scholarly journals Balance a few years after total hip replacement

2019 ◽  
Author(s):  
Agnieszka Wareńczak ◽  
Przemysław Lisiński
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Dynamic Balance ◽  
Berg Balance Scale ◽  
Step Test ◽  
Control Group ◽  
Timed Up And Go ◽  
Total Hip ◽  
Functional Reach ◽  
Functional Reach Test

Abstract Background: The aim of the study was to conduct a long-term evaluation of whether total hip replacement permanently affects the quality of postural reactions and body balance. Material and methods: The unilateral Total Hip Replacement (THR) group consisted of 30 subjects (mean age: 69.4). The control group consisted of 30 healthy subjects (mean age: 68.8). The force platform and functional tests such as Timed Up and Go, 3m walk test, Functional Reach Test, 30s Chair Stand Test, Step Test and Berg Balance Scale were used to assess dynamic balance. Results: Subjects from the study group exhibited significantly increased time (p=0.002) and distance (p=0.012) in the tests performed on the force platform compared to the control group. We also observed worse balance and functional test scores in the THR group: Timed Up and Go test (p<0.001), 3m walk test (p<0.001), Functional Reach Test (p=0.003), 30s Chair Stand Test (p=0.002) and Step Test (operated leg: p<0.001, non-operated leg: p=0.002). The results obtained in the Berg Balance Scale tests were not significantly different between the groups (p=0.597). Conclusions: Our research shows that total hip replacement permanently impairs patients’ dynamic balance and functionality in certain lower-extremity activities. Keywords: balance, total hip replacement, gait, muscle strength

Effects of proprioception training program on balance among patients with diabetic neuropathy: a quasi experimental trial

2021 ◽  
pp. 1-12
Author(s):  
Humaira Iram ◽  
Muhammad Kashif ◽  
Hafiz Muhammad Junaid Hassan ◽  
Salma Bunyad ◽  
Samra Asghar
Keyword(s):  
Diabetic Neuropathy ◽  
Dynamic Balance ◽  
Berg Balance Scale ◽  
Exercise Group ◽  
Walk Test ◽  
Timed Up And Go ◽  
Functional Reach ◽  
Functional Reach Test ◽  
Quasi Experimental ◽  
Eyes Open

Abstract Objective: To determine the effects of proprioception training in improving balance in patients with diabetic neuropathy. Methods: A quasi-experimental design study was conducted at the Safi Hospital Faisalabad for eight weeks from August to December 2019. Out of, 38, 19 patients were placed in exercise group (10 males, 9 females; mean age 64 ± 7.7 years; range 60 to 83 years) and 19 patients were placed in controls group (12 males, 7 females; mean age 63 ± 8.2 years) were included in this study through consecutive sampling technique. Proprioception Training was given to exercise group twice a week for eight weeks and the diabetes awareness campaign was given once a week to the control group. Static and dynamic balance were assessed by using One Leg Standing (OLS) Test with eyes open and closed, Berg Balance Scale (BBS), Functional Reach Test (FRT), Timed Up and Go Test (TUGT) and 10-M Walk Test (10-MWT). The data was collected before and after treatment and was compared using independent sample t-test. Results: The finding of the study showed that OLS score with eyes open improved significantly with p<0.05 and does not show improvement with eyes closed p =.073. The dynamic balance from the Berg Balance Scale, Functional Reach Test, Timed Up and Go Test and 10-M Walk Test revealed significant improvement after the balance exercises with p<0.05 Conclusion: It is concluded that proprioception training exercises are effective in improving balance among patients with Diabetic neuropathy. Continuous...

scholarly journals Does the Inclusion of Virtual Reality Games within Conventional Rehabilitation Enhance Balance Retraining after a Recent Episode of Stroke?

