The efficacy of early initiated, supervised, progressive resistance training compared to unsupervised, home-based exercise after unicompartmental knee arthroplasty: a single-blinded randomized controlled trial

Objective: To examine if supervised progressive resistance training was superior to home-based exercise in rehabilitation after unicompartmental knee arthroplasty. Design: Single blinded, randomized clinical trial. Setting: Surgery, progressive resistance training and testing was carried out at Aarhus University Hospital and home-based exercise was carried out in the home of the patient. Subjects: Fifty five patients were randomized to either progressive resistance training or home-based exercise. Intervention: Patients were randomized to either progressive resistance training (home based exercise five days/week and progressive resistance training two days/week) or control group (home based exercise seven days/week). Main measures: Preoperative assessment, 10-week (primary endpoint) and one-year follow-up were performed for leg extension power, spatiotemporal gait parameters and knee injury and osteoarthritis outcome score (KOOS). Results: Forty patients (73%) completed 1-year follow-up. Patients in the progressive resistance training group participated in average 11 of 16 training sessions. Leg extension power increased from baseline to 10-week follow-up in progressive resistance training group (progressive resistance training: 0.28 W/kg, P= 0.01, control group: 0.01 W/kg, P=0.93) with no between-group difference. Walking speed and KOOS scores increased from baseline to 10-week follow-up in both groups with no between-group difference (six minutes walk test P=0.63, KOOS P>0.29). Conclusions: Progressive resistance training two days/week combined with home based exercise five days/week was not superior to home based exercise seven days/week in improving leg extension power of the operated leg.

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Fatigue, mood and quality of life improve in MS patients after progressive resistance training

Multiple Sclerosis Journal ◽

10.1177/1352458509360040 ◽

2010 ◽

Vol 16 (4) ◽

pp. 480-490 ◽

Cited By ~ 129

Author(s):

U. Dalgas ◽

E. Stenager ◽

J. Jakobsen ◽

T. Petersen ◽

HJ Hansen ◽

...

Keyword(s):

Quality Of Life ◽

Multiple Sclerosis ◽

Resistance Training ◽

Beneficial Effect ◽

Control Group ◽

Progressive Resistance Training ◽

Multiple Sclerosis Patients ◽

Progressive Resistance

Fatigue occurs in the majority of multiple sclerosis patients and therapeutic possibilities are few. Fatigue, mood and quality of life were studied in patients with multiple sclerosis following progressive resistance training leading to improvement of muscular strength and functional capacity. Fatigue (Fatigue Severity Scale, FSS), mood (Major Depression Inventory, MDI) and quality of life (physical and mental component scores, PCS and MCS, of SF36) were scored at start, end and follow-up of a randomized controlled clinical trial of 12 weeks of progressive resistance training in moderately disabled (Expanded Disability Status Scale, EDSS: 3—5.5) multiple sclerosis patients including a Control group ( n = 15) and an Exercise group ( n = 16). Fatigue (FSS > 4) was present in all patients. Scores of FSS, MDI, PCS—SF36 and MCS—SF36 were comparable at start of study in the two groups. Fatigue improved during exercise by —0.6 (95% confidence interval (CI) —1.4 to 0.4) a.u. vs. 0.1 (95% CI —0.4 to 0.6) a.u. in controls ( p = 0.04), mood improved by —2.4 (95% CI —4.1 to 0.7) a.u. vs. 1.1 (—1.2 to 3.4) a.u. in controls ( p = 0.01) and quality of life (PCS—SF36) improved by 3.5 (95% CI 1.4—5.7) a.u. vs. —1.0 (95% CI —3.4—1.4) a.u. in controls ( p = 0.01). The beneficial effect of progressive resistance training on all scores was maintained at follow-up after further 12 weeks. Fatigue, mood and quality of life all improved following progressive resistance training, the beneficial effect being maintained for at least 12 weeks after end of intervention.

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Progressive Resistance Training Improves Torque Capacity and Strength in Mobility-Limited Older Adults

The Journals of Gerontology Series A ◽

10.1093/gerona/gly199 ◽

2018 ◽

Vol 74 (8) ◽

pp. 1316-1321 ◽

Cited By ~ 2

Author(s):

Davis A Englund ◽

Lori Lyn Price ◽

Gregory J Grosicki ◽

Megumi Iwai ◽

Makoto Kashiwa ◽

...

