Contribuições da reabilitação fisioterapêutica na capacidade funcional e força muscular após artroplastia total de quadril: revisão integrativa.

Introduction: After total hip arthroplasty, patients may experience reduced muscle strength, gait impairments, and difficulties performing daily activities. Objective: To identify the physiotherapy rehabilitation protocols used to restore functional capacity and muscle strength in patients undergoing total hip arthroplasty. Materials and Methods: An integrative literature review was conducted, comprising ten studies on physiotherapy rehabilitation after the procedure. The interventions and their outcomes related to muscle strength and functional capacity were analyzed. Results: The identified protocols included progressive resistance training, joint mobilization and early ambulation, gait and balance training, elliptical trainer exercise, and home-based programs with remote follow-up. Resistance training performed before and after surgery showed favorable outcomes for strength, gait, and function. Elliptical trainer exercise contributed to knee extensor strength and walking performance. In-person and home-based programs improved function, with no consistent superiority of one approach over the other. Conclusion: The physiotherapy protocols analyzed contributed to functional and muscular recovery after total hip arthroplasty. Differences among interventions and outcomes prevented the identification of a single superior protocol, indicating that exercises should be tailored to each patient’s impairments and progress.