| Range of motion after total knee arthroplasty: the effect of a preoperative home exercise program. | |
| | |
MedLine Citation:
|
PMID: 23271039 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
PURPOSE: Preoperative range of motion (ROM) is the most important variable to determine final flexion after total knee arthroplasty (TKA). The purpose of this study was to determine whether a preoperative home exercise program could improve ROM in the arthritic knee and whether this influenced ROM and functional recovery following primary TKA. METHODS: During the period between 2005 and 2006, one hundred and twenty-two patients with gonarthrosis were included in a prospective study and randomly allocated to either the control or the treatment group. The sixty-one subjects in the treatment group underwent a 6-week home-based exercise program before TKA surgery. All one hundred and twenty-two patients were assessed before and after this exercise intervention. Postoperative assessments were at 6 weeks, 6 months and 1 year. Each evaluation included knee ROM and the Knee Society Clinical Rating System. Length of hospital stay and postoperative duration before achieving 90° of knee flexion were also recorded. RESULTS: Exercise program improves knee motion in the presence of gonarthrosis. After TKA, the patients in the exercise group achieved 90° of knee flexion faster and had a shorter hospital stay. There is no prolonged effect on knee motion or patient function between 6 weeks and 1 year postoperatively. CONCLUSION: Preoperative exercise of the arthritic knee facilitates immediate postoperative recovery following primary TKA. LEVELS OF EVIDENCE: Therapeutic study, Level I. |
| | |
Authors:
|
Fabrizio Matassi; Joris Duerinckx; Hilde Vandenneucker; Johan Bellemans |
Related Documents
:
|
23429229 - The effect of two movement strategies on shoulder resultant joint moment during elastic... 19196729 - Self-paced exercise is less physically challenging than enforced constant pace exercise... 17111019 - Incorrect calculation of power outputs masks the ergogenic capacity of creatine supplem... 23044469 - Comparison of kinematics of acl-deficient and healthy knees during passive flexion and ... 10450479 - Effects of velocity on upper to lower extremity muscular work and power output ratios o... 18373289 - Physiological effects of two different postactivation potentiation training loads on po... 12760409 - The influence of rotational exercises on freezing in parkinson's disease. 16357069 - Effect of voluntary exercise on peripheral tissue glucocorticoid receptor content and t... 16024349 - The colour of fitness: plumage coloration and lifetime reproductive success in the tawn... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-12-28 |
Journal Detail:
|
Title: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Volume: - ISSN: 1433-7347 ISO Abbreviation: Knee Surg Sports Traumatol Arthrosc Publication Date: 2012 Dec |
Date Detail:
|
Created Date: 2012-12-28 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9314730 Medline TA: Knee Surg Sports Traumatol Arthrosc Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Orthopedic Clinic, University of Florence, Largo Palagi, 1, 50139, Florence, Italy, fabriziomatassi@gmail.com. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Patellar thickness and lateral retinacular release affects patellofemoral kinematics in total knee a...
Next Document: Micro-structure and mechanical properties of the turtle carapace as a biological composite shield.