Hip Replacement, Knee Replacement, Postural Balance
Conditions
Brief summary
This study evaluates the effect of balance circuit in patients with more than one year of postoperative total hip or knee arthroplasty. Patients were randomized between intervention group (IG) (balance exercise circuit ) and control group (CG) (usual routine). The evaluations were conducted by blind examiners.
Detailed description
Balance Exercise Circuit (BEC) program, includes exercise that specifically challenge sensory inputs from mechanoreceptors as well as from the visual and vestibular systems. It is composed of 13 stations, involving static and dynamic balance exercises, including tandem walking, forward-backward stepping, wide-stance gait, functional reach, heel lift, toe press, balance on unstable surfaces, and standing on one leg. The BEC lasts 50 min, two times per week for a total of 12 weeks. Progression of exercises occurred every 3 weeks and was closely supervised to ensure safety. Each BEC session comprised of warm-up and stretching (10 min), exercise circuit (30 min), and cool-down (10 min).
Interventions
Thirteen workstations were organized in a circuit format on involved multidirectional gait in different bases of support, unstable surfaces, functional reach, exercise with balls, and single-leg stance
Sponsors
Study design
Eligibility
Inclusion criteria
* more than one year of postoperative total hip or knee arthroplasty
Exclusion criteria
* total hip AND knee arthroplasty * other surgeries of the lower limbs and spine * autoimmune disease * contraindication for physical exercise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Berg Balance Scale | three months | evaluates functional balance |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| QuickScreen scale | three months | fall risk assessement |
| Falls Efficacy Scale | three months | self-efficacy or confidence in performing activities without falling |
Other
| Measure | Time frame | Description |
|---|---|---|
| static balance | three months | static balance assessed by force plate |
| Timed Up and Go | three months | functional performance and functional balance |