Effects of Elastic Resistance Exercise on Postoperative Outcomes Linked to the ICF Core Sets for Osteoarthritis after Total Knee Replacement in Overweight and Obese Older Women with Sarcopenia Risk: A Randomized Controlled Trial
(1) Background: Knee osteoarthritis (KOA) and aging are associated with high sarcopenia risk; sarcopenia may further affect outcomes after total knee replacement (TKR). Elastic resistance exercise training (RET) limits muscle attenuation in older adults. We aimed to identify the effects of post-TKR...
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MDPI AG
2020-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/9/7/2194 |
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| author | Chun-De Liao Yen-Shuo Chiu Jan-Wen Ku Shih-Wei Huang Tsan-Hon Liou |
| author_facet | Chun-De Liao Yen-Shuo Chiu Jan-Wen Ku Shih-Wei Huang Tsan-Hon Liou |
| author_sort | Chun-De Liao |
| collection | DOAJ |
| description | (1) Background: Knee osteoarthritis (KOA) and aging are associated with high sarcopenia risk; sarcopenia may further affect outcomes after total knee replacement (TKR). Elastic resistance exercise training (RET) limits muscle attenuation in older adults. We aimed to identify the effects of post-TKR elastic RET on lean mass (LM) and functional outcomes in overweight and obese older women with KOA by using the brief International Classification of Functioning, Disability and Health Core Set for osteoarthritis (Brief-ICF-OA). (2) Methods: Eligible women aged ≥60 years who had received unilateral primary TKR were randomly divided into an experimental group (EG), which received postoperative RET twice weekly for 12 weeks, and a control group (CG), which received standard care. The primary and secondary outcome measures were LM and physical capacity, respectively, and were linked to the Brief-ICF-OA. The assessment time points were 2 weeks prior to surgery (T<sub>0</sub>) and postoperative at 1 month (T<sub>1</sub>; before RET) and 4 months (T<sub>2</sub>; upon completion of RET) of follow-up. An independent t test with an intention-to-treat analysis was conducted to determine the between-group differences in changes of outcome measures at T<sub>1</sub> and T<sub>2</sub> from T<sub>0</sub>. (3) Results: Forty patients (age: 70.9 ± 7.3 years) were randomly assigned to the EG (<i>n</i> = 20) or CG (<i>n</i> = 20). At T<sub>2</sub>, the EG exhibited significantly greater improvements in leg LM (mean difference (MD) = 0.86 kg, <i>p</i> = 0.004) and gait speed (MD = 0.26 m/s, <i>p</i> = 0.005) compared with the CG. Furthermore, the EG generally obtained significantly higher odds ratios than the CG for treatment success for most Brief-ICF-OA categories (all <i>p</i> < 0.001). Conclusions: Early intervention of elastic RET after TKR yielded positive postoperative outcomes based on the Brief-ICF-OA. The findings of this study may facilitate clinical decision-making regarding the optimal post-TKR rehabilitation strategy for older women with KOA. |
| first_indexed | 2024-03-10T18:32:31Z |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
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| last_indexed | 2024-03-10T18:32:31Z |
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| spelling | doaj.art-509ca24fbaef4f618be4f66bddb249f82023-11-20T06:30:50ZengMDPI AGJournal of Clinical Medicine2077-03832020-07-0197219410.3390/jcm9072194Effects of Elastic Resistance Exercise on Postoperative Outcomes Linked to the ICF Core Sets for Osteoarthritis after Total Knee Replacement in Overweight and Obese Older Women with Sarcopenia Risk: A Randomized Controlled TrialChun-De Liao0Yen-Shuo Chiu1Jan-Wen Ku2Shih-Wei Huang3Tsan-Hon Liou4Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, TaiwanDepartment of Orthopedics, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, TaiwanDepartment of Radiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, TaiwanDepartment of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, TaiwanDepartment of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan(1) Background: Knee osteoarthritis (KOA) and aging are associated with high sarcopenia risk; sarcopenia may