Effects Of A Home Based Exercise Program Following Total Hip Arthroplasty

Investigation Of The Effects Of A Home Based Exercise Program Under Physiotherapist Supervision Following Total Hip Arthroplasty And Comparison With The Control Group

The aim of this study is to examine the effects of home-based exercise on pain-related factors, postural control and early functional parameters in individuals undergoing total hip arthroplasty. Forty-four individuals with hip osteoarthritis were included in current study. Individuals were randomized as study group (n=23) and control group (n=21) by drawing lots. Individuals in the study group were followed up with a personalized home-based exercise program for 6 weeks. Individuals in the control group were followed up with an exercise training brochure. The exercise program of the individuals in the study group was checked at two-week intervals and adjustments were made in the exercise program. All individuals were evaluated before the operation, 2 weeks after the operation, and 12 weeks after the operation, and their data were recorded. Range of motion was measured with an inclinometer, muscle strength was measured with a hand dynamometer, joint position sense was measured with a target angle test, pain was measured with a visual pain scale, leg length was measured with a tape measure, and finally, the Q angle was measured with a goniometer. In addition to these,Tampa kinesiophobia scale, Oxford hip score and international physical activity scale were used. Timed up-and-go test was used to evaluate functional performance. Foursquare step test was used to evaluate balance, and finally, tetrax posturography device was used to evaluate postural control.

The aim of this study was to examine the patients who underwent Total Hip Arthroplasty surgery with the diagnosis of hip osteoarthritis.

Home-based exercise program given individually under the control of a physiotherapist is effective in reducing pain.

related factors (joint range of motion, muscle strength, kinesiophobia, physical activity), To investigate its effect on functional status, balance and postural control.

Inclusion Criteria:

• Having surgery with a diagnosis of osteoarthritis
• Cases have unilateral hip osteoarthritis
• Not having received physical therapy in the 6 months before the surgery
• Total hip arthroplasty surgery should only be performed on posterior or posterolateral done with initiative

Exclusion Criteria:

• Presence of Dementia, Neurological Deficit
• Having other diseases that may affect balance (vertigo, previous CVO, neuropathy, epilepsy)
• Being on medication that may affect balance (antidepressants, antiepileptics, antipsychotics)
• Individuals who use alcohol heavily
• End stage organ failure
• Cancer patients under active treatment (except those in remission