Rheumatoid arthritis is a chronic and progressive disorder. Inspite of the various drug therapy, joint erosion and destruction develops with the passage of time and the major symptom being joint pain. As the disease, progresses there are signs of reduced range of motion, decrease in muscle strength and ultimately a decline in functional activity. Total joint replacement considered a milestone and an important therapeutic option in the management of rheumatoid arthritis. The indication for surgery is unbearable joint pain with activity or at rest, or a severe functional impairment leading to change in the lifestyle. The aim of total hip arthroplasty is not only to relieve pain but also to restore hip biomechanics, leading to a minimal functional deficit and to secure the longevity of the implant. Post operative impairments include reduced walking efficiency, pain, muscle weakness of the hip abductors, hip extensors and flexors, contracture of the hip, gait disorders . Due to the above problems, it may lead to complications such as loosening of the implant and joint instability. To prevent falls and to avoid limping gait, there should be adequate strength in lower extremity. Post operatively, the rehabilitation program focuses on hip joint mobilization, strengthening of surrounding muscles and gait retraining, initially with a walking aid.
Effect of Combined Training Program on Gait Parameters after Bilateral Total Hip Arthroplasty: A Case Study: Richa Singh, Keerthi Rao, Deepak Anap, Chandra Iyer and Subhash Khatri
Last date updated on September, 2014