Keyword(s):

Older Adults ◽

Resistance Training ◽

Muscle Fatigue ◽

Progressive Resistance Training ◽

Mobility Limitations ◽

Age Related ◽

Home Based ◽

Torque Capacity ◽

Progressive Resistance

Abstract Background Progressive resistance training (PRT) is consistently shown to improve muscle strength in older adults. The efficacy of PRT to improve muscle fatigue in older adults with demonstrated mobility limitations remains unclear. Methods Mobility-limited (Short Physical Performance Battery [SPPB] ≤ 9) older adults (age 70–92 years) were recruited for this study and randomized to either PRT or home-based flexibility (FLEX) 3 d/wk for 12 weeks. Muscle fatigue and strength outcomes were assessed at baseline and 12 weeks. The primary outcome was torque capacity, a composite measure of strength and fatigue, defined as the sum of peak torques from an isokinetic fatigue test. Results Seventy participants were randomized (mean [SD] age 78.9 [5.4] years; 60% female; mean [SD] SPPB 7.5 [1.6]). At follow-up, the PRT group improved significantly in torque capacity, mean between-group difference (95% confidence interval) 466.19 (138.4, 793.97) Nm (p = .006), and maximal strength 127.3 (60.96, 193.61) Nm (p = .0003), when compared with FLEX group. Neither group demonstrated significant changes in muscle fatigue or torque variability. Conclusion Twelve weeks of PRT improved torque capacity, as well as strength in mobility-limited older adults. These results demonstrate PRT improves multiple age-related muscular impairments.

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Twenty-four-week hospital-based progressive resistance training on functional recovery in female patients post total knee arthroplasty

The Knee ◽

10.1016/j.knee.2019.02.008 ◽

2019 ◽

Vol 26 (3) ◽

pp. 729-736 ◽

Cited By ~ 2

Author(s):

Wei-Hsiu Hsu ◽

Wei-Bin Hsu ◽

Wun-Jer Shen ◽

Zin-Rong Lin ◽

Shr-Hsin Chang ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Resistance Training ◽

Functional Recovery ◽

Knee Arthroplasty ◽

Progressive Resistance Training ◽

Female Patients ◽

Total Knee ◽

Progressive Resistance

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Effects of a Supervised Home-Based Aerobic and Progressive Resistance Training Regimen in Women Infected With Human Immunodeficiency Virus

Archives of Internal Medicine ◽

10.1001/archinte.166.11.1225 ◽

2006 ◽

Vol 166 (11) ◽

pp. 1225 ◽

Cited By ~ 104

Author(s):

Sara E. Dolan ◽

Walter Frontera ◽

Jamie Librizzi ◽

Karin Ljungquist ◽

Sandra Juan ◽

...

Keyword(s):

Human Immunodeficiency Virus ◽

Resistance Training ◽

Progressive Resistance Training ◽

Home Based ◽

Immunodeficiency Virus ◽

Progressive Resistance

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Animal model for progressive resistance exercise: a detailed description of model and its implications for basic research in exercise

Motriz Revista de Educação Física ◽

10.1590/s1980-65742013000100018 ◽

2013 ◽

Vol 19 (1) ◽

pp. 178-184 ◽

Cited By ~ 8

Author(s):

Ricardo Cardoso Cassilhas ◽

Ismair Teodoro Reis ◽

Daniel Venâncio ◽

Jansen Fernandes ◽

Sérgio Tufik ◽

...

Keyword(s):

Resistance Training ◽

Resistance Exercise ◽

Electric Shock ◽

Negative Reinforcement ◽

Control Group ◽

Progressive Resistance Training ◽

Resistance Training Program ◽

Experimental Group ◽

Progressive Resistance Exercise ◽

Progressive Resistance

The Several animal models have been proposed for resistance training. In addition, the results of these studies have been highly variable. Some of the studies have used negative reinforcement, electric shock or food deprivation to motivate the learning of the task. Features such as conditioning through electric shock may undermine the significance of the results or even prevent the model from being successfully executed. Due to these reasons, in this study we propose to use an adaptation of the vertical ladder climbing model for progressive resistance training in rats, albeit with a unique feature to ensure the homogeneity of the study groups: a period of adaptation to the apparatus without any negative reinforcement followed by a subsequent pairing of animals based on their ability to learn. The animals were distributed in the experimental group who were subjected to 8 weeks of a progressive resistance exercise protocol and the control group. After 8wks, the gastrocnemius, soleus, flexor digitorum longus (FDL), and plantaris muscles were removed and the cross-sectional area morphometry was obtened. The animals from experimental group showed hypertrophy [F(4, 15)=17,404, P < 0.001] for gastrocnemius [60% of hipertrophy; Control (2628,64 ± 348,50) versus Experimental (4207,77 ± 1256,52); ES=1.96; Power=0,86]; FDL [35% of hipertrophy; Control (2753,80 ± 359,54) versus Experimental (3711,84 ± 279,45); ES=2.99; Power=0.99] and plantaris [38% of hipertrophy; Control (2730,44 ± 320,56) versus Experimental (3767,30 ± 625,80); ES=2.19; Power=0.92], without modifications for soleus. All animals successfully completed the 8-week progressive resistance training program without any injuries, abandonment or death. Negative reinforcements such as electric shock were not required at any time in the experiment. In conclusion, we showed an adaptation of the previus model for progressive resistance training in rats. A period of adaptation to the apparatus without any negative reinforcement followed by a subsequent pairing of animals based on their ability to learn may be a alternative strategy for the original protocol. We also observed hypertrophy (gastrocnemius, FDL, and plantaris) showed the vality of this procolos for resistance exercise issues. The results of this study may be useful in basic/ applied neuroscience research and resistance exercise.

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