{"id":1654,"date":"2022-07-18T20:06:51","date_gmt":"2022-07-18T20:06:51","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/evidence-based-approach-to-rehabilitation-in-hip-osteoarthritis-and-hip-fracture-it\/"},"modified":"2026-02-02T15:51:10","modified_gmt":"2026-02-02T15:51:10","slug":"evidence-based-approach-to-rehabilitation-in-hip-osteoarthritis-and-hip-fracture-it","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/it\/evidence-based-approach-to-rehabilitation-in-hip-osteoarthritis-and-hip-fracture-it\/","title":{"rendered":"Approccio basato sulle evidenze nella riabilitazione dell&#8217;osteoartrosi e della frattura dell&#8217;anca"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>Redazione originale<\/b> &#8211; <a title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\">Ewa Jaraczewska<\/a> sulla base del corso di <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/rina-pandya\/\" rel=\"nofollow\">Rina Pandya<\/a><br \/>\n<b>Principali contributori<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/bdi><\/a> e <a class=\"mw-userlink\" title=\"User:Lucinda hampton\" href=\"\/User:Lucinda_hampton\"><bdi>Lucinda hampton<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenuti<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduzione<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-2\"><a href=\"#Quality_of_Evidence\"><span class=\"tocnumber\">1.1<\/span> <span class=\"toctext\">Qualit\u00e0 delle evidenze<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Hip_Osteoarthritis\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Osteoartrosi dell&#8217;anca<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Clinical_Practice_Guidelines_for_Hip_Osteoarthritis\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Linee guida per la pratica clinica per l&#8217;osteoartrosi dell&#8217;anca<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Risk_Factors\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">Fattori di rischio<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Clinical_Presentation_and_Level_of_Evidence\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">Presentazione clinica e livello delle evidenze<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Examination\"><span class=\"tocnumber\">3.3<\/span> <span class=\"toctext\">Esaminazione<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-8\"><a href=\"#Physiotherapy_Assessment\"><span class=\"tocnumber\">3.3.1<\/span> <span class=\"toctext\">Valutazione fisioterapica<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-9\"><a href=\"#Outcome_Measures\"><span class=\"tocnumber\">3.3.2<\/span> <span class=\"toctext\">Misure di outcome<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-10\"><a href=\"#Physical_Performance_Measures\"><span class=\"tocnumber\">3.3.3<\/span> <span class=\"toctext\">Misure di performance fisica<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Physiotherapy_Intervention\"><span class=\"tocnumber\">3.4<\/span> <span class=\"toctext\">Intervento fisioterapico<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-12\"><a href=\"#Patient_Education\"><span class=\"tocnumber\">3.4.1<\/span> <span class=\"toctext\">Educazione del paziente<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-13\"><a href=\"#Physiotherapy_Treatment\"><span class=\"tocnumber\">3.4.2<\/span> <span class=\"toctext\">Trattamento fisioterapico<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-14\"><a href=\"#Modalities\"><span class=\"tocnumber\">3.4.3<\/span> <span class=\"toctext\">Apparecchiature<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-15\"><a href=\"#Orthotics\"><span class=\"tocnumber\">3.4.4<\/span> <span class=\"toctext\">Plantari<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-16\"><a href=\"#Evidence-Based_Approach_to_Rehabilitation_After_Hip_Fracture\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Approccio basato sulle evidenze nella riabilitazione dopo una frattura dell&#8217;anca<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-17\"><a href=\"#Examination_2\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Esaminazione<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-18\"><a href=\"#Physiotherapy_Assessment_2\"><span class=\"tocnumber\">4.1.1<\/span> <span class=\"toctext\">Valutazione fisioterapica<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-19\"><a href=\"#Outcome_Measures_2\"><span class=\"tocnumber\">4.1.2<\/span> <span class=\"toctext\">Misure di outcome<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-20\"><a href=\"#Physical_Performance_Measures\/Patient-Reported_Outcome_Measures\"><span class=\"tocnumber\">4.1.3<\/span> <span class=\"toctext\">Misure di performance fisica\/misure di outcome riferite dal paziente<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-21\"><a href=\"#Physiotherapy_Intervention_2\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Intervento fisioterapico<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-22\"><a href=\"#Modalities_2\"><span class=\"tocnumber\">4.2.1<\/span> <span class=\"toctext\">Apparecchiature<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-23\"><a href=\"#Discharge_and_Post-Hospital_Care\"><span class=\"tocnumber\">4.2.2<\/span> <span class=\"toctext\">Dimissione e assistenza post-ospedaliera<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-24\"><a href=\"#In_Summary\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">In sintesi<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-25\"><a href=\"#Resources\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Risorse<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-26\"><a href=\"#References\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Citazioni<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduzione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<blockquote><p>Le linee guida per la pratica clinica sono &#8220;raccomandazioni sviluppate sistematicamente per la cura del paziente, che si basano su ricerche, dati o evidenze scientifiche, e sono utilizzate per guidare le decisioni di assistenza sanitaria per una condizione clinica definita o in circostanze specifiche&#8221; (Segen&#8217;s Medical Dictionary. 2011.).<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup><\/p><\/blockquote>\n<p>Quando si utilizzano le <a title=\"Clinical Guidelines\" href=\"\/Clinical_Guidelines\">linee guida per la pratica clinica<\/a> per guidare gli interventi, i professionisti clinici devono capire che non si tratta di protocolli fissi che devono essere seguiti. Sono solo <i>raccomandazioni<\/i> e non <i>sostituiscono il giudizio clinico.<\/i>.<sup id=\"cite_ref-:0_2-0\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup> Le linee guida per la pratica clinica stabiliscono uno standard di cura supportato da evidenze scientifiche e il loro scopo \u00e8 quello di far s\u00ec che i professionisti clinici prendano in considerazione l&#8217;intervento raccomandato per migliorare il processo decisionale.<sup id=\"cite_ref-:1_3-0\" class=\"reference\"><a href=\"#cite_note-:1-3\">(3)<\/a><\/sup> Questi strumenti basati sulle evidenze sono sviluppati con una metodologia definita e si basano su una revisione sistematica delle evidenze.<sup id=\"cite_ref-:0_2-1\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup> Poich\u00e9 le linee guida per la pratica clinica stabiliscono gli standard di cura, possono aiutare i professionisti clinici a prendere decisioni.<sup id=\"cite_ref-:1_3-1\" class=\"reference\"><a href=\"#cite_note-:1-3\">(3)<\/a><\/sup><\/p>\n<p>L&#8217;American Physical Therapy Association (APTA), che rappresenta i fisioterapisti, gli assistenti fisioterapisti e gli studenti di fisioterapia negli Stati Uniti, ha pubblicato una revisione sistematica delle evidenze sotto forma di Linee Guida per la Pratica Clinica (CPG).