee arthroplasty improves outcomes. J Orthop Sports Phys Ther. 2011;41(12):932–41; doi: 10.2519/jospt.2011.3734.
 
28.
Judd DL, Dennis DA, Thomas AC, Wolfe P, Dayton MR, Stevens-Lapsley JE. Muscle strength and functional recovery during the first year after THA. Clin Orthop Relat Res. 2014;472(2):654–64; doi: 10.1007/s11999-013-3136-y.
 
29.
Koga D, Jinno T, Okawa A, Morita S, Shinomiya K. The effect of preoperative lateral flexibility of the lumbar spine on perceived leg length discrepancy after total hip arthroplasty. J Med Dental Sci. 2009;56(1):69–77.
 
30.
Bodén H, Adolphson P. No adverse effects of early weight bearing after uncemented total hip arthroplasty. A randomized study of 20 patients. Acta Orthop Scand. 2004;75(1):21–9; doi: 10.1080/00016470410001708040.
 
eISSN:2544-4395
Journals System - logo
Scroll to top