Volume 27, Issue 136, June 2023

Effect of proprioceptive exercises on balance and kinesiophobia in a patient with bilateral total hip arthroplasty: A case report

Tushara Nair^1♦, Kumar GP²

¹College of Physiotherapy, Sumandeep Vidyapeeeth Deemed to be University, Vadodara, Gujarat, India
ORCID: 0000-0001-7089-9750
²College of Physiotherapy, Sumandeep Vidyapeeeth Deemed to be University, Vadodara, Gujarat, India
ORCID: 0000-0001-8542-5179

^♦Corresponding author
College of Physiotherapy, Sumandeep Vidyapeeeth Deemed to be University, Vadodara, Gujarat, India
ORCID: 0000-0001-7089-9750

ABSTRACT

Total hip arthroplasty (THA), done as a result of idiopathic avascular necrosis damages the joint proprioceptors which leads to impairments in proprioception, balance and increase in the fear of movements that is kinesiophobia. A 42-year-old male, diagnosed with bilateral avascular necrosis was operated in the form of bilateral THA. The patient came to the physiotherapy outpatient department of Dhiraj General Hospital after one and half months with complaints of pain over the recently operated hip joint during sit-to-stand activities, fear of fall and difficulties in walking. A physiotherapy rehabilitation protocol was formed and personalized according to the needs of the patient. Berg Balance Scale, TAMPA scale for kinesiophobia and hip joint proprioception were taken as the primary outcome measures. This study concludes that proprioceptive exercises following THA help decrease kinesiophobia, improve balance and joint proprioception.

Keywords: Total hip arthroplasty, balance, hip joint proprioception, kinesiophobia, proprioceptive exercises, osteomyelitis, physiotherapy, rehabilitation, surgical treatment, inflammation

Medical Science, 2023, 27, e257ms3049

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DOI: https://doi.org/10.54905/disssi/v27i136/e257ms3049

Published: 11 June 2023