scholarly journals The Effects Of Prehabilitation Exercise Using Resistance Bands On Functional Performance In Total Knee Replacement

2020 ◽  
Vol 1 (1) ◽  
pp. 8-18
Author(s):  
Rahmatika Rahmatika ◽  
Robin Novriansyah ◽  
Lanny Indriastuti
Keyword(s):  
Treatment Group ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Functional Performance ◽  
Womac Score ◽  
Control Group ◽  
Rehabilitation Programs ◽  
Significant Difference ◽  
Resistance Bands ◽  
Total Knee

Background:Despite the high succesful rate of Total Knee Replacement (TKR), there are still patients with permanent dysfunction and a longer period of rehabilitation that interfere with functional performance. Strengthening exercise before TKR namely prehabilitation exercise using resistance bands is expected to optimize patient’s condition before surgery that will increase functional performance after TKR and accelerate rehabilitation programs.Methods:16 eligible patients were allocated into the treatment group (n=8) and the control group (n=8). The treatment group received 4 weeks of prehabilitation exercise with a frequency of 2 times and one time as a home program. The control group only received conventional therapy. The TUG and WOMAC scores were measured 3 times; at baseline, after 4 weeks of prehabilitation exercise and at 8 weeks of rehabilitation after TKR.Results:Before intervention, there were no significant differences between groups for the TUG score (p=0.674) and WOMAC (p=0.928). After 4 weeks of intervention, there was significant difference in the TUG score (p=0.003) and WOMAC (p=0.002), whereas at 8 weeks after rehabilitation programs there was a significant difference in the TUG score (p=0.009) while for the WOMAC score there was no significant difference (p=0.125).Conclusion:Prehabilitation exercise using resistance band improved functional performances in patients undergone TKR. 

scholarly journals Unicompartmental knee replacement - An Underrated Alternative of Total Knee Replacement: A Matched Comparative Study Analysing Their Benefits and Risks in Local Population

2018 ◽  
Vol 25 (1) ◽  
pp. 58-61 ◽  
Author(s):  
Tarn Karson ◽  
Lee Qun-Jid ◽  
Wong Yiu-Chung
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Local Population ◽  
Operation Time ◽  
Womac Score ◽  
Unicompartmental Knee Replacement ◽  
Control Group ◽  
Unicompartmental Knee ◽  
Significant Difference ◽  
Total Knee

Introduction The demand of knee arthroplasty is increasing worldwide with aging population. Even though unicompartmental knee replacement is associated with fewer complications namely stroke, myocardial infarction, thrombo-embolism, blood transfusion and mortality, it merely comprises 3–8% of knee arthroplasties. The aim of the study is to establish the role of unicompartmental knee replacement by evaluating the benefits and risks of unicompartmental knee replacement versus total knee replacement in Hong Kong population. Methods All unicompartmental knee replacement performed in our institute from 2011 to 2014 were reviewed. Comparative analyses were performed on pre-operative, operative and post-operative parameters. Primary total knee replacement performed in the same period was chosen as control group with 1:1 matching for age, sex, BMI and pre-operative range of motion. Results There were 46 unicompartmental knee replacement. It comprises 3.3% of all knee arthroplasties in our institute. The mean follow-up time was 12.8 months (4–38 months). There was no significant difference in all pre-operative parameters except WOMAC score. All operative parameters favored unicompartmental knee replacement significantly (operation time 76 vs 91 minutes; wound size 7.5 vs 12.4 cm; haemoglobin drop 0.75 vs 2.46g/dl, p < 0.05). Early post-operative parameters also favored unicompartmental knee replacement (Deep vein thrombosis rate 4.3 vs 23.9%; length of stay 5.4 vs 7.0 days, p < 0.05). There was no infection or mortality in both groups. Conclusion Because of less operative risk and faster rehabilitation, this study suggested that unicompartmental knee replacement is more cost effective and might be a better choice for patients with unicompartmental arthritis in local population.

scholarly journals Effect of Prehabilitation Exercise Using Resistance Bands on Quality of Life in Patients Undergoing Total Knee Replacement

2020 ◽  
Vol 9 (1) ◽  
pp. 29-39
Author(s):  
Erna Setiawati ◽  
Juwita Kusumadewi ◽  
Robby Tjandra
Keyword(s):  
Quality Of Life ◽  
Treatment Group ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Exercise Intervention ◽  
Control Group ◽  
Sf 36 ◽  
Post Test ◽  
Total Knee

