The effects of exercise on function and pain following total hip arthroplasty: a systematic literature review and meta-analysis

Tang, Wilson, Flavell, Carol Ann, Grant, Andrea, and Doma, Kenji (2022) The effects of exercise on function and pain following total hip arthroplasty: a systematic literature review and meta-analysis. Physical Therapy Reviews, 27 (4). pp. 247-266.

[img] PDF (Accepted Publisher Version) - Accepted Version
Restricted to Repository staff only

View at Publisher Website:


Background: Previous reviews have reported the efficacy of exercise interventions following total hip arthroplasty (THA), but poor inter-study comparability of low-quality studies, and outcome measure heterogeneity predominate. Conclusions regarding exercise intervention efficacy following THA are lacking.

Objectives: Conduct a systematic literature review with meta-analysis to report the effects of exercise following THA, using self-reported outcome measures of function and pain, and clinical tests for gait capacity.

Methods: An electronic database search of CINAHL, Informit, Medline, Physiotherapy Evidence Database, Scopus, and SportDiscus was conducted. Included studies (1) reported exercise interventions in adult populations following THA; (2) reported outcomes either of physical function, pain intensity, or clinical gait capacity; (3) were randomised controlled trials published in English. Study appraisal was conducted using PEDro scale. A meta-analysis was conducted to report intervention effect size and statistical significance between experimental and control groups.

Results: Searches yielded 5,997 studies. Twenty-four studies underwent systematic review. Twelve were eligible for meta-analysis. Study quality ranged from fair to excellent (median = 7, range = 5–9/10). Exercise interventions included hydrotherapy, and progressive resistance, gait, task-based, upper-limb, and sports therapy training. Significant between-group differences in self-reported function, pain, and gait velocity were observed at short-term follow-up, favouring exercise intervention groups. At long-term follow-up, these improvements were not significant.

Conclusions: This review identified that exercise interventions significantly improved self-reported physical function, pain intensity and gait velocity following THA in the short term. Further research is required to clarify long-term exercise effects, and the most effective exercise intervention, in studies which detail the interventions explicitly.

Item ID: 73599
Item Type: Article (Research - C1)
ISSN: 1743-288X
Copyright Information: © 2022 Informa UK Limited, trading as Taylor & Francis Group
Research Data:
Date Deposited: 01 Jun 2022 03:09
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320226 Surgery @ 10%
42 HEALTH SCIENCES > 4201 Allied health and rehabilitation science > 420106 Physiotherapy @ 80%
42 HEALTH SCIENCES > 4207 Sports science and exercise > 420799 Sports science and exercise not elsewhere classified @ 10%
SEO Codes: 20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 100%
Downloads: Total: 2
More Statistics

Actions (Repository Staff Only)

Item Control Page Item Control Page