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
B. S. Rajaratnam ◽  
J. Gui KaiEn ◽  
K. Lee JiaLin ◽  
Kwek SweeSin ◽  
S. Sim FenRu ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Treatment Time ◽  
Dynamic Balance ◽  
Berg Balance Scale ◽  
Functional Mobility ◽  
Timed Up And Go ◽  
Functional Reach ◽  
Functional Reach Test ◽  
Randomised Controlled ◽  
Double Blinded

This randomised controlled and double-blinded pilot study evaluated if interactive virtual reality balance related games integrated within conventional rehabilitation sessions resulted in more superior retraining of dynamic balance compared to CR after stroke. 19 subjects diagnosed with a recent episode of stroke were recruited from a local rehabilitation hospital and randomly assigned to either a control or an experimental group. Subjects in the control groups underwent 60 minutes of conventional rehabilitation while those in the experimental groups underwent 40 minutes of convention rehabilitation and 20 minutes of self-directed virtual reality balanced rehabilitation. Functional Reach Test, Timed Up and Go, Modified Barthel Index, Berg Balance Scale, and Centre of Pressure of subjects in both groups were evaluated before and on completion of the rehabilitation sessions. Results indicate that the inclusion of interactive virtual reality balance related games within conventional rehabilitation can lead to improved functional mobility and balance after a recent episode of stroke without increasing treatment time that requires more health professional manpower.

scholarly journals The Effect of Specific Balance Training Exercises for Preventing Falls among Elderly Women

2020 ◽  
Vol 1 (6) ◽  
Author(s):  
Ieva Kvietkutė ◽  
Vilma Dudonienė
Keyword(s):  
Elderly Women ◽  
Dynamic Balance ◽  
Balance Training ◽  
Exercise Program ◽  
Berg Balance Scale ◽  
Control Group ◽  
Timed Up And Go ◽  
Balance Scale ◽  
Functional Reach Test ◽  
Training Exercises

All European countries are experiencing significant ageing of the population. As the lifespan of the population increases, so does the prevalence of falls. Falls in older adults are a major public health concern and a main cause of morbidity and disability. More than one-third of persons 65 years of age or older fall each year, and in half of such cases the falls are recurrent. It is very important to maintain physical activity and independence in daily activities in elderly persons as well as to apply appropriate preventive means as soon as possible. Various interventions may be used to promote health, enhance quality life and reduce falls in elderly people: exercises, home modifications, appropriate footwear and walking aids. The purpose of this study was to determine the effect of specific balance training exercises for preventing falls among elderly women. Twenty eight women aged 55–75 years participated in the study. The subjects were randomly divided into two groups: exercise (n = 14, mean age 67.9 ± 6.13 years) and control (n = 14, mean age 68.9 ± 5.31). Exercise group women performed specific – Cawthorne-Cooksey balance training exercises for 4 weeks, 5 times a week. Cawthorne-Cooksey exercises consisted of moving head in sitting and standing positions with eyes open or closed, exercises on a balance platform, and walking around. One training session lasted for 30-35 minutes. No exercise was performed in the control group. Static and dynamic balance was assessed using the Berg Balance Scale, Functional Reach Test, and Tinetti Balance Scale, walking speed was assessed using Timed Up and Go Test. Risk for falls was assessed using Desmond Fall Risk Questionnaire [4]. Subjects were evaluated twice: before and after applying exercise program. More than 50% of women have had a fall in the past years, difficulty walking in the dark or on uneven surfaces, they have experienced loss of balance or a light-headed feeling standing up, and they could not walk a straight line. Only 29% of subjects participated in a regular exercise programme. The results of Berg Balance Scale, Functional Reach Test, Tinetti Balance Scale, Timed Up and Go Test did not differ between groups before applying specific exercise program. Specific exercises significantly improved patients’ static and dynamic balance, reach functions and walking speed, while in the control group the results of all performed tests had tendency to decline. Specific Cawthorne-Cooksey balance training exercises are effective (p < 0.05) in improving balance and preventing falls in elderly women.Keywords: falls, elderly age, balance, risk of falls.

