Soleman Warner, Ashfaq Ahmad, Muhammad Waqar Afzal, Sadia Khan, Marya Muhammad Aslam, Syed Amir Gillani.
Comparison of routine physical therapy exercises with and without core stability exercises in total knee replacement patients.
Rawal Med J Jan ;45(4):842-5.

Objective: To compare the effects of routine physical therapy exercises with and without core stability exercises in total knee replacement patients. Methodology: In this single blinded randomized control trial 44 patients with the age 50-80 years were included and data were collected from Medix Hospital Lahore. Patients with neurological disorder and radiculopathy were excluded while including unilateral cemented total knee replacement patients and both genders. After 3 weeks of operation, patients were allocated to groups by lottery method. Routine physical therapy group or control group included ankle pumps, straight leg raise in supine, short arc quad, hip abduction in side lying, squats and walk. Experimental group include drawing in maneuver or abdominal bracing, Curl ups, bridging with abdominal bracing, heel slide with abdominal bracing, leg lift with abdominal bracing, side support with knee flexion, side support with knee extension, table top leg press and dead bug along with routine physical therapy exercises. Treatment was given for 6 days a week for 6 weeks under supervision with 10 repetitions of 2 sets and 5 second hold. Pre and post readings were recorded on lower extremity functional scale. Results: There was a significant difference among the lower extremity functional scale. Post mean score of control group was 19.45+5.20 and that of experimental group was 42.54+7.20 (p<0.001). Conclusion: Core stability exercises were more effective compared to routine physical therapy exercises in total knee replacement patients.

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