Effectiveness of Exercise Programs Following Total Hip and Knee Joint Arthroplasty

Study Overview
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Brief Summary
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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
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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.

Official Title
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Effectiveness of Exercise Programs Following Total Hip and Knee Joint Arthroplasty

Conditions
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Hip and Knee Joint Osteoarthritis, Hip and Knee Joint Arthroplasty

Intervention / Treatment
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* Other: Typical range of motion and muscle strengthening exercises, and balance exercises
* Other: Typical group


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Balance group<br>Typical plus balance exercises | Other: Typical range of motion and muscle strengthening exercises, and balance exercises<br>* Seven typical exercises, and three balance exercises, 10 times each, 3 times a day.<br>|
| Other: Typical group<br>Typical exercises | Other: Typical group<br>* Seven typical exercises, 10 times each, 3 times a day<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Berg balance scale |  | Day 0 and Week 5 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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total hip arthroplasty, total knee arthroplasty, balance exercises, force plate, berg balance scale, timed up and go test