Low-Dose Heparin and Deep-Vein Thrombosis after Total Hip Replacement

1976 ◽  
Vol 36 (01) ◽  
pp. 157-164 ◽  
Author(s):  
P. M Mannucci ◽  
Luisa E. Citterio ◽  
N Panajotopoulos
Keyword(s):  
Deep Vein Thrombosis ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Low Dose ◽  
Control Group ◽  
Total Hip ◽  
Vein Thrombosis ◽  
Dose Heparin ◽  
Deep Vein ◽  
Low Dose Heparin

SummaryThe effect of subcutaneous low-dose heparin on postoperative deep-vein thrombosis (D. V. T.) (diagnosed by the 125I-labelled fibrinogen test) has been investigated in a trial of 143 patients undergoing the operation of total hip replacement. Two randomized studies were carried out: in one the scanning for D.V.T. was carried out daily for 7 days post operatively and in the other for 15 days. In both, the incidence of D.V.T. was significantly lower in the heparin-treated patients (P<0.005). Bilateral D.V.T. was also prevented (P<0.05), through the extension of D.V.T. to the distal veins of the thigh was not significantly reduced. Heparin treatment was, however, followed by a higher incidence of severe postoperative bleeding (P< 0.02) and wound haematoma formation (P< 0.005), and the postoperative haemoglobin was significantly lower than in the control group (P<0.005). A higher number of transfused blood units was also needed by the heparin treated patients (P<0.001).

scholarly journals The Effect of Pilates Training on the Balance of Elderly

2019 ◽  
Vol 1 (16) ◽  
Author(s):  
Kristina Zaičenkovienė ◽  
Renata Rakovaitė
Keyword(s):  
Dynamic Balance ◽  
Step Test ◽  
Control Group ◽  
Static Balance ◽  
Study Group ◽  
Timed Up And Go ◽  
Physically Active ◽  
Before And After ◽  
Four Square ◽  
And Control

Research background. Falling is one of the most important problems in the elderly’s mobility disorder, which is most often affected by the loss of balance. It is known that Pilates exercises could help to increase the deep muscle strength, improve posture and proprioception, which affects the improvement of the balance. Objective – to evaluate the effects of Pilates exercises on the elderly’s static and dynamic balance. Methodology. The study population consisted of 20 volunteers, men and women, who were divided into Pilates exercises (n = 10, age 65.1 ± 2.6) and control (n = 10, age 68.6 ± 4.9) groups. The study group participated in Pilates classes 2 times per week for six weeks (session duration 60 minutes). The control group did not participate in any physical activity, but they were physically active as usually in their daily life. The main outcome measures were assessed before and after the intervention. The static balance was assessed by measuring posturographic parameters using the force platform, dynamic balance was measured with the Timed up and Go Test (TUG) and the Four Square Step Test (FSST). Results. The results showed signifcant improvement in static balance of the experimental group after the Pilates exercises during standing tests when the feet were apart, eyes opened and closed and when the feet together with eyes opened, and when the foot was in front of the other foot. The results of the control group did not differ during both tests. The results of both groups did not differ in the static balance tests before and after the study, but after the Pilates exercises, the results of the Pilates group signifcantly differed from the control group test results when the feet were in shoulder line with open eyes. The results of the dynamic balance after Pilates exercises signifcantly improved in both tests in the study group. Before the study, there were not statistically signifcant differences in the dynamic balance results between the groups. Conclusions. Six-week Pilates exercises had a positive effect on the elderly’s static and dynamic balance.Keywords: Pilates training, static balance, dynamic balance.

scholarly journals Aspirin-Persantin Prophylaxis in Elective total hip Replacement

1977 ◽  
Author(s):  
A.J. Silvergleid ◽  
R. Bernstein ◽  
D.S. Burton ◽  
J.B. Tanner ◽  
J.F. Silverman ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Treated Group ◽  
Control Group ◽  
Double Blind ◽  
Total Hip ◽  
Blind Area ◽  
Effective Prophylaxis ◽  
Clinically Significant ◽  
To Receive

