Fascial Manipulation® Associated With Standard Care Versus Standard Post-surgical Care for Total Hip Arthroplasty

Fascial Manipulation® Associated With Standard Care Versus Standard Post-surgical Care for Total Hip Arthroplasty: a Randomized Controlled Trial.

Post-surgical physiotherapy programs following to total hip arthroplasty (THA) show important differences between types and numbers of treatment sessions. Objectives are to investigate effectiveness of Fascial Manipulation when associated to a standard protocol of care.

Background. Post-surgical physiotherapy programs following to total hip arthroplasty (THA) show important differences between types and numbers of treatment sessions. Objectives are to investigate effectiveness of Fascial Manipulation when associated to a standard protocol of care.

Methods. Fifty-one subjects operated with THA were randomized into two groups, both followed a standard protocol of care where two sessions were replaced with Fascial Manipulation in the study group. Functional outcomes measures collected before and after treatment and at the end of the rehabilitation program included Harris Hip Score, Time Up and Go test, articular range of motion and verbal numerical scale.

Inclusion Criteria:

• first THA surgery,
• posterior-lateral access,
• onset of pain of maximum 2 years

Exclusion Criteria:

• patients with previous hip or knee prosthesis,
• congenital hip dysplasia,
• revision THA,
• elective THA secondary to trauma,
• real leg-length discrepancy (≥1.5cm),
• cognitive impairment,
• concomitant rheumatic pathology in acute phase,
• serious comorbidities including cardiac,
• respiratory and/or neuromuscular pathologies.