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Hisham M. Ibrahima Neveen. Abdelraof Amr A. Azzam Yasser M. Aneisb

Abstract

Objectives: Despite post-total hip arthroplasty (THA) rehabilitation, deficits in gait and muscle strength are still evident years after the procedure. The purpose of this study was to investigate the effect of core stabilization exercise on the spatio-temporal gait parameters in patients with THA. Methods: In this randomized controlled trial, sixty post-THA patients of both genders aged 50-65 years were randomly assigned to either; group A, the intervention group (n = 30), received ten weeks of conventional physical therapy followed by four weeks of core stabilization exercises in addition to aerobic exercise in the form of treadmill training; or group B, the control group (n = 30), received ten weeks of conventional physical therapy followed by 4 weeks of aerobic exercise training in the form of treadmill training. Spatio-temporal gait parameters; BOS, step length, stride length, gait velocity, and cadence were assessed pre-and post-intervention. Results: The within-group analysis demonstrated a significant increase in step length, stride length, cadence and gait velocity and a significant decrease in BOS (P < 0.02). Between-group differences were noteworthy, favoring the intervention group (P < 0.002).Conclusions: Adding a 4-week of core stabilization exercises to conventional physical therapy for THA has demonstrated remarkable improvements in spatio-temporal gait parameters, highlighting it as a superior choice.

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Keywords

Total hip arthroplasty, Conventional therapy, Core stabilization exercises, Gait, Rehabilitation.

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