ABSTRACT Introduction: An exercise program like prehabilitation exercise is expected to contribute in improving outcomes in Osteoarthritis (OA) postoperatively such as Total Knee Replacement (TKR). Elastic resistance products in prehabilitation exercise programs have been widely used in rehabilitation and are an effective method. Resistance band is one of elastic resistance products that have several advantages. The purpose of this study was to determine the effect of prehabilitation exercise intervention with a resistance band on the quality of life of patients under going TKR using the SF-36 questionnaire. Methods: This study was a randomized controlled trial pre-test and post-test control group design knowing the effects of prehabilitation exercise in patients underwent TKR. 16 subjects were allocated to treatment group (n = 8) which received additional prehabilitation exercise using resistance band and control group (n = 8) with conventional therapy (ergocycle and Transcutaneous Electrical Nerve Stimulation (TENS)) preoperatively. Quality of life assessment using SF-36 score was carried out 4 weeks preoperatively and 8 weeks postoperatively. Results: The mean baseline value of SF-36 in the treatment group is 41.18 ± 9.40 and control group with mean 43.78 ± 5.66, did not differ significantly with p > 0.05. Both groups experienced a significantincrease in their SF-36 post-test scores for the control group (p <0.05) and the treatment group (p <0.05). Comparison between groups showed a significant difference (p <0.05) between the pretest and posttestSF-36 scores where the control group (6.32±3.21) and treatment group (23.95±9.75). Discussion: The SF-36 pre-test score between groups showed no significant d ifference. While the posttest results had significantly increased in SF-36 mean score in both groups. This might be caused byalthough the exercises performed by the two groups were different, they still did exercises that had an effect on joints. Despite of that, treatment group post-test results still had significantly betterimprovement than those of the control group. Conclusion: Prehabilitation exercise intervention using resistance bands improving the quality of life of patients undergoing TKR. The quality of life improving more in those who do prehabilitation exercisethan those who do conventional therapy.Keywords: Prehabilitation exercise, quality of life, total knee replacement.

scholarly journals Efek Prehabilitation Exercise dengan Resistance Band terhadap Kekuatan Otot Kuadrisep Femoris pada Pasien Total Knee Replacement

2020 ◽  
Vol 7 (1) ◽  
pp. 46-52
Author(s):  
Ervi Ervi ◽  
Tanti Ajoe Kesoema ◽  
Robin Novriansyah
Keyword(s):  
Muscle Strength ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Quadriceps Femoris ◽  
Control Group ◽  
Quadriceps Femoris Muscle ◽  
Resistance Bands ◽  
Total Knee ◽  
Quadriceps Femoris Muscle Strength ◽  
Femoris Muscle

