TBD: Postsurgery rehabilitation

Rehabilitation is extremely important in the overall outcome of any joint replacement surgery. The goals of physical therapy are to prevent contractures, improve patient education, and strengthen muscles around the joint through controlled exercises. The goals of every rehabilitative protocol in a patient that underwent a joint replacement surgery are as follows: (1) reducing pain, (2) restoring muscular trophism and tone, (3) recovering the range of motion, and (4) recovering the articular function. A critical phase, however, is the time before the surgical intervention, when the intervention is planned and not immediately necessitated by a fracture. The phase before the surgical intervention must act at the level of the musculoskeletal and at the level of the cardiovascular systems. These include exercises of controlled breathing balanced with postures for bronchial drainage. The conditions of cardiac functionality are also improved by the active mobilization of inferior and superior limbs. Presurgical reeducation also favors the recruitment of motor units and allows better healing of the articular district after the surgical intervention so that the patient can quickly regain neuromuscular coordination. Then, the protocol allows to maintain and to create general satisfactory conditions that allow the fast functional reeducation and the early and diversified load at the level of the operated limb. Also it reduces the risk of local or general complications and represents an extremely useful way to recover the range of motions and to restore the patient's activities of daily life (ADL).