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ORIGINAL ARTICLE
Year : 2021  |  Volume : 16  |  Issue : 1  |  Page : 133-137

Effect of home-based exercise program in patients with hip arthroplasty


College of Physiotherapy, Sumandeep Vidyapeeth, Gujarat, India

Correspondence Address:
Dr. Neha Mukkamala
Assistant Professor, College of Physiotherapy, Sumandeep Vidyapeeth. (Declared as Deemed to be University u/s. 3 of UGC Act. 1956), PO. Pipariya, Waghodia, Vadodara - 391 760, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_207_20

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Background: Physiotherapy has been a routine component of rehabilitation to improve strength and function following hip arthroplasty (HA). Supervised outpatient exercise program can be costly and inconvenient for people who live in the remote areas. Hence, the present study developed Home-based exercise program (HEP) and studied its effect in patients with HA. Materials and Methods: Thirty-six patients with HA were allocated into HEP and control group through the lottery method. Both groups received physiotherapy during hospital stay and were assessed for muscle strength of hip abductors and extensor apparatus with sphygmomanometer, Numerical Pain Rating Scale (NPRS), and Harris hip score (HHS) at discharge. At discharge, HEP group was given a written home program leaflet, record sheet, and telephonic reminder once a week. The control group received all instructions and demonstration of exercises. All patients were assessed at the 1-month follow-up. Results: A total of 36 patients; 18 in HEP group, (12 males and 6 females) with a mean age 39.24 ± 14.59 years and 18 in the control group (11 males and 7 females) mean age 53.44 ± 19.24 years, out of which 35 completed follow-up (18 in HEP, 17 in control group). A statistically significant difference was found in NPRS (P = 0.001), muscle strength-hip abductors (P < 0.001), extensors apparatus (P = 0.008), and HHS in HEP group between discharge and follow-up. No significant difference was found between the two groups. Conclusion: HEP was effective in reducing postoperative pain, improving hip muscle strength, and function in patients with HA. There was no difference found between the groups


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