Pendahuluan: Prehabilitation exercise dengan resistance band merupakan latihan   penguatan otot yang aman, mudah dilakukan dan dapat dijadikan sebagai home programme pada pasien osteoartritis (OA) yang akan menjalani total knee replacement (TKR). Namun demikian, latihan ini belum lazim dilakukan di Indonesia. Penelitian ini bertujuan untuk mengetahui pengaruh intervensi prehabilitation exercise dengan resistance band terhadap kekuatan otot kuadrisep femoris pada pasien yang menjalani TKR. Metode: Penelitian randomized controlled trial dengan pre and post test. Sebanyak 16 subjek yang memenuhi kriteria dibagi secara acak ke dalam kelompok perlakuan (n=8) dan kontrol (n=8). Kelompok perlakuan mendapatkan prehabilitation exercise dengan resistance band 3x seminggu selama 4 minggu sebelum TKR, sedangkan kelompok kontrol mendapatkan terapi konvensional berupa ergocycle dan TENS (Transcutaneus Electrical Nerve Stimulation) 2x seminggu selama 4 minggu sebelum TKR. Pengukuran kekuatan otot kuadrisep femoris dilakukan 3x yaitu pada 4 minggu dan 1 minggu sebelum TKR, serta 8 minggu setelah TKR menggunakan push-pull dinamometer. Hasil: Kelompok perlakuan menunjukkan peningkatan kekuatan otot kuadrisep femoris yang signifikan pada 4 minggu ke 1 minggu sebelum TKR sebesar 3,00+1,28 (p=0,001). Peningkatan kekuatan otot pada kelompok intervensi juga terlihat pada 4 minggu sebelum ke 8 minggu setelah TKR sebesar 2,38+1,22 (p<0,001). Sebaliknya, kelompok kontrol mengalami penurunan kekuatan otot sebesar -0,88+0,79 (p=0,001) dan -0,88+1,28 (p=0,001) masing-masing pada periode 4 minggu ke 1 minggu sebelum TKR dan 4 minggu sebelum ke 8 minggu setelah TKR. Kesimpulan: Terdapat pengaruh prehabilitaion exercise dengan resistance bands terhadap peningkatan kekuatan otot kuadrisep femoris pada subjek yang menjalani operasai TKR. Prehabilitation exercise dapat digunakan sebagai alternatif latihan yang aman, mudah dilakukan serta dapat dijadikan sebagai home programme pada pasien yang akan menjalani operasi TKR. Kata kunci: Prehabilitation exercise, kekuatan kuadrisep femoris, total knee replacement.   Background: Prehabilitation exercises using resistance band is a safe and easy muscle strengthening exercise and can be used as a home programme in OA patients undergoing TKR. This exercise, however, is not commonly used in Indonesia. The this study aims to investigate the effect of prehabilitation exercise using resistance band on quadriceps femoris muscle strength in patients undergoing TKR. Methods: This study is a randomized controlled trial with pre and post-test. A total of 16 subjects who meet criteria were randomly allocated into intervention (n = 8) and control (n = 8) groups. The first group received prehabilitation exercise with resistance bands 3 times a week for 4 weeks before TKR, while the control group received conventional therapies involving ergocycle and TENS (Transcutaneous Electrical Nerve Stimulation) 2 times a week for 4 weeks before TKR. Quadriceps femoris muscle strength was measured three times at 4 weeks and 1 week before TKR, and 8 weeks after TKR using a push-pull dynamometer. Results: The intervention group shows a significant increase in quadriceps femoris muscle strength at 4 weeks to 1 week before TKR (3.00+1.28, p = 0.001). The increased quadriceps femoris muscle strength in the intervention group was also seen at 4 weeks before to 8 weeks after TKR (2,38+1,22, p<0,001). Conversely, the control group experienced a decreased quadriceps femoris muscle strength of -0.88+0.79 (p=0.001) and -0.88+1.28 (p=0.001) respectively in the period of 4 weeks to 1 week before TKR and 4 weeks before to 8 weeks after TKR. Conclusion: There is an effect of prehabilitation exercise with resistance bands on increased quadriceps femoris muscle strength in subjects undergoing TKR. Prehabilitation exercise is safe, easy and can be used as an alternative for home programme. Keywords: Prehabilitation exercise, quadriceps femoris muscle strength, total knee replacement.

scholarly journals Comparison of two different models of rehabilitation programs following total knee replacement operations

2020 ◽  
Vol 47 (1) ◽  
Author(s):  
Rabab S. Zaghlol ◽  
Sahar S. Khalil ◽  
Ahmed M. Attia ◽  
Ghada A. Dawa
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
High Intensity ◽  
Rating Scale ◽  
Rehabilitation Program ◽  
Low Intensity ◽  
Rehabilitation Programs ◽  
Patient Reported ◽  
Total Knee ◽  
Functional Gain

Abstract Background Total knee replacement operation (TKR) is the treatment of choice in severe knee osteoarthritis (OA). Rehabilitation post-TKR is still not well studied. The aim of this study was to compare between the high-intensity (HI) rehabilitation program and the low-intensity (LI) rehabilitation program following TKR. Results At 1 month following the TKR operations, significant improvements were found in the first group compared to the second group in all the measured parameters except for the knee range of motion (ROM). At 3 and 12 months follow-up periods, there were statistically significant differences between both groups in all the evaluated parameters except for the numeric pain rating scale and the knee ROM. Conclusions Both high-intensity and low-intensity rehabilitation programs are effective; however, HI program had superior functional gain and patient-reported outcomes compared to the LI program. Moreover, HI group has a long-term functional gain.

scholarly journals Use of Enoxaparin and Dabigatran for Thrombosis Prevention After Total Knee Replacement

2012 ◽  
Vol 19 (2) ◽  
pp. 61-64
Author(s):  
V. Yu Murylev ◽  
Y. A Rukin ◽  
P. M Elizarov ◽  
A. G Zhuchkov ◽  
D. I Terentiev
Keyword(s):  
Total Knee Replacement ◽  
Enoxaparin Sodium ◽  
Knee Replacement ◽  
Vena Cava ◽  
Preventive Measure ◽  
Early Postoperative Period ◽  
Peroral Administration ◽  
Efficacy And Safety ◽  
Significant Difference ◽  
Total Knee

