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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(06): 953-961
DOI: 10.1055/s-0041-1732388
Artigo Original
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Patients Who Present with Functional Limitations, Limited Range of Motion and Reduced Muscle Strength 6 Months after Total Hip Arthroplasty: A Cross-Sectional Study[*]

Artikel in mehreren Sprachen: português | English
Bruna de Moraes Lopes 
1   Departamento de Fisioterapia, Programa de Pós-Graduação em Ciências da Reabilitação, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil
,
Francisco Xavier de Araujo 
2   Centro Universitário Ritter dos Reis, Porto Alegre, RS, Brasil
,
Giovanni Ferreira 
3   Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Austrália
4   Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, Austrália
,
Bruno Manfredini Baroni 
1   Departamento de Fisioterapia, Programa de Pós-Graduação em Ciências da Reabilitação, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil
,
Marcelo Faria Silva 
1   Departamento de Fisioterapia, Programa de Pós-Graduação em Ciências da Reabilitação, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil
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Abstract

Objective To evaluate levels of pain, range of motion, hip isometric peak torque, and functional task performance in patients 6 months after total hip arthroplasty (THA) and to compare them to asymptomatic control participants (CG).

Methods We recruited participants with unilateral THA due to hip osteoarthritis (OA) within a median of 6 months who had not developed postoperative complications. We assessed the pain levels, hip range of motion, peak isometric torque, self-reported assessment (Harris Hip Score) and objectively measured function (Timed Up & Go Test [TUG]) of the patients. The THA group was compared with a group of asymptomatic participants ≥50 years old recruited in the community. Comparisons are presented as mean differences (MDs) and 95% confidence intervals (CIs).

Results A total of 23 participants were included in each group. Pain levels were low in the THA group (1.48 [1.60]), and 91.3% of the patients reported to be satisfied with the surgical procedure. Participants in the THA group reported significantly lower objectively measured (THA 12.2 [10.0–21.6]; CG 9.0 [6.7–12.2]) and self-reported function (THA 78.5 [43.8–93.9]; CG 100.0 [95.8–100.0]) compared with CG. The THA group also had significantly reduced range of motion for flexion (p < 0.001), internal (p < 0.001) and external rotation (p = 0.003) movements and reduced peak torque for flexion (p < 0.001), extension (p < 0.001), abduction (p < 0.001) and adduction (p = 0.024) movements compared with participants of the CG.

Conclusions Despite reporting overall low pain scores and satisfaction with the surgery, the patients present with functional limitations, limited range of motion, and reduced muscle strength 6 months after THA.

Evidence Level 3b

Keywords

osteoarthritis - hip joint - arthroplasty

* Work developed at the Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil




Publikationsverlauf

Eingereicht: 17. Oktober 2020

Angenommen: 19. Februar 2021

Artikel online veröffentlicht:
13. Oktober 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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