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The importance of cognitive executive functions in gait recovery after total hip arthroplasty

Archives of Physical Medicine and Rehabilitation Jan 14, 2020

Negrini F, Preti M, Zirone E, et al. - Researchers designed a prospective cohort study in order to discover the influence of cognitive functioning on gait recovery following total hip arthroplasty. They selected 40 individuals on whom total hip arthroplasty was performed, and who had normal cognitive functioning and no other relevant medical condition. These people were studied prior to surgery and at the beginning and the end of the rehabilitation program. Cognitive functioning, with specific reference to high-level frontal executive functions, was found to be associated with postoperative progress. In the post-surgical rehabilitation of walking, even in the absence of cognitive decline, the study highlighted the significance of cognitive functioning, together with clinical and demographic features. Moreover, these data exhibit the crucial role of greater-order cognitive processes, such as executive functions, included in the formulation of motor plans and their integration with proprioceptive and visual cues.
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