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Randomised controlled trial to evaluate a physiotherapy-led functional exercise programme after total hip

B Monaghan1, P Cunningham2, P Harrington3

  • 1Department of Physiotherapy, Our Lady's Hospital, Navan, Co Meath, Ireland.

Physiotherapy
|April 30, 2016
PubMed
Summary

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This summary is machine-generated.

Physiotherapy-led functional exercise between 12 and 18 weeks after total hip replacement (THR) significantly improves patient function and walking speed. This targeted exercise program offers enhanced recovery compared to usual care alone.

Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Sports Medicine

Background:

  • Limited evidence exists on physiotherapy's effectiveness post-total hip replacement (THR).
  • This study investigates a functional exercise program for THR patients between 12 and 18 weeks post-surgery.
  • This period is critical due to increasing functional demands.

Purpose of the Study:

  • To evaluate the effectiveness of a physiotherapy-supervised functional exercise program.
  • To assess functional improvements in patients undergoing total hip replacement (THR).

Main Methods:

  • An adequately powered, assessor-blinded randomized controlled trial was conducted.
  • Sixty-three patients were randomized into a functional exercise group (n=32) or a usual care control group (n=31).
Keywords:
Late-stage functional exercisePhysiotherapyPostoperative rehabilitationTotal hip replacement

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  • The intervention involved twice-weekly physiotherapy-supervised functional exercise classes from 12 to 18 weeks post-THR.

    • Main Results:

    • The functional exercise group showed significantly greater improvements in WOMAC function and walking speed at 18 weeks post-surgery compared to the control group.
    • No significant difference was observed in hip abductor strength between the groups.
    • WOMAC function mean difference: -4.0 (95% CI -7.0 to 1.0, P<0.01); Walking speed mean difference: 21.9m (95% CI 0.60 to 43.3, P<0.04).

    Conclusions:

    • A physiotherapy-led functional exercise program between 12 and 18 weeks post-THR can lead to significant functional gains.
    • This intervention offers a potential benefit over standard usual care for THR patients.
    • Clinical trial registration: NCT01683201.