Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Apr 11:9:23779608231167825.
doi: 10.1177/23779608231167825. eCollection 2023 Jan-Dec.

Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review

Aprisunadi  1   2 , Nursalam Nursalam  3 , Mustikasari Mustikasari  4 , Erlin Ifadah  2 , Elsi Dwi Hapsari  5
Affiliations
Review

Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review

Aprisunadi et al. SAGE Open Nurs. .

Abstract

Introduction: The incidence of fracture and surgery of the hip and lower extremities is still high. Long postoperative bed rest can potentially increase the incidence of various complications that may increase patients' morbidity and mortality rate after hip and lower extremities surgery. This literature review aimed to identify the effects of early mobilization on hip and lower extremity postoperative.

Methods: Search for articles on several databases such as ProQuest, ScienceDirect, CINAHL, Medline, Wiley Online, and Scopus, using the Boolean operator tools with "AND" and "OR" words by combining several keywords according to the literature review topic, with inclusion criteria of those published in the last three years (2019-2021), using a quantitative design, written in English and full-text articles. A total of 435 articles were obtained, screened, and reviewed so that there were 16 (sixteen) eligible articles.

Results: There were 11 (eleven) effects of early mobilization, that is, shorter the length of stay, lower postoperative complication, lower the pain, increase walking ability, increase quality of life, decrease the rate of readmission, decrease mortality rate, lower the total hospitalization cost, higher number of physical therapy sessions prior to discharge, increase in satisfaction, and no fracture displacement or implant failure.

Conclusion: This literature review showed that early mobilization is safe and effective in postoperative patients to reduce the risk of complications and adverse events. Nurses and health workers who care for patients can implement early mobilization and motivate patients to cooperate in undergoing early mobilization.

Keywords: early mobilization; hip; lower extremity; postoperative.

PubMed Disclaimer

Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Summary of literature review process.
See this image and copyright information in PMC

References

    1. Aprato A., Bechis M., Buzzone M., Bistolfi A., Daghino W., Massè A. (2020). No rest for elderly femur fracture patients: Early surgery and early ambulation decrease mortality. Journal of Orthopaedics and Traumatology, 21, 12. 10.1186/s10195-020-00550-y - DOI - PMC - PubMed
    1. Ascione F., Braile A., Romano A. M., di Giunta A., Masciangelo M., Senorsky E. H., Samuelsson K., Marzano N. (2020). Experience-optimised fast track improves outcomes and decreases complications in total knee arthroplasty. The Knee, 27(2), 500–508. 10.1016/j.knee.2019.11.002 - DOI - PubMed
    1. Baer M., Neuhaus V., Pape H. C., Ciritsis B. (2019). Influence of mobilization and weight bearing on in-hospital outcome in geriatric patients with hip fractures. SICOT J, 5(1), 4. 10.1051/sicotj/2019005 - DOI - PMC - PubMed
    1. Bano G., Dianin M., Biz C., Bedogni M., Alessi A., Bordignon A., Bizzotto M., Berizzi A., Ruggieri P., Manzato E., Sergi G. (2020). Efficacy of an interdisciplinary pathway in a first level trauma center orthopaedic unit: A prospective study of a cohort of elderly patients with hip fractures. Archives of Gerontology and Geriatrics, 86, 103957. 10.1016/j.archger.2019.103957 - DOI - PubMed
    1. Barros C. E. S. R., Lima A. M. S., Vilaça A. F., Correia R. F., Gonçalves T. F., Silva R. M. O., Cardozo S. M., Rattes C. F. S., Souza H. C. M., Brandão D. C., Dornelas A. F. A., Campos S. L. (2015). Impact of standardized mobilization in mechanically ventilated patients on respiratory muscular strength. European Respiratory Journal, 46: PA2171.

LinkOut - more resources