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Stepping exercises improve muscle strength in the early postoperative phase after total hip arthroplasty

This study aimed to evaluate the effect of stepping exercises in
addition to conventional physical therapy on the recovery of muscle strength and
walking speed after total hip arthroplasty.
This was a retrospective
study with 6 wks of follow-up care and evaluation.
Patients (n = 30) undergoing
primary total hip arthroplasty for hip osteoarthritis were divided into two
groups based on whether stepping exercises were performed after surgery. The
control group (n = 15) received supervised conventional physical therapy for 6
wks. The stepping group (n = 15) performed stepping exercises with conventional
physical therapy. Outcome measures were lower limb muscle strength and walking
speed at 6 wks postoperatively. RESULTS: The stepping group showed significantly
higher recovery of the hip abductor and the knee extensor muscle strengths on the
involved side compared with the control group. There were no significant
differences between the two groups in walking speed and hip extensor, hip flexor
and knee flexor strength on the involved side. CONCLUSIONS: Our findings suggest
that stepping exercises may be effective in facilitating the muscular recovery of
the hip abductors and knee extensors in the early postoperative phase after total
hip arthroplasty.

Langue : ANGLAIS

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