Efficacy of physiotherapy rehabilitation following total hip arthroplasty: A literature review

Abstract

Introduction: Total hip arthroplasty (THA), which is regarded as one of the most successful orthopaedic procedure. In THA, both the femoral head and acetabulum are replaced. It is reconstructive procedure that has bettered the operation of those conditions of the hip joint that have responded inadequately to conventional medical remedy. The hip is a true ball-and-socket joint consists of well-balanced muscles, enabling a wide range of motion in several physical planes while also exhibiting remarkable stability. It plays a major role in the static and dynamic physiology of the locomotor system and, although it is the most stable ball-and-socket joint in the body and maintains an extraordinary range of motion. Non-operative and nonconservative approaches such as physiotherapy techniques and alternative therapies are used as post operative treatment. The main goal is to explore the effectiveness of physiotherapy interventions in total hip replacement surgery including their impact on pain, range of motion, strength, and functional outcomes. Also assess the timing and duration of physiotherapy interventions and their effect on patient outcomes. Method: A systematic review was conducted using the Pubmed and Google Scholar databases, analyse the relevant studies on total hip arthroplasty following physiotherapy rehabilitation, many research papers have studied from 2000 to 2022 out of which 32 were examined on the basis of exclusion and inclusion criteria. Result: Our result provided the evidence that physiotherapy rehabilitation for post total hip arthroplasty is necessary also provides the effective results in patients to improve the functional mobility of the patient. Discussion: The findings suggest that Physiotherapy rehabilitation proved to beneficial in all the parameters like stability, posture, core muscle strength, ROM, functional mobility, balance. However, further research is needed to determine optimal protocols, long-term effects, and individual characteristics influencing treatment outcomes.