Effects of a late-phase exercise program after total hip arthroplasty: a randomized controlled trial

Time course and extent of functional recovery during the first postoperative year after minimally invasive total hip arthroplasty with two different surgical approaches—a randomized controlled trial

“…It is possible that patients undergoing THA through both MIS and conventional approaches may benefit from more aggressive long-term rehabilitation as well as from the intensive early rehabilitation protocols that patients currently receive. A call for more intensive postoperative rehabilitation for THA patients has been building (Bhave et al, 2007;Long et al, 1993;Shih et al, 1994;Trudelle-Jackson et al, 2002;Trudelle-Jackson and Smith, 2004); in fact a recent meta-analysis reported that there was insufficient evidence to make definitive conclusions about the efficacy of postoperative physical therapy after THA (Minns Lowe et al, 2009).…”

Preoperative gait adaptations persist one year after surgery in clinically well-functioning total hip replacement patients

“…Unfortunately postoperative rehabilitation does not emphasize muscle strengthening (Trudelle-Jackson and Smith, 2004). Several groups have reported postoperative abductor muscle weakness (Bhave et al, 2005;Long et al, 1993;Shih et al, 1994;Sicard-Rosenbaum et al, 2002;Trudelle-Jackson and Smith, 2004).…”

Rehabilitation following total hip arthroplasty evaluation over short follow-up time: Randomized clinical trial

“…The decision to examine a short follow-up period resulted from our conclusion that no previous study has shown the efficacy of a rehabilitation protocol in a very short follow-up period of 15 d postsurgery. Most of the previous studies [13,[26][27][28] made assessments over periods of 4,8,12, and 16 wk.…”

“…A variety of tools has been described: the Oxford Hip score [13], The McMaster Toronto Arthritis Patient Preference Disability Questionnaire [41], and the Japanese Orthopedic Score [40]. The SF-36 [19] and the Merle d'Aubigné and Postel [20] score are other examples of validated scores [10].…”

“…Patients who received THA without a rehabilitation program will develop functional limitations within 1 yr after surgery [13][14], and physiotherapy plays an important role in the care of these patients. Physiotherapy can improve strength and gait speed after THA [15] and help prevent frequent complications, which include luxation and thromboembolic disease [16][17].…”