Hip and Knee Joint Arthroplasty, Hip and Knee Joint Osteoarthritis
Conditions
Keywords
total hip arthroplasty, total knee arthroplasty, balance exercises, force plate, berg balance scale, timed up and go test
Brief summary
The purpose of the study was to evaluate the effectiveness of balance exercises added to typical joint range of motion and muscle strengthening exercises on balance in patients following total hip or knee joint arthroplasty
Detailed description
Rehabilitation program following total hip and knee joint arthroplasty typically focus on joint range of motion and muscle strengthening exercises. Although the balance ability of these patients tends to be reduced, leading to limitations in mobility and activities of daily living, clinicians often assume that strength and joint range of motion exercises will ultimately lead to improvement in balance, making the typical exercise programs appropriate. However, the feasibility and effectiveness of introducing balance specific exercises during the post-operative period is unclear.
Interventions
OTHERTypical range of motion and muscle strengthening exercises, and balance exercises
Seven typical exercises, and three balance exercises, 10 times each, 3 times a day.
OTHERTypical group
Seven typical exercises, 10 times each, 3 times a day
Sponsors
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
55 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients with primary unilateral total hip or knee joint arthroplasty. * Patients who had been advised to weight bear as tolerated following surgery.
Exclusion criteria
* Patients who had been advised by their surgeon to remain non-weight bearing or partial weight bearing on the operated leg or unoperated leg. * Patients with neurological conditions such as hemiplegia, peripheral neuropathy, Parkinsons disease, multiple sclerosis, or spinal cord compression that might affect balance.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Berg balance scale | Day 0 and Week 5 |
Secondary
| Measure | Time frame |
|---|---|
| Timed Up and go test | Day 0 and Week 5 |
| Western Ontario McMaster Universities Osteoarthritis Index | Day 0 and Week 5 |
| Activity-specific Balance Confidence Scale | Day 0 and Week 5 |
| Force platform | Week 5 |
Countries
Canada
Outcome results
None listed