A prospective, double-blind clinical study was performed to evaluate the combination of dipyridamole(Persantin)225 mg/day and acetyl salicyclic acid (ASA) 1 g/day prophylaxis of post-operative venous thromboembolism in elective total hip replacement. Patients were stratified according to age, and randomly assigned to receive drug or placebo. All patients were followed with 125I-labelledfibrinogen scanning for one week post-operatively, or until fully mobile. Venography was performed in 67/129 patients; in 27 patients the venogram was obtained to confirm a positive fibrinogen scan, in 40 patients an elective venogram was obtained on the 7th post-operative day to evaluate the operated thigh (a blind area for scanning). Thrombosis (by scan or venogram) was found in 16/66(24%) in the control group, and in 21/63(33%) in the treated group. Overall incidence was 37/129 (29%). Correlation of scan with venography was 90%. There were no clinically significant pulmonary emboli in either group. We conclude that the combination of ASA and dipridamole as given in this study is not effective prophylaxis in elective total hip replacement.

Effectiveness of acupuncture vs. core stability training in balance and functional capacity of women with fibromyalgia: a randomized controlled trial

2020 ◽  
Vol 34 (5) ◽  
pp. 630-645 ◽  
Author(s):  
Elisa María Garrido-Ardila ◽  
María Victoria González-López-Arza ◽  
Maria Jiménez-Palomares ◽  
Agustín García-Nogales ◽  
Juan Rodríguez-Mansilla
Keyword(s):  
Functional Capacity ◽  
Dynamic Balance ◽  
Controlled Trial ◽  
Berg Balance Scale ◽  
Core Stability ◽  
Control Group ◽  
Timed Up And Go ◽  
Randomized Controlled ◽  
Physiotherapy Programme ◽  
And Control

Objective: This study investigated the effectiveness of a core stability training physiotherapy programme vs. acupuncture for the management of balance and functional capacity impairments of women with Fibromyalgia. Design: Single-blind randomized controlled trial. Setting: Outpatients setting. Subjects: Women with Fibromyalgia and balance impairment. Interventions: Participants were randomized to a core stability physiotherapy programme group ( n = 45), acupuncture treatment group ( n = 45) and control group ( n = 45) for 13 weeks. Main Measures: Measures were taken at baseline (week 0), postintervention (week 6) and follow-up (week 13). The primary outcome measures were static balance (posturography) and dynamic balance and functional mobility (Berg Balance Scale, timed up and go test and 10-m walk). The secondary outcome measure was functional capacity (Fibromyalgia Health Assessment Questionnaire and the physical function item from the Spanish Fibromyalgia Impact Questionnaire). Results: In all, 103 participants completed the study. The results showed statistically significant improvements in the acupuncture and physiotherapy groups vs. the control group at week 6 regarding Berg Balance Scale ( P = 0.00, both groups), timed up and go test ( P = 0.00 and P = 0.01, respectively) and 10-m walk test at comfortable speed ( P = 0.02 and P = 0.03, respectively). The 10-m walk test at maximum speed showed significance when comparing the physiotherapy and control group ( P = 0.03). However, no significant differences were found between the physiotherapy and the acupuncture groups. In relation to functional capacity, the improvements achieved after the treatments were not statistically significant. Conclusion: Core stability-based physiotherapy and acupuncture improve dynamic balance and postural control in women with Fibromyalgia.

scholarly journals 130 Impact of Balance Training in Virtual Reality on Body Balance in Patients after Total HIP Replacement

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv28-iv33
Author(s):  
Anna Hadamus ◽  
Dariusz Białoszewski ◽  
Aleksandra Justyna Kowalska ◽  
Edyta Urbaniak ◽  
Rafał Boratyński ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Control Group ◽  
Forward Movement ◽  
Body Balance ◽  
Total Hip ◽  
Vr Training ◽  
The Impact ◽  
Experimental Group