<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup> Le CPG sono pubblicate dalle sezioni dell&#8217;APTA e vengono fornite per aiutare i professionisti clinici a scegliere le modalit\u00e0 di trattamento per ottenere gli outcome migliori.<sup id=\"cite_ref-:0_2-2\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 352px;\"><a class=\"image\" href=\"\/File:Evidence-1.png\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/8c\/Evidence-1.png\/350px-Evidence-1.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/8c\/Evidence-1.png\/525px-Evidence-1.png 1.5x, https:\/\/www.physio-pedia.com\/images\/8\/8c\/Evidence-1.png 2x\" alt=\"\" width=\"350\" height=\"211\" data-file-width=\"623\" data-file-height=\"375\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Quality_of_Evidence\" class=\"mw-headline\">Qualit\u00e0 delle evidenze<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Quality of Evidence\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=2\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Quality of Evidence\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=2\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&#8217;APTA utilizza sei <a title=\"Evidence Based Practice (EBP)\" href=\"\/Evidence_Based_Practice_(EBP)\">gradi di raccomandazioni<\/a> in base alla forza delle evidenze. Ogni livello rappresenta la <a title=\"Grades and Levels of Evidence\" href=\"\/Grades_and_Levels_of_Evidence\">qualit\u00e0 delle evidenze<\/a> a sostegno di un&#8217;azione specifica:<\/p>\n<ul>\n<li>A o Forte: basata su studi di livello I. Gli studi di livello I comprendono una revisione sistematica o una meta-analisi di tutti gli studi randomizzati controllati (RCT) rilevanti o le linee guida di pratica clinica basata sull\u2019evidenza basate su revisioni sistematiche di RCT o 3 o pi\u00f9 RCT di buona qualit\u00e0 con risultati simili.<sup id=\"cite_ref-:2_6-0\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup><sup id=\"cite_ref-:4_7-0\" class=\"reference\"><a href=\"#cite_note-:4-7\">(7)<\/a><\/sup><\/li>\n<li>B o Moderato: basata su studi di livello II. Gli studi di livello II comprendono almeno un RCT ben progettato.<sup id=\"cite_ref-:2_6-1\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup><sup id=\"cite_ref-:4_7-1\" class=\"reference\"><a href=\"#cite_note-:4-7\">(7)<\/a><\/sup><\/li>\n<li>C o Debole: basata su un singolo studio di livello II o su studi di livello III e IV. Gli studi di livello III sono studi controllati ben progettati senza randomizzazione. Le prove di livello IV provengono da studi caso-controllo o di coorte ben progettati.<sup id=\"cite_ref-:2_6-2\" class=\"reference\"><a href=\"#cite_note-:2-6\">(6)<\/a><\/sup> <sup id=\"cite_ref-:4_7-2\" class=\"reference\"><a href=\"#cite_note-:4-7\">(7)<\/a><\/sup><\/li>\n<li>D o Evidenze contrastanti: gli studi di qualit\u00e0 superiore condotti su questo argomento sono in disaccordo con le loro conclusioni. La raccomandazione si basa su questi studi contrastanti.<sup id=\"cite_ref-:8_8-0\" class=\"reference\"><a href=\"#cite_note-:8-8\">(8)<\/a><\/sup><\/li>\n<li>E o Evidenza teorica\/fondamentale: si basa su evidenze provenienti da studi su animali o cadaveri, da modelli\/principi concettuali o da scienze di base\/ricerca sul campo che supportano questa conclusione.<sup id=\"cite_ref-:8_8-1\" class=\"reference\"><a href=\"#cite_note-:8-8\">(8)<\/a><\/sup><\/li>\n<li>F o Opinione degli esperti: una miglior pratica basata sull&#8217;esperienza clinica del gruppo di sviluppo della linea guida.<sup id=\"cite_ref-:8_8-2\" class=\"reference\"><a href=\"#cite_note-:8-8\">(8)<\/a><\/sup><\/li>\n<\/ul>\n<p>Gli RCT sono il gold standard della ricerca. Il ricercatore assegna i partecipanti ai gruppi sperimentale e placebo in modo casuale, eliminando qualsiasi bias di selezione dallo studio. I bias di selezione possono modificare i risultati in modo da avvantaggiare il ricercatore o l&#8217;ente che finanzia lo studio, danneggiando l&#8217;integrit\u00e0 scientifica.<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 352px;\"><a class=\"image\" href=\"\/File:Hip_OA.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/2e\/Hip_OA.jpg\/350px-Hip_OA.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/2\/2e\/Hip_OA.jpg 1.5x\" alt=\"\" width=\"350\" height=\"350\" data-file-width=\"470\" data-file-height=\"470\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Radiografia: OA dell&#8217;anca (avanzata)<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h2><span id=\"Hip_Osteoarthritis\" class=\"mw-headline\">Artrosi dell&#8217;anca<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Hip Osteoarthritis\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=3\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Hip Osteoarthritis\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=3\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>L<a title=\"Hip Osteoarthritis\" href=\"\/Hip_Osteoarthritis\">&#8216;osteoartrosi dell&#8217;anca<\/a> (OA) \u00e8 una malattia degenerativa delle articolazioni che colpisce principalmente la <a title=\"Cartilagine\" href=\"\/Cartilage\">cartilagine<\/a> articolare e i tessuti circostanti.<sup id=\"cite_ref-:3_10-0\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup> L&#8217;OA primaria dell&#8217;anca \u00e8 di origine idiopatica mentre l&#8217;OA secondaria ha origine da un disturbo della superficie articolare.<sup id=\"cite_ref-:3_10-1\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup><\/p>\n<h2><span id=\"Clinical_Practice_Guidelines_for_Hip_Osteoarthritis\" class=\"mw-headline\">Linee guida per la pratica clinica per l&#8217;osteoartrosi dell&#8217;anca<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Practice Guidelines for Hip Osteoarthritis\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=4\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Clinical Practice Guidelines for Hip Osteoarthritis\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=4\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Di seguito sono riportate le linee guida per la pratica dell&#8217;osteoartrosi dell&#8217;anca pubblicate dall&#8217;APTA<sup id=\"cite_ref-:9_11-0\" class=\"reference\"><a href=\"#cite_note-:9-11\">(11)<\/a><\/sup><sup id=\"cite_ref-:5_12-0\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup> e da vari gruppi di specialit\u00e0 mediche, tra cui:<\/p>\n<ul>\n<li>Raccomandazioni dell&#8217;American College of Rheumatology 2012<sup id=\"cite_ref-:6_13-0\" class=\"reference\"><a href=\"#cite_note-:6-13\">(13)<\/a><\/sup><\/li>\n<li>Le raccomandazioni basate sulle evidenze dell&#8217;EULAR sono state sviluppate da un gruppo di 18 reumatologi, 4 chirurghi ortopedici e 1 epidemiologo, in rappresentanza di 14 paesi europei<sup id=\"cite_ref-:7_14-0\" class=\"reference\"><a href=\"#cite_note-:7-14\">(14)<\/a><\/sup><\/li>\n<li>Revisione aggiornata sull&#8217;osteoartrosi dell&#8217;anca da parte di chirurghi ortopedici, un reumatologo e un immunologo della Cleveland Clinic e del Boston Medical Center, Stati Uniti<sup id=\"cite_ref-:3_10-2\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span id=\"Risk_Factors\" class=\"mw-headline\">Fattori di rischio<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Risk Factors\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=5\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Risk Factors\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=5\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Et\u00e0: <a title=\"Older People - An Introduction\" href=\"\/Older_People_-_An_Introduction\">oltre 50 anni<\/a><sup id=\"cite_ref-:5_12-1\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup>(<i>Grado A<\/i>)<\/li>\n<li>Sesso: pi\u00f9 alto tra gli uomini di et\u00e0 inferiore a 50 anni e le donne di et\u00e0 superiore a 50 anni <sup