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...
Autores principales: | , , , , , , , , |
---|---|
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 |