Effects Of A Home Based Exercise Program Following Total Hip Arthroplasty

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.

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