further affect outcomes after total knee replacement (TKR). Elastic resistance exercise training (RET) limits muscle attenuation in older adults. We aimed to identify the effects of post-TKR elastic RET on lean mass (LM) and functional outcomes in overweight and obese older women with KOA by using the brief International Classification of Functioning, Disability and Health Core Set for osteoarthritis (Brief-ICF-OA). (2) Methods: Eligible women aged ≥60 years who had received unilateral primary TKR were randomly divided into an experimental group (EG), which received postoperative RET twice weekly for 12 weeks, and a control group (CG), which received standard care. The primary and secondary outcome measures were LM and physical capacity, respectively, and were linked to the Brief-ICF-OA. The assessment time points were 2 weeks prior to surgery (T<sub>0</sub>) and postoperative at 1 month (T<sub>1</sub>; before RET) and 4 months (T<sub>2</sub>; upon completion of RET) of follow-up. An independent t test with an intention-to-treat analysis was conducted to determine the between-group differences in changes of outcome measures at T<sub>1</sub> and T<sub>2</sub> from T<sub>0</sub>. (3) Results: Forty patients (age: 70.9 ± 7.3 years) were randomly assigned to the EG (<i>n</i> = 20) or CG (<i>n</i> = 20). At T<sub>2</sub>, the EG exhibited significantly greater improvements in leg LM (mean difference (MD) = 0.86 kg, <i>p</i> = 0.004) and gait speed (MD = 0.26 m/s, <i>p</i> = 0.005) compared with the CG. Furthermore, the EG generally obtained significantly higher odds ratios than the CG for treatment success for most Brief-ICF-OA categories (all <i>p</i> < 0.001). Conclusions: Early intervention of elastic RET after TKR yielded positive postoperative outcomes based on the Brief-ICF-OA. The findings of this study may facilitate clinical decision-making regarding the optimal post-TKR rehabilitation strategy for older women with KOA.https://www.mdpi.com/2077-0383/9/7/2194osteoarthritissarcopeniaobesityelastic resistance trainingknee arthroplastyICF |
| spellingShingle | Chun-De Liao Yen-Shuo Chiu Jan-Wen Ku Shih-Wei Huang Tsan-Hon Liou Effects of Elastic Resistance Exercise on Postoperative Outcomes Linked to the ICF Core Sets for Osteoarthritis after Total Knee Replacement in Overweight and Obese Older Women with Sarcopenia Risk: A Randomized Controlled Trial Journal of Clinical Medicine osteoarthritis sarcopenia obesity elastic resistance training knee arthroplasty ICF |
| title | Effects of Elastic Resistance Exercise on Postoperative Outcomes Linked to the ICF Core Sets for Osteoarthritis after Total Knee Replacement in Overweight and Obese Older Women with Sarcopenia Risk: A Randomized Controlled Trial |
| title_full | Effects of Elastic Resistance Exercise on Postoperative Outcomes Linked to the ICF Core Sets for Osteoarthritis after Total Knee Replacement in Overweight and Obese Older Women with Sarcopenia Risk: A Randomized Controlled Trial |
| title_fullStr | Effects of Elastic Resistance Exercise on Postoperative Outcomes Linked to the ICF Core Sets for Osteoarthritis after Total Knee Replacement in Overweight and Obese Older Women with Sarcopenia Risk: A Randomized Controlled Trial |
| title_full_unstemmed | Effects of Elastic Resistance Exercise on Postoperative Outcomes Linked to the ICF Core Sets for Osteoarthritis after Total Knee Replacement in Overweight and Obese Older Women with Sarcopenia Risk: A Randomized Controlled Trial |
| title_short | Effects of Elastic Resistance Exercise on Postoperative Outcomes Linked to the ICF Core Sets for Osteoarthritis after Total Knee Replacement in Overweight and Obese Older Women with Sarcopenia Risk: A Randomized Controlled Trial |
| title_sort | effects of elastic resistance exercise on postoperative outcomes linked to the icf core sets for osteoarthritis after total knee replacement in overweight and obese older women with sarcopenia risk a randomized controlled trial |
| topic | osteoarthritis sarcopenia obesity elastic resistance training knee arthroplasty ICF |
| url | https://www.mdpi.com/2077-0383/9/7/2194 |
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