Fisioterapia no pós-operatório de correção artroscópica do impacto femoroacetabular
DOI:
https://doi.org/10.15448/1983-652X.2015.3.20026Palavras-chave:
fisioterapia, impacto femoroacetabular, artroscopia de quadril, reabilitação.Resumo
Introdução: Diferentes métodos para ganho de amplitude de movimento do quadril operado, descarga de peso sobre o membro operado e de retorno ao esporte são atualmente baseados na experiência clínica de alguns grupos de pesquisadores do Impacto Femoroacetabular. Entretanto, o protocolo ideal de Fisioterapia no pós-operatório de correção artroscópica do Impacto Femoroacetabular ainda não está estabelecido na literatura.
Objetivo: Apresentar uma metodologia para a reabilitação pós-operatória do Impacto Femoroacetabular, descrevendo um protocolo com base na experiência dos autores e em conhecimentos biomecânicos.
Descrição da experiência: O protocolo de reabilitação proposto é dividido em quatro fases: (1) fase de reabilitação imediata, que compreende a fase hospitalar e as duas semanas iniciais da reabilitação; (2) fase de retorno às atividades de vida diária, que abrange o primeiro mês de pós-operatório; (3) fase de reforço muscular específico e treino proprioceptivo e; (4) fase de preparo final para o retorno ao esporte. Os autores procuram apresentar neste artigo as bases científicas para as condutas propostas em cada uma das fases.
Conclusão: O conhecimento da patologia, da biomecânica articular do quadril e das bases fisiológicas dos métodos e técnicas de fisioterapia é fundamental para propor um protocolo adequado na ausência de evidências científicas suficientes para dar suporte ao protocolo mais adequado.
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