Abstract Introduction Virtual Reality (VR) training is becoming an increasingly popular form of exercise aiding in re-education of body balance. Many reports have demonstrated its effectiveness, greater patient involvement in exercise and better outcomes compared to traditional rehabilitation [1]. The aim of this study was to assess the impact of the additional training in VR on body balance in patients after total hip replacement. Material and Methods 56 patients randomly assigned to an experimental group (30 people) and a control group (26 people) was included in the study. All patients had undergone THR within 2 to 12 weeks before the beginning of the study. The control group underwent standard post-operative rehabilitation, while a VR training programme was used in the experimental group as an additional rehabilitation tool. Balance was assessed with the VBC system and the AMTi AccuSway plate. The results were considered significant for p &lt;0.05. Results CoP displacement in the frontal plane was reduced in both groups in tests with eyes closed (p&lt;0.05). Other parameters in standing tests remain the same. The maximum forward deflection test has shown a significant increase in the range of forward movement in the experimental group (p &lt;0.05). In the control group, the duration of the forward movement phase was reduced, but the range remained the same. The rhythmic sway test showed an increase in the average speed of movements in the experimental group (p &lt;0.05). There were no changes in the control group. Conclusions 1. Postural stability training in VR primarily involves dynamic aspects of the maintenance of balance. 2. Improvement in functional tests may indicate a better clinical outcome of rehabilitation in patients who have additionally trained in VR. 3. The improvement obtained in static tests most probably results from improvement in muscle strength and static stability resulting from the rehabilitation.

Comparison of Training between 2 Cycle Ergometers on Dynamic Balance for Middle-Aged Women

2009 ◽  
Vol 18 (2) ◽  
pp. 316-326 ◽  
Author(s):  
Lucinda E. Bouillon ◽  
Douglas K. Sklenka ◽  
Amy C. Driver
Keyword(s):  
Outcome Measures ◽  
Repeated Measures ◽  
Dynamic Balance ◽  
Step Test ◽  
Control Group ◽  
Middle Aged ◽  
Timed Up And Go ◽  
Balance Tests ◽  
Cycle Training ◽  
Cycle Group

Context:Interval cycle training could positively influence dynamic balance in middle-aged women.Objective:To compare training effects of a strength ergometer and a standard ergometer on 3 dynamic balance tests.Design:Repeated measures.Setting:Laboratory.Participants:Seventeen women were randomly assigned to standard (n = 10) or strength cycle ergometry (n = 7). A control group consisted of 7 women.Intervention:Ergometry interval training (3 sessions/wk for 4 wk).Main Outcome Measures:Three balance tests—the Star Excursion Balance Test (SEBT), timed up-and-go (TUG), and four-square step test (FSST)—were performed at pretraining and 4 wk posttraining.Results:Four SEBT directions improved and faster scores for FSST and TUG tests for the standard-cycle group were found, whereas the strength-cycle group only improved their TUG scores. No changes posttraining for the control group.Conclusions:Stationary cycle training should be included in the dynamic balance-rehabilitation protocol for middle-aged women.

A Comparative Study of the Effectiveness of a Preoperative Education Programme for Total Hip Replacement Patients

1995 ◽  
Vol 58 (12) ◽  
pp. 526-531 ◽  
Author(s):  
Nicola J Spalding
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Direct Consequence ◽  
Education Programme ◽  
Control Group ◽  
Preoperative Education ◽  
Total Hip ◽  
Quasi Experimental ◽  
Postoperative Morphine ◽  
Experimental Group

This study examined some effects of providing preoperative education to patients prior to their hospital admission for a total hip replacement. The preoperative education programmes are organised and presented by an occupational therapist with the assistance of a physiotherapist, an anaesthetist, an orthopaedic nurse and a dietician. The content includes information on preparation for surgery, what to expect of admission, surgery and rehabilitation, and how to prepare for discharge. A quasi-experimental design was used to compare a group of patients who had attended an education programme with, as control, a group of patients who had not. The variables Investigated were length of hospitalisation, morphine usage, mobility independence and discharge preparation. The results showed that the patients in the experimental group had a mean of 4 days' less hospitalisation than the control group, required less postoperative morphine and achieved mobility independence sooner. The control patients' lack of knowledge of what to expect from their surgery was evident from the lack of preparation for their discharge home. Large financial savings were then calculated as a direct consequence.

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