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Link
http://www.accelerated-learning-online.com/research/balance-gait-total-hip-replacement-pilot-study.asp
Abstract Extract:
OBJECTIVE: Evaluation of balance, gait changes, sexual
functions, and activities of daily living in patients
with total hip replacement in comparison with healthy
subjects. DESIGN: A total of 30 patients were included
in the study after total hip ... (Full abstract text
below)
Published 2003Sep in Journal: Am J Phys Med Rehabil
(Language : eng) 1. Am J Phys Med
Rehabil. 2003 Sep;82(9):669-77
Balance and gait in total hip replacement: a pilot
study.
Nallegowda M, Singh U, Bhan S, Wadhwa S, Handa G,
Dwivedi SN
Department of Physical Medicine and Rehabilitation, All
India Institute of Medical Sciences, New Delhi.
OBJECTIVE: Evaluation of balance, gait changes,
sexual functions, and activities of daily living in
patients with total hip replacement in comparison with
healthy subjects. DESIGN: A total of 30 patients were
included in the study after total hip replacement.
Balance was examined using dynamic posturography, and
gait evaluation was done clinically. Sexual functions
and activities of daily living were also assessed. A
total of 30 healthy subjects of comparable age and sex
served as a control group.
RESULTS: Dynamic balance and
gait differed significantly in both the groups. Despite
capsulectomy, no significant difference was observed on
testing proprioception. In the sensory organization
tests with difficult tasks, patients needed more sensory
input from vision and vestibular sense, despite normal
proprioceptive sense. Significant difference was
observed for limits of stability, rhythmic weight
shifts, and for gait variables other than walking base.
Some of the patients had major difficulties with sexual
functions and activities of daily living.
CONCLUSIONS: Compared with the
healthy age- and sex-matched controls, patients with
total hip replacement did not have any proprioceptive
deficit. Patients required extrasensory input, and there
was a delayed motor response. Gait and dynamic balance
results also indicated the motor deficit and required a
compensatory strategy. Restoration of the postural
control in these patients is thus essential. Necessary
training is required for balance, gait, and activities
of daily living, and proper sexual counseling is
necessary in postoperative care.
PMID : 12960908 [PubMed - Indexed for MEDLINE]
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