Effectiveness of standardized approach versus usual care on physiotherapy treatment for patients submitted to
Laís Silva Vidotto1, Marcelo Bigliassi, Tatiane Romanini Rodrigues Alencar
1Centro de Pesquisa em Ciências da Saúde (CPCS), e Laboratório de Pesquisa em Fisioterapia Pulmonar (LFIP), Universidade do Norte do Paraná (UNOPAR) , Londrina, Paraná , Brasil .
Aim:
To compare the acute effects of a standardized physiotherapy protocol versus a typical non-standardized physiotherapy protocol on pain and performance of patients undergoing alveolar bone graft (ABG).
Method:
Sixteen patients (9 males; 12 [11-13] years) with cleft lip and palate undergoing ABG were allocated into two groups: (1) experimental group--EG (standardized physiotherapy protocol); and (2) control group--CG (typical, non-standardized physiotherapy treatment). Range of motion, muscle strength, gait speed, and pain level were assessed prior to surgical intervention (PRE), as well as on the first, second, and third post-operative days (1st, 2nd, and 3rd PO, respectively).
Results:
Recovery with respect to range of motion of hip flexion was more pronounced in the EG (64.6 ± 11.0°) in comparison to the CG (48.5 ± 17.7° on the 3rd PO; p < 0.05). In addition, less pain was observed in the EG (0 [0-0.2] versus 2 [0.7-3] in the CG on the 3rd PO; p < 0.05).
Conclusion:
A standardized physiotherapy protocol appears to be better than a non-standardized physiotherapy protocol for acute improvement of range of motion of hip flexion and for reducing pain in patients undergoing ABG.
