The effect of preoperative physiotherapy and education on the outcome of total hip replacement: a prospective randomized controlled trial

Abstract

We conclude that the routine use of preoperative physiotherapy and education programme is not useful in total hip replacement surgery.

Improving patients’ experience and outcome of total joint replacement: the RESTORE programme

“…488,493,494,496,497,[501][502][503]510,[513][514][515]519,521,525,527,534 In the random-effects meta-analysis shown in Table 76 and Figure 38, the average SMD was 0.28 (95% CI 0.16 to 0.40) favouring intervention. Inspection of the funnel plot did not suggest publication bias.…”

“…Of the 36 interventions (32 articles) targeting optimisation of pre-surgical health, 14 interventions were in patients waiting for THR, [487][488][489][493][494][495][496][497][500][501][502][503][504]507 17 in patients waiting for TKR, 500,503,509-515,517,519-521,523-525 and five in total hip and knee patients together. [526][527][528][529]534 Eighteen interventions were specifically exercise based, 488,494,497,502,503,509,[511][512][513][514][515]519,520,[523][524][525] nine were education based, 52,489,495,500,501,526,527,529 while nine were multifactorial with exercise and education components and, in some cases, an occupational therapy base.…”

“…[526][527][528][529]534 Eighteen interventions were specifically exercise based, 488,494,497,502,503,509,[511][512][513][514][515]519,520,[523][524][525] nine were education based, 52,489,495,500,501,526,527,529 while nine were multifactorial with exercise and education components and, in some cases, an occupational therapy base. 487,493,496,504,507,510,517,521,528 Effect on pre-surgical physical function Physical function before surgery was measured after 21 interventions using WOMAC (physical function or total), SF-36 physical function, HHS, HOOS, HSS, Arthritis Impact Measure Score 2 (AIMS2), AKSS or locally devised scores. 512 USA; date not specified; A and C Knee; osteoarthritis; n = 32 (17 : 15); age and sex not described Exercise; home and physical therapy clinic; partially supervised resistance and flexibility exercises and step training, training booklet; twice a week at home and once a week at physical therapy clinic for 50 minutes from 8 weeks before surgery; usual pre-operative care Exercise (functional); outpatient and home; twice per week for 3-6 weeks and home four times per week; one physical therapist-led group session 3 weeks before surgery 2-4 days before admission and up to 6 we...…”

Factors Influencing Early Rehabilitation After THA: A Systematic Review

“…The exercise group had improvement in all variables 1 week before and up to 6 months after surgery [18]. Gocen et al [20] reported a prospective randomized study of 60 patients with osteoarthritis undergoing THA. Subjects in the study group received preoperative physiotherapy designed to strengthen the muscles of the upper and lower limbs and to improve range of motion of the hip, beginning 8 weeks before the operation.…”

Methods for Optimising Patient Function After Total Hip Arthroplasty

“…In their sample of 31 patients, few differences were observed between the patients and control subjects on measures such as the visual analogue pain scale and the Harris hip score (Wijgman et al 1994). More recent work by Gocen et al (Gocen et al 2004) also showed that instruction and pre-operative physiotherapy is of no benefit in terms of improving outcome (measured with the Harris Hip Score and Visual analogue scale) after THR surgery. A systematic review by Ackerman and Bennell (Ackerman & Bennell 2004) found that only two randomised controlled trials involving patients undergoing THR surgery demonstrated a benefit of performing pre-operative exercise.…”