id=\"cite_ref-:3_10-3\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup><\/li>\n<li><a title=\"Obesit\u00e0\" href=\"\/Obesity\">Obesit\u00e0<\/a>:<sup id=\"cite_ref-:3_10-4\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup> ogni 4,5 kg in pi\u00f9 di peso corporeo pu\u00f2 esercitare una pressione extra di 27 kg sull&#8217;<a title=\"Anca\" href=\"\/Hip\">anca<\/a> ad ogni passo<sup id=\"cite_ref-:3_10-5\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup><sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup><\/li>\n<li><a title=\"Genetics and Health\" href=\"\/Genetics_and_Health\">Genetica<\/a>: avere un parente che si \u00e8 sottoposto a un&#8217;intervento di <a title=\"Total Hip Replacement\" href=\"\/Total_Hip_Replacement\">artroplastica totale dell&#8217;anca<\/a> aumenta il rischio della persona di sottoporsi alla stessa procedura<sup id=\"cite_ref-:3_10-6\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup><\/li>\n<li>Occupazione: svolgimento di attivit\u00e0 sportive ad alto impatto, stress ripetitivo e sovraccarico biomeccanico (es. agricoltori)<sup id=\"cite_ref-:3_10-7\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup><\/li>\n<\/ul>\n<h3><span id=\"Clinical_Presentation_and_Level_of_Evidence\" class=\"mw-headline\">Presentazione clinica e livello di evidenza<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Presentation and Level of Evidence\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=6\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Clinical Presentation and Level of Evidence\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=6\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>I sintomi pi\u00f9 comuni dell&#8217;osteoartrosi dell&#8217;anca includono:<\/p>\n<ul>\n<li>Dolore all&#8217;anca anteriore o laterale, in particolare in <a title=\"Sostegno del peso\" href=\"\/Weight_bearing\">carico del peso corporeo<\/a>, incluso camminando, passando dalla posizione seduta a eretta e salendo le scale<sup id=\"cite_ref-:5_12-2\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><i>(Grado A<\/i>)<\/li>\n<li>Il dolore pu\u00f2 essere progressivo o avere un&#8217;insorgenza improvvisa<sup id=\"cite_ref-:3_10-8\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup><\/li>\n<li>Rigidit\u00e0 mattutina<sup id=\"cite_ref-:5_12-3\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup>(<i>Grado A<\/i>), o rigidit\u00e0 che si sviluppa dopo essere stati seduti o aver riposato<sup id=\"cite_ref-:3_10-9\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup><\/li>\n<li>Rigidit\u00e0 che dura per alcuni minuti e che diminuisce entro 30 minuti<sup id=\"cite_ref-:3_10-10\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup><\/li>\n<li>Rotazione interna dell&#8217;anca ed estensione dell&#8217;anca limitate<sup id=\"cite_ref-:5_12-4\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup>(<i>Grado A<\/i>)<\/li>\n<li>Dolore con la rotazione interna passiva dell&#8217;anca<sup id=\"cite_ref-:5_12-5\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup>(<i>Grado A<\/i>)<\/li>\n<li>Difficolt\u00e0 a indossare scarpe e calzini<sup id=\"cite_ref-:5_12-6\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li class=\"mw-empty-elt\">\n<\/li>\n<\/ul>\n<h3><span id=\"Examination\" class=\"mw-headline\">Esame<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Examination\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=7\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Examination\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=7\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Physiotherapy_Assessment\" class=\"mw-headline\">Valutazione fisioterapica<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapy Assessment\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=8\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Physiotherapy Assessment\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=8\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>La diagnosi di osteoartrosi dell&#8217;anca pu\u00f2 essere fatta in base alla presentazione clinica. L&#8217;esame obiettivo dovrebbe comprendere:<\/p>\n<ul>\n<li>Ispezione delle estremit\u00e0 inferiori<\/li>\n<li>Misurazione della <a title=\"Leg Length Discrepancy\" href=\"\/Leg_Length_Discrepancy\">discrepanza nella lunghezza delle gambe<\/a><\/li>\n<li>Valutazione della deformit\u00e0 flessibile e fissa dell&#8217;articolazione dell&#8217;anca<\/li>\n<li>Palpazione di una prominenza ossea per verificare la presenza di indolenzimento<\/li>\n<li>Valutazione del range di movimento passivo e attivo per flessione, estensione, adduzione, abduzione, rotazione interna e rotazione esterna<sup id=\"cite_ref-:9_11-1\" class=\"reference\"><a href=\"#cite_note-:9-11\">(11)<\/a><\/sup><sup id=\"cite_ref-:5_12-7\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li>Valutazione neurovascolare<\/li>\n<li>Test di <a title=\"FABER Test\" href=\"\/FABER_Test\">FABER<\/a>(<i>Grado A<\/i>)<sup id=\"cite_ref-:5_12-8\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<\/ul>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/oaIVeMgnpmE?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup><\/p>\n<h4><span id=\"Outcome_Measures\" class=\"mw-headline\">Misure di outcome<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Outcome Measures\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=9\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Outcome Measures\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=9\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Le misure di outcome nell&#8217;osteoartrosi dell&#8217;anca hanno un&#8217;evidenza di <i>grado A<\/i> e potrebbero includere:<sup id=\"cite_ref-:9_11-2\" class=\"reference\"><a href=\"#cite_note-:9-11\">(11)<\/a><\/sup><sup id=\"cite_ref-:5_12-9\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/p>\n<ul>\n<li><a title=\"WOMAC Osteoarthritis Index\" href=\"\/WOMAC_Osteoarthritis_Index\">Western Ontario WOMAC<\/a><\/li>\n<li><a title=\"Brief Pain Inventory - Short Form\" href=\"\/Brief_Pain_Inventory_-_Short_Form\">Brief Pain Inventory<\/a><\/li>\n<li>Soglia di pressione del dolore<\/li>\n<li><a title=\"Visual Analogue Scale\" href=\"\/Visual_Analogue_Scale\">Visual Analogue Scale<\/a><\/li>\n<li><a title=\"Lower Extremity Functional Scale (LEFS)\" href=\"\/Lower_Extremity_Functional_Scale_(LEFS)\">Lower Extremity Functional Scale<\/a><\/li>\n<li><a title=\"Harris Hip Score\" href=\"\/Harris_Hip_Score\">Harris Hip Score<\/a><\/li>\n<\/ul>\n<h4><span id=\"Physical_Performance_Measures\" class=\"mw-headline\">Misure di performance fisica<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physical Performance Measures\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=10\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Physical Performance Measures\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=10\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Le evidenze di <i>grado A<\/i> includono test di equilibrio standardizzati: <a title=\"Berg Balance Scale\" href=\"\/Berg_Balance_Scale\">Berg Balance<\/a>, <a title=\"Four Square Step Test\" href=\"\/Four_Square_Step_Test\">Four-Square Step test<\/a> e <a title=\"Single Leg Stance Test\" href=\"\/Single_Leg_Stance_Test\">appoggio temporizzato su una gamba sola<\/a>, utilizzati per valutare l&#8217;equilibrio in pazienti con una lunga storia di osteoartrosi dell&#8217;anca e con una storia di <a title=\"Falls\" href=\"https:\/\/langs.physio-pedia.com\/it\/falls-it\/\">cadute<\/a>.