Comparative analysis of dabigatran etaxilate and enoxaparin sodium use for prevention of vena cava inferior system thrombosis in patients after total knee replacement in early postoperative period was performed. In 74 patients (1 st group) dabigatran etaxilate and in 127 (2 nd group) enoxaparin sodium was used as a preventive measure. The rate of thrombosis made up 1.35% and 2.4% in the first and second groups, respectively. No significant difference in the volume of perioperative blood loss between the groups was noted. No other hemorrhagic complications were observed. It was shown that in more convenient peroral administration the dabigatran etaxilate efficacy and safety was comparable to enoxaparin sodium.

Effect of Counseling on Quality of Life and Self-Care Agency for Patients Who are Scheduled for Total Knee Replacement

2021 ◽  
pp. 105477382110589
Author(s):  
Çiğdem Kaya ◽  
Özlem Bilik
Keyword(s):  
Quality Of Life ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Intervention Group ◽  
Self Care ◽  
Control Group ◽  
Face To Face ◽  
Total Knee ◽  
Care Agency

This study aims to determine the effect of counseling on quality of life and self-care agency for patients who are scheduled for total knee replacement (TKR). The study has a quantitative and quasi-experimental design with a control group. The patients in the control group ( n = 40) received routine care. Face-to-face and telephone counseling was offered to individuals in the intervention group ( n = 39). The data was collected at face-to-face interviews by using a patient characteristics form, Quality of Life Scale, and Self-Care Agency Scale. The scores for quality of life and self-care agency in the 6th to 8th and 14th to 16th weeks after surgery were very significantly higher in the intervention group than in the control group ( p < .001). This study shows that counseling given by the nurse increases the quality of life and self-care agency of patients undergoing TKR.

scholarly journals The effect of musical interventions in improving short-term pain outcomes following total knee replacement: a meta-analysis and systematic review

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Rongguo Yu ◽  
Youguang Zhuo ◽  
Eryou Feng ◽  
Wulian Wang ◽  
Wentao Lin ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Continuous Passive Motion ◽  
Cochrane Library ◽  
Short Term ◽  
Significant Difference ◽  
Pain Outcomes ◽  
Total Knee

Abstract Background A growing number of patients continue to receive total knee replacement (TKR) surgery. Nevertheless, such surgeries result in moderate to severe postoperative pain and difficulty in managing it. Musical interventions are regarded as a type of multimodal analgesia, achieving beneficial results in other clinical treatments. This study aims to evaluate the effect of musical interventions in improving short-term pain outcomes following TKR in order to determine a more reasonable and standard way of delivering musical intervention. Methods A systematic search was conducted to identify available and relevant randomized controlled trials (RCTs) regarding musical interventions compared against non-musical interventions in patients treated with TKR in Embase, MEDLINE, Cochrane Library, Web of Science, CNKI, and Wanfang Med Online up to 8 January 2020. The authors independently assessed study eligibility and risk of bias and collected the outcomes of interest to analyze. The statistical analysis was conducted using the Review Manager (RevMan) version 5.30 software. Results Eight RCTs comprised of 555 patients satisfied the inclusion criteria and were enrolled in the present study. The results showed no significant difference between the music and control groups in pain of the visual analog scale (VAS), during postoperative recovery room, back to the ward after surgery; anxiety degree of VAS; heart rate; respiratory rate; oxygen saturation; blood pressure, systolic blood pressure, and diastolic blood pressure. Nevertheless, significant differences were observed between the two groups in average increase in continuous passive motion (CPM) angles and LF/HF ratio (one kind index of heart rate variability). Conclusions Musical interventions fail to demonstrate an obvious effect in improving short-term pain outcomes following TKR. A reasonable standardization of musical interventions, including musical type, outcome measures used, outcomes measured, duration, timing and headphones or players, may improve pain outcomes with certain advantages and should be further explored after TKR.

scholarly journals Weight Loss Intervention Before Total Knee Replacement: A 12-Month Randomized Controlled Trial

2019 ◽  
pp. 145749691988381 ◽  
Author(s):  
A. Liljensøe ◽  
J. O. Laursen ◽  
H. Bliddal ◽  
K. Søballe ◽  
I. Mechlenburg
Keyword(s):  
Quality Of Life ◽  
Weight Loss ◽  
Body Composition ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Diet Group ◽  
Control Group ◽  
Weight Loss Intervention ◽  
Total Knee

