Effectiveness of Exercise Programs Following Total Hip and Knee Joint Arthroplasty

London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's82 enrolled

Overview

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

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Hip and Knee Joint Osteoarthritis Hip and Knee Joint Arthroplasty

Interventions

Typical range of motion and muscle strengthening exercises, and balance exercisesOTHER

Seven typical exercises, and three balance exercises, 10 times each, 3 times a day.

Typical groupOTHER

Seven typical exercises, 10 times each, 3 times a day

Eligibility

Sex: ALLMin age: 55 Years

Medical Language ↔ Plain English

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.

Locations (1)

School of Physical Therapy, University of Western Ontario

London, Ontario, Canada

Outcomes

Primary Outcomes

Berg balance scale

Time frame: Day 0 and Week 5

Secondary Outcomes

Timed Up and go test

Time frame: Day 0 and Week 5

Western Ontario McMaster Universities Osteoarthritis Index

Time frame: Day 0 and Week 5

Activity-specific Balance Confidence Scale

Time frame: Day 0 and Week 5

Force platform

Time frame: Week 5

Data from ClinicalTrials.gov

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