<sup id=\"cite_ref-:9_11-3\" class=\"reference\"><a href=\"#cite_note-:9-11\">(11)<\/a><\/sup><sup id=\"cite_ref-:5_12-10\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/p>\n<p>Altri tipi di misure di performance fisica nell&#8217;osteoartrosi dell&#8217;anca includono:<\/p>\n<ul>\n<li><a title=\"Six Minute Walk Test \/ 6 Minute Walk Test\" href=\"\/Six_Minute_Walk_Test_\/_6_Minute_Walk_Test\">Six-minute walk test<\/a> (6MWT)<\/li>\n<li><a title=\"Test di 30 secondi da seduti a in piedi\" href=\"\/30_Seconds_Sit_To_Stand_Test\">30-second chair stand<\/a><\/li>\n<li><a title=\"Timed Up and Go Test (TUG)\" href=\"\/Timed_Up_and_Go_Test_(TUG)\">Timed up and go test<\/a> (TUG)<\/li>\n<li>Camminata autogestita<\/li>\n<\/ul>\n<div class=\"row\">\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/qoa0yQBZFs4?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Physiotherapy_Intervention\" class=\"mw-headline\">Intervento fisioterapico<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapy Intervention\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=11\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Physiotherapy Intervention\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=11\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Patient_Education\" class=\"mw-headline\">Educazione del paziente<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Patient Education\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=12\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Patient Education\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=12\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Educazione del paziente (<i>grado B<\/i>). La ricerca suggerisce che l&#8217;educazione del paziente dovrebbe includere informazioni sulla perdita di peso sana, sull&#8217;esercizio fisico regolare e sulla modifica delle attivite.<sup id=\"cite_ref-:9_11-4\" class=\"reference\"><a href=\"#cite_note-:9-11\">(11)<\/a><\/sup> <sup id=\"cite_ref-:5_12-11\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup> Quando si parla di modifica delle attivit\u00e0, \u00e8 necessario prendere in considerazione la modifica dell&#8217;ambiente, ad esempio l&#8217;altezza della sedia o del divano da cui il paziente si alza.<sup id=\"cite_ref-:9_11-5\" class=\"reference\"><a href=\"#cite_note-:9-11\">(11)<\/a><\/sup><sup id=\"cite_ref-:5_12-12\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li>L&#8217;educazione riduce il dolore<sup id=\"cite_ref-:7_14-1\" class=\"reference\"><a href=\"#cite_note-:7-14\">(14)<\/a><\/sup><\/li>\n<li>L&#8217;educazione alla riduzione del peso ha qualche beneficio (<i>Grado C<\/i>)<sup id=\"cite_ref-:7_14-2\" class=\"reference\"><a href=\"#cite_note-:7-14\">(14)<\/a><\/sup><\/li>\n<li>Perdita di peso (fortemente consigliata)<sup id=\"cite_ref-:6_13-1\" class=\"reference\"><a href=\"#cite_note-:6-13\">(13)<\/a><\/sup><\/li>\n<\/ul>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Hip_strengthening_exercises.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/3d\/Hip_strengthening_exercises.jpg\/300px-Hip_strengthening_exercises.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/3d\/Hip_strengthening_exercises.jpg\/450px-Hip_strengthening_exercises.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/3\/3d\/Hip_strengthening_exercises.jpg\/600px-Hip_strengthening_exercises.jpg 2x\" alt=\"\" width=\"300\" height=\"225\" data-file-width=\"1280\" data-file-height=\"960\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Esempio: esercizi di rinforzo per l&#8217;anca<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Bridge_with_static_hip_abduction.PNG\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/10\/Bridge_with_static_hip_abduction.PNG\/300px-Bridge_with_static_hip_abduction.PNG\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/10\/Bridge_with_static_hip_abduction.PNG\/450px-Bridge_with_static_hip_abduction.PNG 1.5x, https:\/\/www.physio-pedia.com\/images\/1\/10\/Bridge_with_static_hip_abduction.PNG 2x\" alt=\"\" width=\"300\" height=\"201\" data-file-width=\"528\" data-file-height=\"353\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Esempio: esercizi di rinforzo per l&#8217;anca<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Balance_exercises.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/3b\/Balance_exercises.jpg\/300px-Balance_exercises.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/3b\/Balance_exercises.jpg\/450px-Balance_exercises.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/3\/3b\/Balance_exercises.jpg\/600px-Balance_exercises.jpg 2x\" alt=\"\" width=\"300\" height=\"225\" data-file-width=\"1280\" data-file-height=\"960\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Esempio: esercizi di equilibrio<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h4><span id=\"Physiotherapy_Treatment\" class=\"mw-headline\">Trattamento fisioterapico<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapy Treatment\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=13\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Physiotherapy Treatment\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=13\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>La fisioterapia offre grandi benefici negli stadi iniziali dell&#8217;osteoartrosi dell&#8217;anca. Tuttavia, sono stati riscontrati pochi o nessun beneficio dagli interventi fisioterapici nelle ultime fasi dell&#8217;osteoartrosi dell&#8217;anca.<sup id=\"cite_ref-:7_14-3\" class=\"reference\"><a href=\"#cite_note-:7-14\">(14)<\/a><\/sup> Si consigliano le seguenti attivit\u00e0:<\/p>\n<ul>\n<li>Allenamento funzionale basato sulla disabilit\u00e0, <a class=\"mw-redirect\" title=\"Allenamento della deambulazione\" href=\"\/Gait_training\">rieducazione del passo<\/a> e <a title=\"Allenamento dell'equilibrio\" href=\"\/Balance_Training\">allenamento dell&#8217;equilibrio<\/a> (<i>Grado C<\/i>)<sup id=\"cite_ref-:9_11-6\" class=\"reference\"><a href=\"#cite_note-:9-11\">(11)<\/a><\/sup><sup id=\"cite_ref-:5_12-13\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li>Esercizi di equilibrio (<i>raccomandazioni condizionali<\/i>)<sup id=\"cite_ref-:6_13-2\" class=\"reference\"><a href=\"#cite_note-:6-13\">(13)<\/a><\/sup><\/li>\n<li><a title=\"Aderenza ai programmi di esercizio domestico\" href=\"\/Adherence_to_Home_Exercise_Programs\">Prescrizione di esercizi individualizzata<\/a> basata sulla partecipazione alla vita quotidiana e sulle esigenze di attivit\u00e0 funzionale dell&#8217;individuo (<i>Grado C<\/i>)<sup id=\"cite_ref-:9_11-7\" class=\"reference\"><a href=\"#cite_note-:9-11\">(11)<\/a><\/sup><sup id=\"cite_ref-:5_12-14\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li><a title=\"Tai Chi and the Older Person\" href=\"\/Tai_Chi_and_the_Older_Person\">Tai Chi <\/a> (<i>forti raccomandazioni<\/i>)<sup id=\"cite_ref-:6_13-3\" class=\"reference\"><a href=\"#cite_note-:6-13\">(13)<\/a><\/sup><\/li>\n<li><a title=\"Terapia manuale\" href=\"\/Manual_Therapy\">Terapia manuale<\/a> che include manipolazioni thrust o non-thrust e rilasci dei tessuti molli, eseguita da una a tre volte alla settimana per oltre 6-12 settimane (<i>Grado A<\/i>)<sup id=\"cite_ref-:9_11-8\" class=\"reference\"><a href=\"#cite_note-:9-11\">(11)<\/a><\/sup><sup id=\"cite_ref-:5_12-15\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li>Terapia manuale con o senza esercizi <i>(raccomandazioni condizionate <b>contro)<\/b><\/i> <sup id=\"cite_ref-:6_13-4\" class=\"reference\"><a href=\"#cite_note-:6-13\">(13)<\/a><\/sup><\/li>\n<li><a title=\"Massaggio\" href=\"\/Massage\">Massoterapia <\/a><i>(raccomandazioni condizionate <b>contro)<\/b><\/i><sup id=\"cite_ref-:6_13-5\" class=\"reference\"><a href=\"#cite_note-:6-13\">(13)<\/a><\/sup><\/li>\n<li><a title=\"Flessibilit\u00e0\" href=\"\/Flexibility\">Flessibilit\u00e0<\/a>,  <a title=\"Strength Training\" href=\"\/Strength_Training\">rinforzo<\/a>e <a title=\"Endurance Exercise\" href=\"\/Endurance_Exercise\">esercizi di resistenza<\/a>  (<i>Grado A<\/i>)<sup id=\"cite_ref-:5_12-16\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup> che non comportano attivit\u00e0 ad alto impatto.