Effectiveness of a 3-Week Rehabilitation Program Combining Muscle Strengthening and Endurance Exercises Prior to Total Knee Arthroplasty: A Non-Randomized Controlled Trial
We evaluated the effectiveness of a high-intensity preoperative resistance and endurance training program in improving physical function among patients scheduled for total knee arthroplasty. This non-randomized controlled trial included 33 knee osteoarthritis patients scheduled to undergo total knee...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/4/1523 |
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| author | Takamasa Hashizaki Yukihide Nishimura Takahiro Ogawa Chigusa Ohno Ken Kouda Yasunori Umemoto Takaya Taniguchi Hiroshi Yamada Fumihiro Tajima |
| author_facet | Takamasa Hashizaki Yukihide Nishimura Takahiro Ogawa Chigusa Ohno Ken Kouda Yasunori Umemoto Takaya Taniguchi Hiroshi Yamada Fumihiro Tajima |
| author_sort | Takamasa Hashizaki |
| collection | DOAJ |
| description | We evaluated the effectiveness of a high-intensity preoperative resistance and endurance training program in improving physical function among patients scheduled for total knee arthroplasty. This non-randomized controlled trial included 33 knee osteoarthritis patients scheduled to undergo total knee arthroplasty at a tertiary public medical university hospital. Fourteen and nineteen patients were non-randomly assigned to intervention and control groups, respectively. All patients underwent total knee arthroplasty and a postoperative rehabilitation program. The intervention group participated in a preoperative rehabilitation program comprising high-intensity resistance and endurance training exercises to increase lower limb muscle strength and endurance capacity. The control group received only exercise instruction. The primary outcome was the 6-min walking distance, which was significantly higher in the intervention group (399 ± 59.8 m) than in the control group (348 ± 75.1 m) 3 months post-surgery. There were no significant differences between the groups 3 months post-surgery in muscle strength, visual analog scale, WOMAC-Pain, range of motion of knee flexion, and extension. A 3-week preoperative rehabilitation program combining muscle strengthening and endurance training improved endurance 3 months after total knee arthroplasty. Thus, preoperative rehabilitation is important for improving postoperative activity. |
| first_indexed | 2024-03-11T08:37:26Z |
| format | Article |
| id | doaj.art-2e3c03b784604c64a5ed65de928dd74b |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T08:37:26Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-2e3c03b784604c64a5ed65de928dd74b2023-11-16T21:20:46ZengMDPI AGJournal of Clinical Medicine2077-03832023-02-01124152310.3390/jcm12041523Effectiveness of a 3-Week Rehabilitation Program Combining Muscle Strengthening and Endurance Exercises Prior to Total Knee Arthroplasty: A Non-Randomized Controlled TrialTakamasa Hashizaki0Yukihide Nishimura1Takahiro Ogawa2Chigusa Ohno3Ken Kouda4Yasunori Umemoto5Takaya Taniguchi6Hiroshi Yamada7Fumihiro Tajima8Department of Rehabilitation Medicine, Wakayama Medical University, Wakayama 641-8509, JapanDepartment of Rehabilitation Medicine, Iwate Medical University, Morioka 020-8505, JapanDepartment of Rehabilitation Medicine, Aichi Medical University, 1-1 Yasagorimata, Nagakute 480-1195, JapanDepartment of Rehabilitation Medicine, Gifu City Hospital, Gifu 500-8513, JapanDepartment of Rehabilitation Medicine, Wakayama Medical University, Wakayama 641-8509, JapanDepartment of Rehabilitation Medicine, Wakayama Medical University, Wakayama 641-8509, JapanDepartment of Orthopedic Surgery, Naga Hospital, Wakayama 649-6414, JapanDepartment of Orthopedic Surgery, Wakayama Medical University, Wakayama 641-8509, JapanDepartment of Rehabilitation Medicine, Wakayama Medical University, Wakayama 641-8509, JapanWe evaluated the effectiveness of a high-intensity preoperative resistance and endurance training program in improving physical function among patients scheduled for total knee arthroplasty. This non-randomized controlled trial included 33 knee osteoarthritis patients scheduled to undergo total knee arthroplasty at a tertiary public medical university hospital. Fourteen and nineteen patients were non-randomly assigned to intervention and control groups, respectively. All patients underwent total knee arthroplasty and a postoperative rehabilitation program. The intervention group participated in a preoperative rehabilitation program comprising high-intensity resistance and endurance training exercises to increase lower limb muscle strength and endurance capacity. The control group received only exercise instruction. The primary outcome was the 6-min walking distance, which was significantly higher in the intervention group (399 ± 59.8 m) than in the control group (348 ± 75.1 m) 3 months post-surgery. There were no significant differences between the groups 3 months post-surgery in muscle strength, visual analog scale, WOMAC-Pain, range of motion of knee flexion, and extension. A 3-week preoperative rehabilitation program combining muscle strengthening and endurance training improved endurance 3 months after total knee arthroplasty. Thus, preoperative rehabilitation is important for improving postoperative activity.https://www.mdpi.com/2077-0383/12/4/1523arthroplastyknee jointphysical and rehabilitation medicinephysical fitness |
| spellingShingle | Takamasa Hashizaki Yukihide Nishimura Takahiro Ogawa Chigusa Ohno Ken Kouda Yasunori Umemoto Takaya Taniguchi Hiroshi Yamada Fumihiro Tajima Effectiveness of a 3-Week Rehabilitation Program Combining Muscle Strengthening and Endurance Exercises Prior to Total Knee Arthroplasty: A Non-Randomized Controlled Trial Journal of Clinical Medicine arthroplasty knee joint physical and rehabilitation medicine physical fitness |
| title | Effectiveness of a 3-Week Rehabilitation Program Combining Muscle Strengthening and Endurance Exercises Prior to Total Knee Arthroplasty: A Non-Randomized Controlled Trial |
| title_full | Effectiveness of a 3-Week Rehabilitation Program Combining Muscle Strengthening and Endurance Exercises Prior to Total Knee Arthroplasty: A Non-Randomized Controlled Trial |
| title_fullStr | Effectiveness of a 3-Week Rehabilitation Program Combining Muscle Strengthening and Endurance Exercises Prior to Total Knee Arthroplasty: A Non-Randomized Controlled Trial |
| title_full_unstemmed | Effectiveness of a 3-Week Rehabilitation Program Combining Muscle Strengthening and Endurance Exercises Prior to Total Knee Arthroplasty: A Non-Randomized Controlled Trial |
| title_short | Effectiveness of a 3-Week Rehabilitation Program Combining Muscle Strengthening and Endurance Exercises Prior to Total Knee Arthroplasty: A Non-Randomized Controlled Trial |
| title_sort | effectiveness of a 3 week rehabilitation program combining muscle strengthening and endurance exercises prior to total knee arthroplasty a non randomized controlled trial |
| topic | arthroplasty knee joint physical and rehabilitation medicine physical fitness |
| url | https://www.mdpi.com/2077-0383/12/4/1523 |
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