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Faculty of Medical Sciences

Efficacy of a balance training program for elderly after a total hip replacement.

Mars, M.J. (2011) Efficacy of a balance training program for elderly after a total hip replacement. thesis, Human Movement Sciences.

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Abstract

Elderly people with severe osteoarthritis in the hip can qualify for a Total Hip Replacement (THR). Balance control in the hip is an important factor in the revalidation after THR, to eventually improve functioning of the patient in daily life. The aim of the present study is to evaluate the effects of a physical therapy exercise program with emphasis on balance training and hip strength training after a total hip replacement. In this single subject design five patients after THR participate in a ten week intervention to measure changes on balance performance. The outcome measures, Berg Balance Score (BBS), Time up and Go (TUG), Single leg Stance (SLS), hip abductor muscle strength, WOMAC, VAS pain and VAS stiffness, were measured in three phases (pre-, intervention and post-intervention). Multilevel modeling {Mlwin) was applied to assess changes in the intervention and post-intervention phase compared to the pre-intervention phase. The results revealed significant changes in balance control in the intervention phase as well as in the post-intervention phase. Interaction effects were not significant. The results imply a clinical relevant improvement on BBS, TUG, SLS, Abductor muscle strength and WOMAC. Results imply an improvement of the patients on balance performance due to the intervention. Balance training in combination with hip strength training improved functional recovery after total hip replacement.

Item Type: Thesis (Thesis)
Supervisor name: La Moth, C.J.C.
Supervisor name: Veenendaal, A.L. and Physical Therapy practice De Stam and Raalte, the Netherlands
Faculty: Medical Sciences
Date Deposited: 25 Jun 2020 10:51
Last Modified: 25 Jun 2020 10:51
URI: https://umcg.studenttheses.ub.rug.nl/id/eprint/1196

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