Desempenho funcional no pós-operatório de idosos submetidos à artroplastia total de quadril: uma revisão sistemática

Abstract

This study aimed to carry out a systematic review of the literature in a search conducted from 2000 to 2016, to extract information about of the functional performance of the elderly, as their performance in ADLs, walking, functionality and performance activities postoperatively. Database evaluated data were MEDLINE, Lilacs, PEDro, Cochrane and SciELO. The keywords used were "Total Hip Arthroplasty" OR "Hip Arthroplasty" and "rehabilitation" OR functional performance "OR," gait "OR" activities daily living, "AND" elderly ". Data as author / year, goal study, mean age in years, sample size, gender, cause of post-operative instruments and measures, postoperative time and results were extracted from studies and grouped in a table. The search returned 2,291 studies, and after selection and screening studies, 17 articles were potentially relevant to the search. Samples were included from both sexes, aged from 60 years or older, the total number of individuals undergoing THA were 11,731, OA was the predominant cause of the surgical procedure, the minimum evaluation time in the literature in the post operatively was from the first day while the maximum time was 54 months, and to assess the functional performance were used different specific instruments such as Oxford Hip Score, TUG, ADL and IADL scale, Nagi Disability Scale, JOA, Harris Hip Score, FIM, lefs, Merle method - d 'Aubigné and modified Postel, HOOS, UCLA physical activity, and the use of isokinetic dynamometer, goniometer, gait analysis and the measurement of muscle strength . Among the main findings were that the female was most affected in number ATQs due to hip OA, improvements in ADLs after surgery, impaired muscle strength before and after surgery, especially the abductors and hip extensors, better functional performance when operated with the previous surgical approach. The data showed that the THA has good functional results over time, but functional deficits can persist for long periods and with advancing age and up to three months post-operatively function can still be the same preoperatively. the findings of this study may help professionals better understand the rehabilitation of functional performance achieved after THA and on its main limitations, directing them to a better rehabilitation program.