<sup id=\"cite_ref-:3_10-11\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup> Pu\u00f2 includere <a title=\"Yoga\" href=\"\/Yoga\">yoga<\/a>,  <a title=\"Biomeccanica del ciclismo\" href=\"\/Cycling_Biomechanics\">ciclismo<\/a>, oppure <a title=\"Nuoto: Stile libero\" href=\"\/Swimming:_Freestyle\">nuoto<\/a>.<sup id=\"cite_ref-:3_10-12\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup><\/li>\n<li>La terapia di gruppo dovrebbe essere condotta da una a cinque volte alla settimana per un periodo che va da 6 a 12 settimane<sup id=\"cite_ref-:5_12-17\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<\/ul>\n<h4><span id=\"Modalities\" class=\"mw-headline\">Modalit\u00e0<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Modalities\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=14\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Modalities\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=14\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li><a title=\"Therapeutic Ultrasound\" href=\"\/Therapeutic_Ultrasound\">Ultrasuoni<\/a>: Un megahertz a un Watt per centimetro quadrato per 5 minuti in tutte le direzioni, dieci trattamenti eseguiti per un periodo di 2 settimane<i>(Grado B<\/i>)<sup id=\"cite_ref-:9_11-9\" class=\"reference\"><a href=\"#cite_note-:9-11\">(11)<\/a><\/sup><sup id=\"cite_ref-:5_12-18\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li><a title=\"Agopuntura\" href=\"\/Acupuncture\">Agopuntura <\/a>(<i>raccomandazioni condizionate<\/i>)<sup id=\"cite_ref-:6_13-6\" class=\"reference\"><a href=\"#cite_note-:6-13\">(13)<\/a><\/sup><\/li>\n<li>Interventi termici (<i>raccomandazioni condizionate<\/i>)<sup id=\"cite_ref-:6_13-7\" class=\"reference\"><a href=\"#cite_note-:6-13\">(13)<\/a><\/sup><\/li>\n<li><a title=\"Transcutaneous Electrical Nerve Stimulation (TENS)\" href=\"\/Transcutaneous_Electrical_Nerve_Stimulation_(TENS)\">Stimolazione elettrica transcutanea dei nervi<\/a> (TENS) (<i>forti raccomandazioni<b>contro<\/b>)<\/i><sup id=\"cite_ref-:6_13-8\" class=\"reference\"><a href=\"#cite_note-:6-13\">(13)<\/a><\/sup><\/li>\n<\/ul>\n<h4><span id=\"Orthotics\" class=\"mw-headline\">Ortesi<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Orthotics\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=15\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Orthotics\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=15\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Uso di un <a title=\"Bastoni\" href=\"https:\/\/langs.physio-pedia.com\/it\/canes-it\/\">bastone<\/a> secondo necessit\u00e0 (<i>forti raccomandazioni<\/i>)<sup id=\"cite_ref-:6_13-9\" class=\"reference\"><a href=\"#cite_note-:6-13\">(13)<\/a><\/sup><\/li>\n<li>Solette laterali e mediali con zeppa <i>(raccomandazioni condizionate <b>contro)<\/b><\/i><sup id=\"cite_ref-:6_13-10\" class=\"reference\"><a href=\"#cite_note-:6-13\">(13)<\/a><\/sup><\/li>\n<\/ul>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Figure1_hip_fracture.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/22\/Figure1_hip_fracture.jpeg\/300px-Figure1_hip_fracture.jpeg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/22\/Figure1_hip_fracture.jpeg\/450px-Figure1_hip_fracture.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/2\/22\/Figure1_hip_fracture.jpeg 2x\" alt=\"\" width=\"300\" height=\"259\" data-file-width=\"600\" data-file-height=\"517\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Frattura dell&#8217;anca<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h2><span id=\"Evidence-Based_Approach_to_Rehabilitation_After_Hip_Fracture\" class=\"mw-headline\">Approccio basato sulle evidenze nella riabilitazione dopo una frattura dell&#8217;anca<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Evidence-Based Approach to Rehabilitation After Hip Fracture\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=16\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Evidence-Based Approach to Rehabilitation After Hip Fracture\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=16\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Examination_2\" class=\"mw-headline\">Esame<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Examination\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=17\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Examination\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=17\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Physiotherapy_Assessment_2\" class=\"mw-headline\">Valutazione fisioterapica<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapy Assessment\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=18\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Physiotherapy Assessment\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=18\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<h4><span id=\"Outcome_Measures_2\" class=\"mw-headline\">Misure di outcome<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Outcome Measures\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=19\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Outcome Measures\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=19\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>McDonough et al.<sup id=\"cite_ref-:8_8-3\" class=\"reference\"><a href=\"#cite_note-:8-8\">(8)<\/a><\/sup> raccomanda di valutare e documentare le seguenti funzioni del corpo, strutture corporee e attivit\u00e0 in tutti i contesti (acuti e post-acuti):\n<ul>\n<li>Forza di <a title=\"Knee Extension Resistance Test\" href=\"\/Knee_Extension_Resistance_Test\">estensione del ginocchio<\/a> (<i>grado A<\/i>).<\/li>\n<li>Scala di valutazione verbale (VRS) per il monitoraggio del livello di dolore (<i>grado A<\/i>)<\/li>\n<li>Test per la velocit\u00e0 di deambulazione quando i pazienti possono deambulare senza assistenza umana. La documentazione dovrebbe includere la velocit\u00e0 massima o confortevole e l&#8217;uso di un ausilio per la deambulazione (<i>grado A<\/i>).<\/li>\n<li>Valutazione della mobilit\u00e0 di base con il Cumulated Ambulation Score (CAS) (CAS) (grado A)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4><span id=\"Physical_Performance_Measures.2FPatient-Reported_Outcome_Measures\"><\/span><span id=\"Physical_Performance_Measures\/Patient-Reported_Outcome_Measures\" class=\"mw-headline\">Misure di prestazione fisica\/misure di outcome riferite dal paziente<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physical Performance Measures\/Patient-Reported Outcome Measures\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=20\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Physical Performance Measures\/Patient-Reported Outcome Measures\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=20\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Secondo McDonough et al,<sup id=\"cite_ref-:8_8-4\" class=\"reference\"><a href=\"#cite_note-:8-8\">(8)<\/a><\/sup> i seguenti test e misure di outcome riferite dal paziente dovrebbero essere presi in considerazione in tutti i contesti (acuti e post-acuti):\n<ul>\n<li><a title=\"Timed Up and Go Test (TUG)\" href=\"\/Timed_Up_and_Go_Test_(TUG)\">Timed-Up-And-Go test<\/a> (TUG) (<i>grado A<\/i>)<\/li>\n<li><a title=\"Short Physical Performance Battery\" href=\"\/Short_Physical_Performance_Battery\">Short Physical Performance Battery<\/a> (<i>grado C<\/i>)<\/li>\n<li>New Mobility Score (<i>grado B<\/i>)<\/li>\n<li><a title=\"Falls Efficacy Scale - International (FES-I)\" href=\"\/Falls_Efficacy_Scale_-_International_(FES-I)\">Falls Efficacy Scale-International<\/a> (<i>grado B<\/i>)<\/li>\n<li>Una versione a 3 livelli della scala di dimensioni EuroQol-5 (<i>grado C<\/i>)<\/li>\n<li>La scala di funzionamento fisico a 10 componenti del <a title=\"Indagine in forma breve a 36 item (SF-36)\" href=\"\/36-Item_Short_Form_Survey_(SF-36)\">Medical Outcomes Study 36-Item Short-Form Health Survey<\/a> (SF-36) (<i>Grado C<\/i>)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"row\">\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/rSfZ3V1_rbY?