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Balance Remains Impaired after Hip Arthroplasty: A Systematic Review and Best Evidence Synthesis

Background: Hip arthroplasty (HA) is the most common intervention for joint replacement, but there is no consensus in the literature on the real influence of this procedure on balance, or on what factors in the pre-operative, surgical, and post-operative stages may affect it. Purpose: To synthesize...

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Autores principales: Di Laura Frattura, Giorgio, Bordoni, Vittorio, Feltri, Pietro, Fusco, Augusto, Candrian, Christian, Filardo, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8946928/
https://www.ncbi.nlm.nih.gov/pubmed/35328237
http://dx.doi.org/10.3390/diagnostics12030684
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author Di Laura Frattura, Giorgio
Bordoni, Vittorio
Feltri, Pietro
Fusco, Augusto
Candrian, Christian
Filardo, Giuseppe
author_facet Di Laura Frattura, Giorgio
Bordoni, Vittorio
Feltri, Pietro
Fusco, Augusto
Candrian, Christian
Filardo, Giuseppe
author_sort Di Laura Frattura, Giorgio
collection PubMed
description Background: Hip arthroplasty (HA) is the most common intervention for joint replacement, but there is no consensus in the literature on the real influence of this procedure on balance, or on what factors in the pre-operative, surgical, and post-operative stages may affect it. Purpose: To synthesize the evidence on how Hip Arthroplasty (HA) affects balance, identifying pre-operative, surgical, and postoperative risk factors that may impair balance in HA patients, with the aim to improve patients’ management strategies. Methods: A literature search was performed on PubMed, PeDRO, and Cochrane Collaboration on 25 May 2021. Inclusion criteria: clinical report of any level of evidence; written in English; with no time limitation; about balance changes in hip osteoarthritis (OA) patients undergoing HA and related factors. Results: 27 papers (391 patients) were included. Overall, the evidence suggested that balance is impaired immediately after surgery and, 4–12 months after surgery, it becomes better than preoperatively, although without reaching the level of healthy subjects. A strong level of evidence was found for hip resurfacing resulting in better balance restoration than total HA (THA), and for strength and ROM exercises after surgery positively influencing balance. Conclusion: Both the surgical technique and the post-operative protocols are key factors influencing balance; thus, they should be carefully evaluated when managing hip OA in patients undergoing HA. Moreover, balance at 4–12 months after surgery is better than preoperatively, although without reaching the level of the healthy population. Attention should be paid in the early post-operative phase, when balance may be impaired in patients undergoing HA.
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spelling pubmed-89469282022-03-25 Balance Remains Impaired after Hip Arthroplasty: A Systematic Review and Best Evidence Synthesis Di Laura Frattura, Giorgio Bordoni, Vittorio Feltri, Pietro Fusco, Augusto Candrian, Christian Filardo, Giuseppe Diagnostics (Basel) Review Background: Hip arthroplasty (HA) is the most common intervention for joint replacement, but there is no consensus in the literature on the real influence of this procedure on balance, or on what factors in the pre-operative, surgical, and post-operative stages may affect it. Purpose: To synthesize the evidence on how Hip Arthroplasty (HA) affects balance, identifying pre-operative, surgical, and postoperative risk factors that may impair balance in HA patients, with the aim to improve patients’ management strategies. Methods: A literature search was performed on PubMed, PeDRO, and Cochrane Collaboration on 25 May 2021. Inclusion criteria: clinical report of any level of evidence; written in English; with no time limitation; about balance changes in hip osteoarthritis (OA) patients undergoing HA and related factors. Results: 27 papers (391 patients) were included. Overall, the evidence suggested that balance is impaired immediately after surgery and, 4–12 months after surgery, it becomes better than preoperatively, although without reaching the level of healthy subjects. A strong level of evidence was found for hip resurfacing resulting in better balance restoration than total HA (THA), and for strength and ROM exercises after surgery positively influencing balance. Conclusion: Both the surgical technique and the post-operative protocols are key factors influencing balance; thus, they should be carefully evaluated when managing hip OA in patients undergoing HA. Moreover, balance at 4–12 months after surgery is better than preoperatively, although without reaching the level of the healthy population. Attention should be paid in the early post-operative phase, when balance may be impaired in patients undergoing HA. MDPI 2022-03-11 /pmc/articles/PMC8946928/ /pubmed/35328237 http://dx.doi.org/10.3390/diagnostics12030684 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Di Laura Frattura, Giorgio
Bordoni, Vittorio
Feltri, Pietro
Fusco, Augusto
Candrian, Christian
Filardo, Giuseppe
Balance Remains Impaired after Hip Arthroplasty: A Systematic Review and Best Evidence Synthesis
title Balance Remains Impaired after Hip Arthroplasty: A Systematic Review and Best Evidence Synthesis
title_full Balance Remains Impaired after Hip Arthroplasty: A Systematic Review and Best Evidence Synthesis
title_fullStr Balance Remains Impaired after Hip Arthroplasty: A Systematic Review and Best Evidence Synthesis
title_full_unstemmed Balance Remains Impaired after Hip Arthroplasty: A Systematic Review and Best Evidence Synthesis
title_short Balance Remains Impaired after Hip Arthroplasty: A Systematic Review and Best Evidence Synthesis
title_sort balance remains impaired after hip arthroplasty: a systematic review and best evidence synthesis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8946928/
https://www.ncbi.nlm.nih.gov/pubmed/35328237
http://dx.doi.org/10.3390/diagnostics12030684
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