Background and Aims: Obesity is an increasing problem in patients after total knee replacement. The aim of this study was to investigate whether a weight loss intervention before primary total knee replacement would improve quality of life, knee function, mobility, and body composition 1 year after surgery. Material and Methods: Patients scheduled for total knee replacement due to osteoarthritis of the knee and obesity were randomized to a control group receiving standard care or to an intervention group receiving 8-week low-energy diet before total knee replacement. Patient-reported quality of life, 6-Min Walk Test, and body composition by dual-energy X-ray absorptiometry were assessed before intervention for the diet group, and within 1 week preoperatively for both groups, and the changes in outcome from baseline to 1 year after total knee replacement were compared between groups. The number of participants was lower than planned, which might introduce a type-2 error and underestimate the trend for a better outcome after weight loss. Results: The analyses are based on a total of 76 patients, 38 in each group. This study showed major improvement in both study groups in quality of life and knee function, though no statistically significant differences between the groups were observed 1 year after total knee replacement. The average weight loss after 8-week preoperative intervention was 10.7 kg and consisted of a 6.7 kg reduction in fat mass. One year after total knee replacement, the participants in the diet group managed to maintain the weight reduction, whereas there was no change in the control group. Conclusion: The results suggest that it is feasible and safe to implement an intensive weight loss program shortly before total knee replacement. The preoperative intervention resulted in a 10% body weight loss, improved body composition, lower cardiovascular risk factors, and sustained s-leptin.

scholarly journals Platypnoea–orthodeoxia after left total knee replacement

2019 ◽  
Vol 12 (10) ◽  
pp. e230771
Author(s):  
Taha Almufti ◽  
Franz Eversheim ◽  
Brett Johnson ◽  
Gabriel Ayonmigbesimi Akra
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Unusual Case ◽  
Medical Intervention ◽  
Colour Doppler ◽  
Arterial Blood Gas ◽  
Arterial Blood ◽  
Significant Difference ◽  
Severe Hypoxaemia ◽  
Total Knee

Platypnoea–orthodeoxia syndrome (POS) is a rare disorder characterised by both dyspnoea (platypnoea) and arterial desaturation (orthodeoxia) in the upright position, with improvement in the supine position. We report an unusual case in which an 82-year-old woman developed severe hypoxaemia with POS after left total knee replacement. A significant difference in alveolar–arterial blood gas oxygen tension was demonstrated, and hypoxaemia failed to respond to 100% oxygen supply. A patent foramen ovale with a right-to-left shunt was evident on transoesophageal echocardiogram employing colour Doppler and agitated normal saline studies. Interestingly, the patient’s symptoms resolved within 6 months with ongoing chest physiotherapy, without surgical or medical intervention.

scholarly journals Knee Flexion and Daily Activities in Patients following Total Knee Replacement: A Comparison with ISO Standard 14243

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Markus A. Wimmer ◽  
William Nechtow ◽  
Thorsten Schwenke ◽  
Kirsten C. Moisio
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Knee Flexion ◽  
Daily Activities ◽  
Wear Testing ◽  
Significant Difference ◽  
Flexion Extension ◽  
Total Knee ◽  
Stair Walking ◽  
The Many

Walking is only one of many daily activities performed by patients following total knee replacement (TKR). The purpose of this study was to examine the hypotheses (a) that subject activity characteristics are correlated with knee flexion range of motion (ROM) and (b) that there is a significant difference between the subject’s flexion/extension excursion throughout the day and the ISO specified input for knee wear testing. In order to characterize activity, the number of walking and stair stepping cycles, the time spent with dynamic and stationary activities, the number of activity sequences, and the knee flexion/extension excursion of 32 TKR subjects were collected during daily activity. Flexion/extension profiles were compared with the ISO 14243 simulator input profile using a level crossing classification algorithm. Subjects took an average of 3102 (range: 343–5857) walking cycles including 65 (range: 0–319) stair stepping cycles. Active and passive ROMs were positively correlated with stair walking time, stair step counts, and stair walking sequences. Simulated knee motion according to ISO showed significantly fewer level crossings at the flexion angles 20–40° and beyond 50° than those measured with the monitor. This suggests that implant wear testing protocols should contain more cycles and a variety of activities requiring higher knee flexion angles with incorporated resting/transition periods to account for the many activity sequences.

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