Peu de données traitent des modalités permettant d'accélérer l'indépendance fonctionnelle des sujets inclus dans une approche accélérée après une #arthroplastie totale de la #hanche (THA). L'objectif de l'étude était d'évaluer les effets à court terme de la #mobilisation et de la marche le jour de l'arthroplastie totale de #hanche (WDS) sur l'indépendance, la douleur, la fonction et la qualité de vie. Conclusion des auteurs : Marcher le jour de l’arthroplastie totale de hanche produit des avantages supplémentaires pour l’indépendance des patients au cours de la première semaine suivant l’arthroplastie totale de la hanche. L'absence d'aggravation de la #douleur ou d'effets indésirables sur la fonction de la hanche et la qualité de vie peut permettre aux cliniciens de recommander de marcher le jour de l'arthroplastie totale de hanche pour favoriser la décharge avec une indépendance fonctionnelle. Lire aussi : - Étude : l'ostéopathie du sport pour augmenter ses performances sportives - Vidéo - Ostéopathie douce : traitement des douleurs lombaires et du bassin - Traitement des cervicalgies par la fasciathérapie - Influence de la mandibule et de l'occlusion dentaire sur le rachis cervical - Cervicalgie, douleurs cervicales, torticolis, cou bloqué... le traitement efficace - Implication des cervicales (C1-C2) dans les troubles temporo-mandibulaires myogéniques - Les « Trigger Points » expliqués - Mal de dos, lombalgie et prise en charge physique, psychologique et sociale Does #walking the day of total hip #arthroplasty speed up functional independence? A non-randomized controlled study Few data address modalities for speeding up functional independence in subjects included in a fast-track approach after total hip arthroplasty (THA). The study aim was to assess short-term effects of mobilization and walking the day of THA (WDS) on independence, pain, function and quality of life. Methods Seventy-one patients were allocated in a study (SG: n = 36) or control (CG: n = 35) groups according to time of surgery and recovery from anesthesia. Patients who recovered lower limbs sensitivity (disappearance of sensation deficits) and motility (MRC scale ≥3 at knee, ankle and great toe extension) by 7.00 p.m. made up the SG, whereas patients who underwent surgery later and recovered from anesthesia after 7.00 p.m. made up the CG. SG underwent WDS, whereas CG performed mobilization and walking the day after surgery starting the same physiotherapy program 1 day later. Patients were evaluated for independence (Functional Independence Measure - FIM), pain (Numeric Rating Scale - NRS), hip function (Harris Hip Score - HHS) and quality of life (EuroQoL-5Dimension - EQ. 5D and EQ. 5D-VAS)the day before surgery, at 3 and 7 days in a hospital setting. Analysis of Covariance with age (SG: mean 60.9, SD 9.0; CG: mean 65.5, SD 8.9) and BMI (SG: mean 27.4, SD 2.8; CG: mean 26.7, SD 2.4) as covariates was used to assess between-group differences over time. Results Between-groups differences were observed for FIM total and motor scores (p = 0.002, mean difference: 2.1, CI95: 0.64, 3.7) and FIM self-care (p = 0.01, mean difference: 1.7, CI95: 0.41, 3) in favor of SG at 3 days. Between-group differences were found for FIM self-care (p = 0.021, mean difference: 1.2, CI95: 0.18, 2.1) in favor of SG at 7 days. FIM total and motor scores (p < 0.001), FIM self-care (p = 0.027) and transfer-locomotion (p < 0.001) and HHS (p = 0.032) decreased after surgery followed by improvements in postoperative days (p ≤ 0.001). No differences were found for NRS, EQ. 5D and EQ. 5D-VAS. Conclusions WDS produces additional benefits in patients’ independence in the first week after THA. Absence of pain aggravation or adverse effects on hip function and quality of life may allow clinicians to recommend WDS to promote discharge with functional independence. Temporiti, F., Draghici, I., Fusi, S. et al. Does #walking the day of total hip #arthroplasty speed up functional independence? A non-randomized controlled study | Archives of Physiotherapy . Arch Physiother 10, 8 (2020). https://doi.org/10.1186/s40945-020-00079-7