Document Detail

Efficacy of a 12-month, monitored home exercise programme compared with normal care commencing 2 months after total knee arthroplasty: a randomized controlled trial.
MedLine Citation:
PMID:  24241606     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the efficacy of a delayed home exercise programme compared with normal care after primary total knee arthroplasty.
DESIGN: Single-blind, prospective, randomized, controlled trial.
PARTICIPANTS: A total of 108 participants (61% females, mean age 69 years [standard deviation 8.7]), were randomized to a home-based exercise group (EG, n = 53) or to a control group (CG, n = 55).
METHODS: Two months post-operatively, the EG received a home exercise programme, while the CG received no additional guidance. The outcome measurements were: pain and disability, measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC); health-related quality of life (HRQoL), measured using the Short Form-36 questionnaire (SF-36); maximal walking speed; isometric knee muscle strength; and the Timed Up and Go (TUG) test. Measurements were made at baseline and at 12 months thereafter.
RESULTS: At the 12-month follow-up, maximal walking speed (p < 0.001) and knee flexion strength (p = 0.009) were significantly greater in the EG. Both groups showed similar improvements in all of the WOMAC subscale scores, the SF-36 summary scores and the TUG time.
CONCLUSION: Home-based training was not superior to normal care with regard to pain, disability or HRQoL, but resulted in greater improvement in objectively measured physical performance.
Mirja Vuorenmaa; Jari Ylinen; Kirsi Piitulainen; Petri Salo; Hannu Kautiainen; Maija Pesola; Arja Häkkinen
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  46     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2014 Feb 
Date Detail:
Created Date:  2014-01-30     Completed Date:  2014-04-14     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  166-72     Citation Subset:  IM    
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MeSH Terms
Arthroplasty, Replacement, Knee / rehabilitation*
Exercise Therapy
Home Care Services
Middle Aged
Osteoarthritis, Knee / rehabilitation,  surgery*
Prospective Studies
Single-Blind Method
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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