Total Diz Protezi Cerrahisi Geçirmiş Olan Hastalarda Gövde Stabilizasyon Eğitiminin Fonksiyonel Performans ve Denge Üzerine Etkisinin Araştırılması

Abstract

The aim ofthis study, was to examinethe effect of trunk stabilization exerciseprogram, in addition tostandardhome exercise programon functional performance, balance and quality of lifeaftertotal knee arthroplasty.Thirty-four patientsunderwenttotal kneereplacement surgery(Control Group: 17; StabilizationGroup:17) were included. Standardhome exercise programwas given to control group, in addition to standard home exercise program trunk stabilization exercises were given to stabilization group. Patientsin both groupshad6-weekstandard exerciseprogram. All patients were assessed before and after6-weeks. Patients' demographicdata,duration ofhospitalization, exercise habits,if any, additionalsystemic diseaseswere recorded. Range of motion was examined with "Universal Goniometer". Pain was assessed with "Visual Analog Scale". Stabilization ofbodymuscle activation,before and after treatmentwasevaluatedwith the activation ofthemultifidusmuscle via "Chattanoga PressureBiofeedback. Balance was assessed with "Berg Balance Scale" (BBS). Function of knee was evalueted "Western Ontario and McMaster Universities Osteoarthritis Index". Functional performance was evaluated with the timed up and go test, 5-time sit to stand test, step test. Physical endurance was evaluated with6-minute walk test. Quality of life was evaluated SF-36. Both groupshad significant results(p<0.05) except for subscore of SF-36 quality of life's pain score, subscore of WOMAC's malfunction score. Adding stabilization exercises to standard home exercise programhadsuperior results in balance, trunk stength activation, and physical function, physical role limitation and total physical function related quality of life and six minute walk test scores in patients with total knee arthroplasty (p<0.05).