Benefits of a postoperative rehabilitation program on strength recovery after total knee arthroplasty
Journal Title: Palestrica Mileniului III - Civilizatie si Sport - Year 2014, Vol 15, Issue 1
Abstract
[b]Background.[/b] Total knee arthroplasty is the gold standard treatment for patients with advanced knee osteoarthritis. However, a significant muscle weakness, particularly in the quadriceps, is noted early after surgery, reflected in functional deficits and quality of life alteration. Physical therapy is necessary to address these problems, nevertheless rehabilitation service utilization has been one of the least studied aspects of medical care after total knee arthroplasty. [b]Aims.[/b] To comparatively evaluate the evolution of isokinetic strength parameters in patients that were and in those that were not included in the rehabilitation program after total knee arthroplasty. [b]Methods[/b]. 50 patients undergoing total knee arthroplasty for advanced osteoarthritis were distributed in 2 groups. 33 patients that accepted to take part into a standardized postoperative rehabilitation program were included into the rehabilitation group. The non-rehabilitation group consisted of 17 patients that refused any postoperative rehabilitation program. Isokinetic evaluation of knee extensor and flexor muscles was performed preoperatively and 6 months postoperatively by a Gymnex Iso 2 Dynamometer at angular velocities of 90o/s and 180o/s. [b]Results.[/b] Strength improvement from preoperatively to 6 months postoperatively was observed in all patients and for both extensors and flexors, but it was statistically significant only in rehabilitation group, for extensors, at 180o/s. At 6 months postoperatively, extensor strength was significantly higher in the rehabilitation group, for both testing velocities. [b]Conclusions[/b]. Six months after surgery, quadriceps strength was higher in patients included in the postoperative rehabilitation program, justifying strengthening exercise prescription. Further research is required for optimizing actual strengthening protocols.
Authors and Affiliations
Ileana Borda, Rodica Ungur, Lászlo Irsay, Ioan Onac, Viorela Ciortea, Liviu Pop
Keywords
Related Articles
- EP ID EP106635
- DOI -
- Views 62
- Downloads 0
The influence of specific football training methods during the preparation period upon the physical and motor development of 17-18 year-old juniors
[b]Background.[/b] In conducting the research, we start from the premise that the football game is perfectible, and the introduction of specially designed exercises structures for the optimization of some psychomotor ski...
Infrastructura în practicarea activităţilor sportive de timp liber
Principiile calităţii şi promovării educaţiei pentru sănătate, în raport cu activităţile fizice din învăţământul preuniversitar şi superior
Correlation of periprosthetic bone mineral density and skeletal bone mineral density values in patients with total hip arthroplasty
[b]Background. [/b]The presence of periprosthetic osteoporosis influences the postoperative evolution of hip replacement patients, delays the functional rehabilitation process and considerably decreases the quality of l...
Limite şi riscuri în practica sportivă de performanţă