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Physiotherapist-directed rehabilitation exercises in the outpatient or home setting improve strength, gait speed and cadence after elective total hip replacement: a systematic review

Coulter, Corinne; Scarvell, Jennifer M; Neeman, Teresa; Smith, Paul

Description

Question: In people who have been discharged from hospital after a total hip replacement, do rehabilitation exercises directed by a physiotherapist improve strength, gait, function and quality of life? Are these exercises as effective in an unsupervised home-based setting as they are in a supervised outpatient setting? Design: Systematic review with meta-analysis of randomised trials. Participants: Adult patients after elective total hip replacement. Intervention: Physiotherapist-directed...[Show more]

dc.contributor.authorCoulter, Corinne
dc.contributor.authorScarvell, Jennifer M
dc.contributor.authorNeeman, Teresa
dc.contributor.authorSmith, Paul
dc.date.accessioned2015-12-07T22:19:15Z
dc.identifier.issn1836-9553
dc.identifier.urihttp://hdl.handle.net/1885/19246
dc.description.abstractQuestion: In people who have been discharged from hospital after a total hip replacement, do rehabilitation exercises directed by a physiotherapist improve strength, gait, function and quality of life? Are these exercises as effective in an unsupervised home-based setting as they are in a supervised outpatient setting? Design: Systematic review with meta-analysis of randomised trials. Participants: Adult patients after elective total hip replacement. Intervention: Physiotherapist-directed rehabilitation exercises after discharge from hospital following total hip replacement. Outcome measures: Hip and knee strength, gait parameters, functional measures, and quality of life. Results: Five studies comprising 234 participants were included in the review. Sufficient data for meta-analysis were only obtained for hip and knee strength, gait speed and cadence. Physiotherapy rehabilitation improved hip abductor strength by a mean of 16. Nm (95% CI 10 to 22), gait speed by 6 m/min (95% CI 1 to 11) and cadence by 20 steps/min (95% CI 8 to 32). Favourable but non-significant improvements in strength were noted for other muscle groups at the hip and knee. Function and quality of life could not be meta-analysed due to insufficient data and heterogeneity of measures, but functional measures tended to favour the physiotherapy rehabilitation group. Most outcomes were similar between outpatient and home-based exercise programs. Conclusion: Physiotherapy rehabilitation improves hip abductor strength, gait speed and cadence in people who have been discharged from hospital after total hip replacement. Physiotherapist-directed rehabilitation exercises appear to be similarly effective whether they are performed unsupervised at home or supervised by a physiotherapist in an outpatient setting.
dc.publisherElsevier
dc.rightsAuthor/s retain copyright
dc.sourceJournal of Physiotherapy
dc.titlePhysiotherapist-directed rehabilitation exercises in the outpatient or home setting improve strength, gait speed and cadence after elective total hip replacement: a systematic review
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume59
dc.date.issued2013
local.identifier.absfor111600 - MEDICAL PHYSIOLOGY
local.identifier.ariespublicationu4671881xPUB7
local.type.statusPublished Version
local.contributor.affiliationCoulter, Corinne, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationScarvell, Jennifer M, University of Canberra
local.contributor.affiliationNeeman, Teresa, Administrative Division, ANU
local.contributor.affiliationSmith, Paul, Canberra Hospital
local.bibliographicCitation.startpage219
local.bibliographicCitation.lastpage226
local.identifier.doi10.1016/S1836-9553(13)70198-X
dc.date.updated2015-12-07T08:32:57Z
local.identifier.scopusID2-s2.0-84894679395
dcterms.accessRightsOpen Access
CollectionsANU Research Publications

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