ABSTRACT

Objective of Study: To determine the effects of motor control training on pain and physical function after total hip arthroplasty

Methodology: A quasi-experimental trial was conducted to find out the effects of motor control training in terms of pain alleviation and functional improvement after total hip arthroplasty. The non-probability purposive sampling technique was used with a sample size of 22.The participants were divided into two groups. Group A received conventional Physiotherapy and hip muscles motor control training while group B received only conventional Physiotherapy. The participants were assessed thrice. The initial data was collected at the start of treatment (Pre- treatment week 0), the second data was collected at the end of second week (Post treatment week 2) and the final data was collected at the termination of week four (Post treatment week 4) by using standardized outcome measures including hip disability and osteoarthritis outcome score (HOOS), numeric pain rating scale (NPRS) and 30sec chair stand test (30 sec CST). After data collection, it was analyzed by IBM SPSS version 25.

Results: The mean (±S.D) age of the participants was 51±8.89 vs. 50±4.47 years in Group A vs. Group B, respectively. The mean HOOS score was 36.58±9.52 vs. 36.45±9.20 at the start of treatment in Group A vs. Group B, respectively while it was 57.06±6.51 vs. 45.40±9.39 at the end of treatment in Group A vs. Group B, respectively. The mean NPRS score was 5.64±0.67 vs. 5.45±1.13 at the start of treatment in Group A vs. Group B while it was 2.36±0.81 vs. 3.55±0.82 at the end of treatment in Group A vs. Group B. Mean score for 30-second chair stand was 15.82±1.94 vs. 14.91±2.12 at the start of treatment in Group A vs. Group B while it was 18.45±1.21 vs. 16.27±1.20 at the end of treatment in Group A vs. Group B.

Conclusion: Motor control training with conventional physiotherapy effectively restores physical functioning and decreases pain symptoms after total hip arthroplasty compared with conventional physiotherapy alone.