Efficacy of Perturbation Balance Training on Pain, ROM, Gait and Functional Independence in Rehabilitation of AVN patients Leading to Total Hip Replacement: A Randomized Control Trail

This study will be done to evaluate the effects of Perturbation Balance Training on improving pain, ROM, gait and functional independence in rehabilitation of AVN patients leading to total hip replacement.    To compare the effects of Perturbation Balance Training and conventional exercise on improving pain, ROM, gait and functional independence in rehabilitation of AVN patients leading tot total hip replacement.  The study will be conducted at the Musculoskeletal physiotherapy Inpatient department orthopaedic ward IPD no.33 TKR & THR department of AVBRH, RNPC, Sawangi (Meghe) Wardha. After getting Ethical Clearance from Institutional Ethical Committee, Patients diagnosed with avascular necrosis of hip and are planned to undergo Total hip replacement will be identified from Acharya Vinoba Bhave Hospital. Permission will be obtained from treating Residents, consent will be taken from the patient and then patient fulfilling the inclusion criteria will be randomly divided into two equal groups – Experimental Group and Control Group. Baseline assessment will be recorded pre surgery.  After the total hip replacement treatment will be given within next day. Experimental Group will be receiving Perturbation Balance Training along with conventional exercise in order to be focusing on lower limb sensorimotor function, strength that would increase balance and thus improving quality of life. Control Group will be receiving conventional exercise in order to improve balance and thus quality of life. Both the groups will be receiving intervention for 2 days in a week till 4 weeks and then after 4 weeks of treatment outcome measure will be assessed.  Both the groups will be receiving home-based protocol till 8th week.  Assessment will be taken to evaluate pain, range of motion, strength and gait.