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/div>\n<\/div>\n<div class=\"col-md-6\">\n<div class=\"thumb embedvideo autoResize\" style=\"width: 258px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 250px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/tKuYRA4Jwvg?\" width=\"250\" height=\"141\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<div class=\"text-right\"><sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><\/div>\n<\/div>\n<\/div>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Hip_extension.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/bb\/Hip_extension.jpg\/300px-Hip_extension.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/bb\/Hip_extension.jpg\/450px-Hip_extension.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/b\/bb\/Hip_extension.jpg\/600px-Hip_extension.jpg 2x\" alt=\"\" width=\"300\" height=\"225\" data-file-width=\"1280\" data-file-height=\"960\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Allenamento resistivo progressivo &#8211; estensione dell&#8217;anca<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Hip_adduction.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0a\/Hip_adduction.jpg\/300px-Hip_adduction.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0a\/Hip_adduction.jpg\/450px-Hip_adduction.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0a\/Hip_adduction.jpg\/600px-Hip_adduction.jpg 2x\" alt=\"\" width=\"300\" height=\"225\" data-file-width=\"1280\" data-file-height=\"960\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Allenamento resistivo progressivo &#8211; adduzione dell&#8217;anca<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Step-up.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/27\/Step-up.jpg\/300px-Step-up.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/27\/Step-up.jpg\/450px-Step-up.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/2\/27\/Step-up.jpg\/600px-Step-up.jpg 2x\" alt=\"\" width=\"300\" height=\"225\" data-file-width=\"1280\" data-file-height=\"960\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Attivit\u00e0 in carico<\/p>\n<\/div>\n<\/div>\n<\/div>\n<h3><span id=\"Physiotherapy_Intervention_2\" class=\"mw-headline\">Intervento fisioterapico<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Physiotherapy Intervention\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=21\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Physiotherapy Intervention\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=21\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul>\n<li>Sulla base delle linee guida NICE<sup id=\"cite_ref-:12_20-0\" class=\"reference\"><a href=\"#cite_note-:12-20\">(20)<\/a><\/sup> per la gestione della frattura dell\u2019anca negli adulti, i pazienti dovrebbero essere <b>mobilizzati<\/b> il giorno successivo all\u2019intervento, a meno che non sia controindicato dal punto di vista medico o chirurgico. La mobilizzazione dovrebbe continuare almeno una volta al giorno, dopo un regolare controllo fisioterapico.<sup id=\"cite_ref-:12_20-1\" class=\"reference\"><a href=\"#cite_note-:12-20\">(20)<\/a><\/sup><\/li>\n<li>Ftouh et al.<sup id=\"cite_ref-:10_21-0\" class=\"reference\"><a href=\"#cite_note-:10-21\">(21)<\/a><\/sup> e Handoll et al.<sup id=\"cite_ref-:11_22-0\" class=\"reference\"><a href=\"#cite_note-:11-22\">(22)<\/a><\/sup> hanno riscontrato che l&#8217;<b>allenamento contro resistenze progressive<\/b> dopo una frattura dell&#8217;anca ha mostrato un notevole miglioramento della mobilit\u00e0.<sup id=\"cite_ref-:5_12-19\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup> (Evidenza da alta a moderata). Tuttavia, Handoll et al.<sup id=\"cite_ref-:11_22-1\" class=\"reference\"><a href=\"#cite_note-:11-22\">(22)<\/a><\/sup> hanno concluso che non ci sono evidenze sufficienti da studi randomizzati per determinare le migliori strategie per migliorare la mobilit\u00e0 dopo un intervento chirurgico per frattura dell&#8217;anca.<sup id=\"cite_ref-:11_22-2\" class=\"reference\"><a href=\"#cite_note-:11-22\">(22)<\/a><\/sup> Secondo entrambi gli autori, non ci sono evidenze che l&#8217;<b>allenamento specifico su tapis roulant<\/b> sia migliore di un controllo sulla velocit\u00e0 di camminata o sul dolore.<sup id=\"cite_ref-:5_12-20\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup> (Alta evidenza).<\/li>\n<li>L&#8217;<b>allenamento sul tapis roulant<\/b> non modifica la durata della degenza in ospedale, la velocit\u00e0 o il dolore del paziente.<sup id=\"cite_ref-:5_12-21\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup> (Alta evidenza).<\/li>\n<li>Sylliaas et al.<sup id=\"cite_ref-:13_23-0\" class=\"reference\"><a href=\"#cite_note-:13-23\">(23)<\/a><\/sup> hanno proposto un <b>allenamento della forza<\/b> che comprende tre serie di 15 ripetizioni per ogni esercizio al 70% del 1RM del paziente, aumentato all\u201980% del 1RM, con un numero di ripetizioni ridotto da 12 a 10 ogni terza settimana, mantenendo almeno otto ripetizioni.<sup id=\"cite_ref-:13_23-1\" class=\"reference\"><a href=\"#cite_note-:13-23\">(23)<\/a><\/sup> (Evidenza forte).<\/li>\n<li>Non ci sono evidenze statisticamente significative che i test di AVQ, passo ed equilibrio mostrino un miglioramento maggiore dopo 3 mesi dall&#8217;intervento con l&#8217;<b>allenamento della forza<\/b> rispetto all&#8217;<b>allenamento motorio<\/b>.<sup id=\"cite_ref-:5_12-22\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup><\/li>\n<li>McDonough et al.<sup id=\"cite_ref-:8_8-5\" class=\"reference\"><a href=\"#cite_note-:8-8\">(8)<\/a><\/sup> suggeriscono che i fisioterapisti devono fornire un esercizio strutturato, basato su un allenamento <b>progressivo ad alta intensit\u00e0<\/b> di <b>forza resistiva<\/b>, <b>equilibrio, carico e mobilit\u00e0 funzionale<\/b> (grado A). I pazienti con demenza da lieve a moderata dovrebbero ricevere interventi e prescrizioni simili a quelli dei pazienti senza demenza (grado B). Durante l&#8217;assistenza ospedaliera dopo l&#8217;intervento chirurgico per una frattura dell&#8217;anca, l&#8217;intervento fisioterapico dovrebber essere <b>ad alta frequenza<\/b> (giornaliero), con una <b>durata che sia tollerata<\/b> e deve includere l&#8217;<b>istruzione di un programma domiciliare<\/b> (grado B). Nella fase iniziale post-acuta, l&#8217;assistenza fisioterapica dovrebbe includere l&#8217;<b>allenamento aerobico della parte superiore del corpo<\/b>, l&#8217;<b>allenamento resistivo progressivo<\/b>, l&#8217;<b>allenamento dell&#8217;equilibrio e della mobilit\u00e0<\/b> (grado C). <sup id=\"cite_ref-:8_8-6\" class=\"reference\"><a href=\"#cite_note-:8-8\">(8)<\/a><\/sup><\/li>\n<\/ul>\n<ul>\n<li>Secondo Karlsson et al,<sup id=\"cite_ref-:16_24-0\" class=\"reference\"><a href=\"#cite_note-:16-24\">(24)<\/a><\/sup> i pazienti che vivono a casa e che sono stati ricoverati per un intervento di chirurgia dell&#8217;anca hanno mostrato outcome molto migliori rispetto ai pazienti che sono stati ricoverati in strutture di vita assistita o in strutture di cura o di demenza.<sup id=\"cite_ref-:5_12-23\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup> I pazienti sottoposti a <b>riabilitazione domiciliare<\/b> interdisciplinare geriatrica hanno mostrato una capacit\u00e0 di deambulazione simile a quella dei pazienti sottoposti a cure e riabilitazioni geriatriche convenzionali.<sup id=\"cite_ref-:16_24-1\" class=\"reference\"><a href=\"#cite_note-:16-24\">(24)<\/a><\/sup><\/li>\n<li>Latham et al.<sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup> hanno riscontrato che un <b>programma di esercizi a domicilio orientato alla funzionalit\u00e0<\/b> ha portato a un miglioramento delle funzioni fisiche nell&#8217;arco di 6-9 mesi.