Atuação da fisioterapia no pós-operatório da fratura de quadril por fragilidade em idosos: uma revisão sistemática

Abstract

Introduction: Fragility fractures are an important and growing global public health problem. This study verified by means of a systematic review which postoperative physiotherapeutic management produces more effective outcomes in the functional recovery of elderly people who underwent surgical intervention after fragility fracture of the femur. Methods: A systematic review of randomized controlled trials was performed. Cochrane, MEDLINE, EMBASE, Pedro and SciELO resource databases were searched using a combination of keywords involving fragility hip fracture and rehabilitation performed from May 2012 to May 2022. Results: Three studies were included for review with a total of 480 patients. The mean age reported of participants 79.2± (14.9), with a prevalence of females. Femoral neck fracture was the most prevalent among the studies. Methodological quality (PEDro) was high in two of the three studies. Limited evidence in favor of home exercise physiotherapy was found, as well as conflicting evidence regarding the use of the anti-gravitational treadmill associated with conventional rehabilitation. Conclusion: A very small number of studies (RCTs) were found on the specific theme, and they showed low therapeutic validity. The proposal on the effectiveness of physical therapy in postoperative elderly with fragility hip fractures still needs to be explored. Population and demographic aging is a reality and future studies should be encouraged and conducted to investigate the appropriate parameters of exercises, such as intensity, frequency and duration in the elderly who underwent surgery for hip fracture due to bone fragility.