Cargando…

The Role of Physical Activity and Rehabilitation Following Hip and Knee Arthroplasty in the Elderly

Hip and knee replacement is an effective treatment for symptomatic, end-stage hip and knee osteoarthritis, aiming to relieve pain and restore joint function. Several postoperative rehabilitation protocols and physical activities are proposed in routine clinical practice. However, their effect on cli...

Descripción completa

Detalles Bibliográficos
Autores principales: Papalia, Rocco, Campi, Stefano, Vorini, Ferruccio, Zampogna, Biagio, Vasta, Sebastiano, Papalia, Giuseppe, Fossati, Chiara, Torre, Guglielmo, Denaro, Vincenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291199/
https://www.ncbi.nlm.nih.gov/pubmed/32397459
http://dx.doi.org/10.3390/jcm9051401
_version_ 1783545854376804352
author Papalia, Rocco
Campi, Stefano
Vorini, Ferruccio
Zampogna, Biagio
Vasta, Sebastiano
Papalia, Giuseppe
Fossati, Chiara
Torre, Guglielmo
Denaro, Vincenzo
author_facet Papalia, Rocco
Campi, Stefano
Vorini, Ferruccio
Zampogna, Biagio
Vasta, Sebastiano
Papalia, Giuseppe
Fossati, Chiara
Torre, Guglielmo
Denaro, Vincenzo
author_sort Papalia, Rocco
collection PubMed
description Hip and knee replacement is an effective treatment for symptomatic, end-stage hip and knee osteoarthritis, aiming to relieve pain and restore joint function. Several postoperative rehabilitation protocols and physical activities are proposed in routine clinical practice. However, their effect on clinical outcome and implant revision in patients undergoing joint replacement is still unclear. A systematic review of the literature was performed through a comprehensive search on online databases including Pubmed-Medline, Cochrane central, and Google scholar. We included all the available studies on postoperative physical activity and rehabilitation protocols after total knee and total hip arthroplasty in patients older than 65 years. The primary endpoint was to evaluate the effect of physical activity and rehabilitation on clinical outcome; the secondary outcome was to determine the effect on patients’ quality of life (QoL) and implant survival. Although the heterogeneity of the rehabilitation protocols and outcome measures did not allow to draw definitive conclusions, most studies suggested that aquatic therapy, ergometer cycling, and fast-track protocols have a beneficial effect on muscle strength, gait speed, and main clinical scores after total hip arthroplasty. Similarly, enhanced rehabilitation protocols produced an improvement in primary and secondary outcomes after total knee arthroplasty.
format Online
Article
Text
id pubmed-7291199
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-72911992020-06-17 The Role of Physical Activity and Rehabilitation Following Hip and Knee Arthroplasty in the Elderly Papalia, Rocco Campi, Stefano Vorini, Ferruccio Zampogna, Biagio Vasta, Sebastiano Papalia, Giuseppe Fossati, Chiara Torre, Guglielmo Denaro, Vincenzo J Clin Med Review Hip and knee replacement is an effective treatment for symptomatic, end-stage hip and knee osteoarthritis, aiming to relieve pain and restore joint function. Several postoperative rehabilitation protocols and physical activities are proposed in routine clinical practice. However, their effect on clinical outcome and implant revision in patients undergoing joint replacement is still unclear. A systematic review of the literature was performed through a comprehensive search on online databases including Pubmed-Medline, Cochrane central, and Google scholar. We included all the available studies on postoperative physical activity and rehabilitation protocols after total knee and total hip arthroplasty in patients older than 65 years. The primary endpoint was to evaluate the effect of physical activity and rehabilitation on clinical outcome; the secondary outcome was to determine the effect on patients’ quality of life (QoL) and implant survival. Although the heterogeneity of the rehabilitation protocols and outcome measures did not allow to draw definitive conclusions, most studies suggested that aquatic therapy, ergometer cycling, and fast-track protocols have a beneficial effect on muscle strength, gait speed, and main clinical scores after total hip arthroplasty. Similarly, enhanced rehabilitation protocols produced an improvement in primary and secondary outcomes after total knee arthroplasty. MDPI 2020-05-09 /pmc/articles/PMC7291199/ /pubmed/32397459 http://dx.doi.org/10.3390/jcm9051401 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Papalia, Rocco
Campi, Stefano
Vorini, Ferruccio
Zampogna, Biagio
Vasta, Sebastiano
Papalia, Giuseppe
Fossati, Chiara
Torre, Guglielmo
Denaro, Vincenzo
The Role of Physical Activity and Rehabilitation Following Hip and Knee Arthroplasty in the Elderly
title The Role of Physical Activity and Rehabilitation Following Hip and Knee Arthroplasty in the Elderly
title_full The Role of Physical Activity and Rehabilitation Following Hip and Knee Arthroplasty in the Elderly
title_fullStr The Role of Physical Activity and Rehabilitation Following Hip and Knee Arthroplasty in the Elderly
title_full_unstemmed The Role of Physical Activity and Rehabilitation Following Hip and Knee Arthroplasty in the Elderly
title_short The Role of Physical Activity and Rehabilitation Following Hip and Knee Arthroplasty in the Elderly
title_sort role of physical activity and rehabilitation following hip and knee arthroplasty in the elderly
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291199/
https://www.ncbi.nlm.nih.gov/pubmed/32397459
http://dx.doi.org/10.3390/jcm9051401
work_keys_str_mv AT papaliarocco theroleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT campistefano theroleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT voriniferruccio theroleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT zampognabiagio theroleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT vastasebastiano theroleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT papaliagiuseppe theroleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT fossatichiara theroleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT torreguglielmo theroleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT denarovincenzo theroleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT papaliarocco roleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT campistefano roleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT voriniferruccio roleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT zampognabiagio roleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT vastasebastiano roleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT papaliagiuseppe roleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT fossatichiara roleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT torreguglielmo roleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly
AT denarovincenzo roleofphysicalactivityandrehabilitationfollowinghipandkneearthroplastyintheelderly