<sup id=\"cite_ref-:5_12-24\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup> (Evidenza moderata).<\/li>\n<li>Diong et al.<sup id=\"cite_ref-26\" class=\"reference\"><a href=\"#cite_note-26\">(26)<\/a><\/sup> raccomandano <b>programmi di esercizio fisico<\/b> che si estendono fino a 12 mesi dopo l&#8217;intervento chirurgico per ottenere un miglioramento di alcune misure di outcome: estensione del ginocchio, equilibrio, TUG, velocit\u00e0 di deambulazione &#8220;veloce&#8221;.<sup id=\"cite_ref-:5_12-25\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup> (Raccomandazioni moderate).<\/li>\n<li>Auais et al.<sup id=\"cite_ref-:14_27-0\" class=\"reference\"><a href=\"#cite_note-:14-27\">(27)<\/a><\/sup> suggeriscono un <b>programma di base comunitaria<\/b> per ottenere miglioramenti in aree chiave grazie a una migliore adesione al programma.<sup id=\"cite_ref-:14_27-1\" class=\"reference\"><a href=\"#cite_note-:14-27\">(27)<\/a><\/sup> (Evidenza forte).<\/li>\n<\/ul>\n<h4><span id=\"Modalities_2\" class=\"mw-headline\">Modalit\u00e0<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Modalities\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=22\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Modalities\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=22\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Il <b>dry needling<\/b> non \u00e8 risultato pi\u00f9 efficace nel recupero post-operatorio dell&#8217;anca rispetto al movimento funzionale e all&#8217;adattamento funzionale all&#8217;ambiente.<sup id=\"cite_ref-:5_12-26\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup> (Evidenza da moderata a bassa)<\/li>\n<li>McDonough et al.<sup id=\"cite_ref-:8_8-7\" class=\"reference\"><a href=\"#cite_note-:8-8\">(8)<\/a><\/sup> raccomandano l&#8217;uso della <b>stimolazione elettrica per il rafforzamento del quadricipite<\/b> nel caso in cui gli altri approcci falliscano (grado C). Inoltre, i fisioterapisti possono utilizzare la <b>stimolazione elettrica per il dolore<\/b> se altre strategie non sono risultate efficaci.<sup id=\"cite_ref-:8_8-8\" class=\"reference\"><a href=\"#cite_note-:8-8\">(8)<\/a><\/sup> (Grado C).<\/li>\n<\/ul>\n<h4><span id=\"Discharge_and_Post-Hospital_Care\" class=\"mw-headline\">Dimissione e assistenza post-ospedaliera<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Discharge and Post-Hospital Care\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=23\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Discharge and Post-Hospital Care\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=23\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Dopo aver esaminato la destinazione della dimissione dopo una frattura dell&#8217;anca, Ftouh et al.<sup id=\"cite_ref-:10_21-1\" class=\"reference\"><a href=\"#cite_note-:10-21\">(21)<\/a><\/sup> raccomandano la dimissione dall&#8217;ospedale a casa. Secondo Ftouh et al., l&#8217;assistenza domiciliare ha portato a un aumento significativo delle misure di indipendenza funzionale.<sup id=\"cite_ref-:5_12-27\" class=\"reference\"><a href=\"#cite_note-:5-12\">(12)<\/a><\/sup> (Raccomandazioni forti).<\/li>\n<li>Izzaguire et al.<sup id=\"cite_ref-:15_28-0\" class=\"reference\"><a href=\"#cite_note-:15-28\">(28)<\/a><\/sup> hanno concluso che la fisioterapia specializzata sembra essere fondamentale nei primi mesi dopo l\u2019intervento, mentre diventa meno importante dopo quattro mesi dall\u2019intervento. Una revisione della letteratura supporta l\u2019affermazione secondo la quale non ci sia differenza nel tipo di fisioterapia fornita per aiutare il paziente a raggiungere la capacit\u00e0 di svolgere le attivit\u00e0 quotidiane e l\u2019indipendenza dopo una frattura dell\u2019anca.<sup id=\"cite_ref-:15_28-1\" class=\"reference\"><a href=\"#cite_note-:15-28\">(28)<\/a><\/sup> (Evidenza forte).<\/li>\n<li>Ftouh et al.<sup id=\"cite_ref-:10_21-2\" class=\"reference\"><a href=\"#cite_note-:10-21\">(21)<\/a><\/sup> hanno concluso che le prime settimane dopo una frattura dell&#8217;anca sono critiche per il recupero.<sup id=\"cite_ref-:10_21-3\" class=\"reference\"><a href=\"#cite_note-:10-21\">(21)<\/a><\/sup><\/li>\n<li>McDonough et al.<sup id=\"cite_ref-:8_8-9\" class=\"reference\"><a href=\"#cite_note-:8-8\">(8)<\/a><\/sup> ha affermato che i professionisti clinici devono fornire terapie aggiuntive se i deficit di forza, equilibrio e funzionalit\u00e0 permangono oltre le 8-16 settimane dalla frattura. Le terapie aggiuntive dovrebbero concentrarsi sulla forza, sull&#8217;equilibrio, sull&#8217;allenamento funzionale e sulla deambulazione per affrontare le disabilit\u00e0, le limitazioni dell&#8217;attivit\u00e0 e il rischio di caduta. Questi servizi possono essere forniti in ambito ambulatoriale, a domicilio o come programmi di esercizi di base comunitaria basati sull&#8217;evidenza. (Grado A).<\/li>\n<\/ul>\n<h2><span id=\"In_Summary\" class=\"mw-headline\">In sintesi<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: In Summary\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=24\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: In Summary\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=24\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>I fisioterapisti che lavorano con pazienti affetti da <b>osteoartrosi dell&#8217;anca<\/b> dovrebbero prendere in considerazione i seguenti interventi:<\/p>\n<ul>\n<li>Esercizi di rinforzo, resistenza e flessibilit\u00e0 a basso impatto<\/li>\n<li>Terapia di gruppo<\/li>\n<li>Tai-Chi<\/li>\n<li>Educazione del paziente<\/li>\n<li>Utilizzo di un dispositivo di assistenza per la deambulazione, quando necessario.<\/li>\n<\/ul>\n<p>Gli interventi fisioterapici per il trattamento della <b>frattura dell&#8217;anca<\/b> dovrebbero includere:<\/p>\n<ul>\n<li>Mobilitazione precoce<\/li>\n<li>Allenamento resistivo progressivo<\/li>\n<li>Allenamento della forza<\/li>\n<li>Programma di base comunitaria<\/li>\n<li>Programma di esercizi a casa con orientamento funzionale<\/li>\n<\/ul>\n<h2><span id=\"Resources\" class=\"mw-headline\">Risorse<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=25\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Resources\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=25\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ol>\n<li><a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/pdf\/10.2519\/jospt.2017.0301\" rel=\"nofollow\">Hip Osteoarthritis: Revision 2017<\/a>. Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Orthopaedic Section of the American Physical Therapy Association<\/li>\n<li><a class=\"external text\" href=\"https:\/\/www.nice.org.uk\/guidance\/cg124\/evidence\/full-guideline-pdf-183081997\" rel=\"nofollow\">The management of hip fracture in adults<\/a> . NICE.<\/li>\n<li><a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/epdf\/10.2519\/jospt.2021.0301\" rel=\"nofollow\">Physical Therapy Management of Older Adults With Hip Fracture<\/a>. Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Orthopaedic Physical Therapy and the Academy of Geriatric Physical Therapy of the American Physical Therapy Association.<\/li>\n<\/ol>\n<h2><span id=\"References\" class=\"mw-headline\">Citazioni<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;veaction=edit&amp;section=26\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture&amp;action=edit&amp;section=26\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">&#8220;Clinical practice guidelines.&#8221; Segen&#8217;s Medical Dictionary. 2011. Farlex, Inc. 7 Apr. 2022 <a class=\"external text\" href=\"https:\/\/medical-dictionary.thefreedictionary.com\/Clinical+practice+guidelines\" rel=\"nofollow\">https:\/\/medical-dictionary.thefreedictionary.com\/clinical+practice+guidelines<\/a><\/span><\/li>\n<li id=\"cite_note-:0-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-1\">2.