Force-plate analyses of balance following a balance exercise program during acute post-operative phase in individuals with total hip and knee arthroplasty: A randomized clinical trial

Abstract

Objectives:Typical rehabilitation programs following total hip arthroplasty and total knee arthroplasty include joint range of motion and muscle-strengthening exercises. Balance and balance exercises following total hip arthroplasty and total knee arthroplasty have not received much attention. The purpose of this study was to determine whether an intervention of balance exercises added to a typical rehabilitation program positively affects patients’ balance.Methods:A total of 63 patients were provided with outpatient physical therapy at their home. Patients were randomly assigned to either typical (n = 33) or balance (n = 30) exercise group. The typical group completed seven typical surgery-specific joint range of motion and muscle-strengthening exercises, while the balance group completed the typical exercises plus three balance exercises. After 5 weeks of administering the rehabilitation program, patients’ balance was assessed on a force plate using 95% ellipse area of the center of pressure amplitude.Results:Patients in the balance group demonstrated significant reduction in the 95% ellipse area for the anterior and posterior lean standing conditions (p < 0.01).Conclusion:Balance exercises added to the typical outpatient physical therapy program resulted in significantly greater improvements in balance for participants with total hip arthroplasty or total knee arthroplasty, compared to the typical exercise program alone. Physical therapists might consider the use of balance exercises to improve balance in individuals in the acute post-operative phase following total hip arthroplasty or total knee arthroplasty.

Personalized rehabilitation therapy in obese and elderly patients undergoing hip replacement surgery

“…Therefore, in these men consideration should be given to extending the length of the training plan. Operational access and associated tissue damage and the healing process can have a significant impact on the rehabilitation process after hip arthroplasty, necessitating an individual approach to each patient [30].…”

“…It has been proven that the optimum frequency of ankle movements for the flow of blood in the deep thigh vein is 60 contractions per minute. Elderly and obese people are particularly at risk of thromboembolism complications, supporting the need to perform this type of exercise with particular care and set a slightly higher intensity than in younger people with normal BMI [30].…”

Abordaje del dolor agudo en traumatología

“… Ejercicios para mejorar el balance muscular. Pueden recomendarse la realización de diferentes protocolos de ejercicios de mejora del balance muscular después de ATR y ATC, pero no se existe un protocolo específico que sea mejor que otro (110)(111)(112).  Terapia acuática.…”

Balance a few years after total hip replacement

“…Balance impairments limit functionality, hinder activities of daily living (such as self-care) and lead to altered movement patterns and difficulties in walking and maintaining postural control [22]. It is also associated with an increased incidence of falls [23].Our research investigates the quality of postural control in dynamic conditions in THR patients. For this purpose, we conducted a posturographic examination in dynamic conditions and we applied a set of selected clinical tests used for assessing balance impairments and risk of falls.…”