Intervenções fisioterápicas mais eficazes na reabilitação pós-operatória em idosos comunitários que sofreram fraturas de fêmur decorrentes de queda

Abstract

Objective: To observe the physiotherapy interventions available in the literature for postoperative rehabilitation in the elderly community who suffered demur fractures from falls and compare the effectiveness of different interventions. Methods: A systematic review of controlled studies and/ or randomized in Medline/ PubMed, Lilacs, PEDro, and Scielo. We included articles in English and Portuguese. We excluded observational studies, articles whose sample consisted of elderly residents in long-stay institutions, and elderly who have suffered hip fractures not caused by falls. Results: The search yielded a total of 484 articles, of which 9 were selected for inclusion in this review. The articles differed as to the intervention protocols, duration, frequency, intensity and supervision. There was also variability regarding the instruments used in the evaluation of outcomes, although they are common among studies. Mosto f the articles analyzed in this review demonstrated positive effects on gain muscle, strength, gait speed, functionality, balance, mobility and quality of life, mainly due to kinesiotherapy. Conclusão: There are different protocols for reahbilitation post-operative femoral fracture resulting from a fall and could not set the Best intervention.