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-2\">2.2<\/a><\/sup><\/span> <span class=\"reference-text\">Clinical Practice Guidelines. Available from: <a class=\"external free\" href=\"https:\/\/www.apta.org\/patient-care\/evidence-based-practice-resources\/cpgs\" rel=\"nofollow\">https:\/\/www.apta.org\/patient-care\/evidence-based-practice-resources\/cpgs<\/a> (last accessed 10.04.2022)<\/span><\/li>\n<li id=\"cite_note-:1-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_3-1\">3.1<\/a><\/sup><\/span> <span class=\"reference-text\">Institute of Medicine (US) Committee on Standards for Developing Trustworthy Clinical Practice Guidelines. Clinical Practice Guidelines We Can Trust. Graham R, Mancher M, Miller Wolman D, Greenfield S, Steinberg E, editors. Washington (DC): National Academies Press (US); 2011. PMID: 24983061.<\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Franco JVA, Arancibia M, Meza N, Madrid E, Kopitowski K. <a class=\"external text\" href=\"https:\/\/www.medwave.cl\/link.cgi\/English\/Reviews\/MethodlogicalNotes\/7888.act\" rel=\"nofollow\">Clinical practice guidelines: Concepts, limitations and challenges.<\/a> Medwave. 2020 Apr 30;20(3):e7887. Spanish, English.<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">American Physical Therapy Association. Available from<a class=\"external text\" href=\"https:\/\/www.guidelinecentral.com\/guidelines\/APTA\/#\" rel=\"nofollow\">: https:\/\/www.guidelinecentral.com\/guidelines\/APTA\/#<\/a> (last accessed 10.04.2022)<\/span><\/li>\n<li id=\"cite_note-:2-6\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_6-0\">6.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_6-1\">6.1<\/a><\/sup> <sup><a href=\"#cite_ref-:2_6-2\">6.2<\/a><\/sup><\/span> <span class=\"reference-text\">Shoemaker MJ, Dias KJ, Lefebvre KM, Heick JD, Collins SM. <a class=\"external text\" href=\"https:\/\/academic.oup.com\/ptj\/article\/100\/1\/14\/5714224?login=false\" rel=\"nofollow\">Physical Therapist Clinical Practice Guideline for the Management of Individuals With Heart Failure<\/a>. Phys Ther. 2020 Jan 23;100(1):14-43. <\/span><\/li>\n<li id=\"cite_note-:4-7\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_7-0\">7.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_7-1\">7.1<\/a><\/sup> <sup><a href=\"#cite_ref-:4_7-2\">7.2<\/a><\/sup><\/span> <span class=\"reference-text\">Evidence-Based Practice: Levels of Evidence and Study Designs. Available from: <a class=\"external free\" href=\"https:\/\/ascension-wi.libguides.com\/ebp\/Levels_of_Evidence\" rel=\"nofollow\">https:\/\/ascension-wi.libguides.com\/ebp\/Levels_of_Evidence<\/a>. Last Updated: Mar 30, 2022 (last accessed 08.04.2022).<\/span><\/li>\n<li id=\"cite_note-:8-8\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:8_8-0\">8.0<\/a><\/sup> <sup><a href=\"#cite_ref-:8_8-1\">8.1<\/a><\/sup> <sup><a href=\"#cite_ref-:8_8-2\">8.2<\/a><\/sup> <sup><a href=\"#cite_ref-:8_8-3\">8.3<\/a><\/sup> <sup><a href=\"#cite_ref-:8_8-4\">8.4<\/a><\/sup> <sup><a href=\"#cite_ref-:8_8-5\">8.5<\/a><\/sup> <sup><a href=\"#cite_ref-:8_8-6\">8.6<\/a><\/sup> <sup><a href=\"#cite_ref-:8_8-7\">8.7<\/a><\/sup> <sup><a href=\"#cite_ref-:8_8-8\">8.8<\/a><\/sup> <sup><a href=\"#cite_ref-:8_8-9\">8.9<\/a><\/sup><\/span> <span class=\"reference-text\">McDonough CM, Harris-Hayes M, Kristensen MT, Overgaard JA, Herring TB, Kenny AM, Mangione KK. <a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/full\/10.2519\/jospt.2021.0301\" rel=\"nofollow\">Physical Therapy Management of Older Adults With Hip Fracture.<\/a> J Orthop Sports Phys Ther. 2021 Feb;51(2):CPG1-CPG81. <\/span><\/li>\n<li id=\"cite_note-9\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-9\">\u2191<\/a><\/span> <span class=\"reference-text\">Medical news today What is a RCT? Available:<a class=\"external free\" href=\"https:\/\/www.medicalnewstoday.com\/articles\/280574#takeaway\" rel=\"nofollow\">https:\/\/www.medicalnewstoday.com\/articles\/280574#takeaway<\/a> (accessed 31.10.2022)<\/span><\/li>\n<li id=\"cite_note-:3-10\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_10-0\">10.00<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-1\">10.01<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-2\">10.02<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-3\">10.03<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-4\">10.04<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-5\">10.05<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-6\">10.06<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-7\">10.07<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-8\">10.08<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-9\">10.09<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-10\">10.10<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-11\">10.11<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-12\">10.12<\/a><\/sup><\/span> <span class=\"reference-text\">Lespasio MJ, Sultan AA, Piuzzi NS, Khlopas A, Husni ME, Muschler GF, Mont MA. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5760056\/\" rel=\"nofollow\">Hip Osteoarthritis: A Primer.<\/a> Perm J. 2018;22:17-084. <\/span><\/li>\n<li id=\"cite_note-:9-11\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:9_11-0\">11.0<\/a><\/sup> <sup><a href=\"#cite_ref-:9_11-1\">11.1<\/a><\/sup> <sup><a href=\"#cite_ref-:9_11-2\">11.2<\/a><\/sup> <sup><a href=\"#cite_ref-:9_11-3\">11.3<\/a><\/sup> <sup><a href=\"#cite_ref-:9_11-4\">11.4<\/a><\/sup> <sup><a href=\"#cite_ref-:9_11-5\">11.5<\/a><\/sup> <sup><a href=\"#cite_ref-:9_11-6\">11.6<\/a><\/sup> <sup><a href=\"#cite_ref-:9_11-7\">11.7<\/a><\/sup> <sup><a href=\"#cite_ref-:9_11-8\">11.8<\/a><\/sup> <sup><a href=\"#cite_ref-:9_11-9\">11.9<\/a><\/sup><\/span> <span class=\"reference-text\">Cibulka MT, Bloom NJ, Enseki KR, Macdonald CW, Woehrle J, McDonough CM. <a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/pdf\/10.2519\/jospt.2017.0301\" rel=\"nofollow\">Hip Pain and Mobility Deficits-Hip Osteoarthritis: Revision 2017<\/a>. 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Spanish.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- \nNewPP limit report\nCached time: 20260130081923\nCache expiry: 0\nReduced expiry: true\nComplications: (show\u2010toc)\nCPU time usage: 0.203 seconds\nReal time usage: 0.223 seconds\nPreprocessor visited node count: 961\/1000000\nPost\u2010expand include size: 214\/2097152 bytes\nTemplate argument size: 0\/2097152 bytes\nHighest expansion depth: 3\/100\nExpensive parser function count: 0\/100\nUnstrip recursion depth: 0\/20\nUnstrip post\u2010expand size: 29335\/5000000 bytes\n--><br \/>\n<!--\nTransclusion expansion time report (%,ms,calls,template)\n100.00%    8.245      1 Special:Contributors\/Evidence-Based_Approach_to_Rehabilitation_in_Hip_Osteoarthritis_and_Hip_Fracture\n100.00%    8.245      1 -total\n--><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Redazione originale &#8211; Ewa Jaraczewska sulla base del corso di Rina Pandya Principali contributori &#8211; Ewa Jaraczewska, Jess Bell, Kim Jackson e Lucinda hampton Contenuti 1 Introduzione 1.1 Qualit\u00e0 delle evidenze 2 Osteoartrosi dell&#8217;anca 3 Linee guida per la pratica clinica per l&#8217;osteoartrosi dell&#8217;anca 3.1 Fattori di rischio 3.2 Presentazione clinica e livello delle evidenze [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1654","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/1654","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/comments?post=1654"}],"version-history":[{"count":33,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/1654\/revisions"}],"predecessor-version":[{"id":13537,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/1654\/revisions\/13537"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/media?parent=1654"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}