Keywords
tens
electrical stimulation
functional training
physiotherapy rehabilitation
Abstract
Background: : Femoral neck fractures treated with hip arthroplasty often leave behind problems such as pain, muscle weakness, and limited joint range of motion. Physiotherapy rehabilitation is necessary to speed post-operative recovery. Objective: This study aims to determine the effect of a combination of Transcutaneous Electrical Nerve Stimulation (TENS), Electrical Stimulation (ES), and exercise therapy on pain, muscle strength, and range of motion in post-hip arthroplasty patients. Method The study used a case study design on a patient diagnosed with post-hip arthroplasty due to a left femoral neck fracture at Gambiran Regional Hospital, Kediri. The inclusion criteria were pain in the incision area, a Garden fracture severity level of III–IV, and no serious comorbidities. Physiotherapy intervention was carried out six times with a frequency of three times per week. Modalities included TENS, ES, and exercises (static contraction, AAROM, resisted exercise, and functional training). Evaluation used the Numeric Rating Scale (NRS), Manual Muscle Testing (MMT), and a goniometer. After six therapy sessions, there was a decrease in pain on movement from a score of 6 to 5, without an increase in muscle strength (MMT remained at 3). Joint range of motion increased from 70° to 75° in the sagittal plane. Conclusion: A combination of TENS, ice, and exercise therapy can help reduce pain and improve joint range of motion in patients after hip arthroplasty. However, improving muscle strength requires longer-term, ongoing intervention