scholarly journals Effects of a Muscle Strengthening Exercise Program after Total Knee Arthroplasty

2008 ◽  
Vol 14 (1) ◽  
pp. 20-29 ◽  
Author(s):  
Myung-Sill Chung ◽  
Hye-Sun Kwak
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Exercise Program ◽  
Muscle Strengthening ◽  
Strengthening Exercise ◽  
Total Knee

scholarly journals Effects of Muscle Strengthening around the Hip on Pain, Physical Function, and Gait in Elderly Patients with Total Knee Arthroplasty: A Randomized Controlled Trial

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 489
Author(s):  
KwangSun Do ◽  
JongEun Yim
Keyword(s):  
Total Knee Arthroplasty ◽  
Physical Function ◽  
Knee Arthroplasty ◽  
Exercise Program ◽  
Step Test ◽  
Muscle Strengthening ◽  
Strengthening Exercise ◽  
Single Leg Stance ◽  
Total Knee ◽  
And Control

Background: Functional limitations may still remain even after a patient completes a traditional quadriceps-based rehabilitative program after total knee arthroplasty. Based on studies reporting that patients with knee osteoarthritis have muscle weakness around the hip joint after total knee arthroplasty, we investigated whether strengthening the hip muscles can reduce pain and improve the physical function and gait of patients who underwent total knee arthroplasty. Methods: Patients were randomly divided into three groups: hip, quadriceps, and control. The hip group (n = 19) completed an extensor, adductor, and external muscle strengthening exercise program. The quadriceps group (n = 20) completed a quadriceps strengthening exercise program. The control group (n = 16) completed an active range of motion exercises. Therapy was conducted thrice weekly for 12 weeks. Pain and function items from the Western Ontario and McMaster Universities Osteoarthritis Index, Alternate Step Test, Five Times Sit to Stand Test, and Single Leg Stance Test were performed to assess pain and physical function. In the gait analysis, stride, single-stance (%), double-stance (%), and gait speed were measured. Data were collected at baseline and at 4, 8, and 12 weeks after the intervention. Results: The hip group showed more significant improvements in pain and performance on the Alternate Step Test and Single Leg Stance Test than the quadriceps and control groups. In the gait analysis, the hip group showed the largest improvements in single stance and double stance. Conclusions: In conclusion, a 12-week hip muscle strengthening exercise program effectively improves the physical function and gait of patients who have undergone total knee arthroplasty.

Nonpharmacologic Pain Management and Muscle Strengthening following Total Knee Arthroplasty

2015 ◽  
Vol 29 (03) ◽  
pp. 194-200 ◽  
Author(s):  
Morad Chughtai ◽  
Randa Elmallah ◽  
Jaydev Mistry ◽  
Anil Bhave ◽  
Jeffrey Cherian ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Pain Management ◽  
Knee Arthroplasty ◽  
Muscle Strengthening ◽  
Total Knee

scholarly journals Force-plate analyses of balance following a balance exercise program during acute post-operative phase in individuals with total hip and knee arthroplasty: A randomized clinical trial

2016 ◽  
Vol 4 ◽  
pp. 205031211667509 ◽  
Author(s):  
Pankaj Jogi ◽  
Aleksandra Zecevic ◽  
Tom J Overend ◽  
Sandi J Spaulding ◽  
John F Kramer
Keyword(s):  
Total Knee Arthroplasty ◽  
Total Hip Arthroplasty ◽  
Knee Arthroplasty ◽  
Hip Arthroplasty ◽  
Force Plate ◽  
Exercise Program ◽  
Rehabilitation Program ◽  
Total Hip ◽  
Balance Exercises ◽  
Total Knee

Objectives: Typical rehabilitation programs following total hip arthroplasty and total knee arthroplasty include joint range of motion and muscle-strengthening exercises. Balance and balance exercises following total hip arthroplasty and total knee arthroplasty have not received much attention. The purpose of this study was to determine whether an intervention of balance exercises added to a typical rehabilitation program positively affects patients’ balance. Methods: A total of 63 patients were provided with outpatient physical therapy at their home. Patients were randomly assigned to either typical (n = 33) or balance (n = 30) exercise group. The typical group completed seven typical surgery-specific joint range of motion and muscle-strengthening exercises, while the balance group completed the typical exercises plus three balance exercises. After 5 weeks of administering the rehabilitation program, patients’ balance was assessed on a force plate using 95% ellipse area of the center of pressure amplitude. Results: Patients in the balance group demonstrated significant reduction in the 95% ellipse area for the anterior and posterior lean standing conditions (p < 0.01). Conclusion: Balance exercises added to the typical outpatient physical therapy program resulted in significantly greater improvements in balance for participants with total hip arthroplasty or total knee arthroplasty, compared to the typical exercise program alone. Physical therapists might consider the use of balance exercises to improve balance in individuals in the acute post-operative phase following total hip arthroplasty or total knee arthroplasty.

scholarly journals Effect of Enhanced Exercise Program on Pain and Physical Activity for Patients after Total Knee Arthroplasty

2021 ◽  
Vol 3 (3) ◽  
pp. 14
Author(s):  
Safaa M. Hamed ◽  
Rasha F. M. Gaballah
Keyword(s):  
Physical Activity ◽  
Total Knee Arthroplasty ◽  
Pain Score ◽  
Knee Arthroplasty ◽  
Rating Scale ◽  
Treatment Plan ◽  
Exercise Program ◽  
Orthopedic Procedure ◽  
Significant Difference ◽  
Total Knee

Context: Total knee arthroplasty (TKA) is considered the most effective orthopedic procedure for treating knee osteoarthritis. The need for knee replacement is predicted to increase six-fold between 2005 and 2030 to reflect an increasingly yet functionally demanding population. Aim: This study aimed to evaluate the effect of an enhanced exercise program on pain and physical activity after total knee arthroplasty. Methods: Quasi-experimental (pre/posttest) design was utilized in this study. The study was carried out in the orthopedic department, Benha University Hospital, and followed the patients through the orthopedic outpatient clinic from the beginning of May 2020 till the beginning of May 2021. A purposive sample of 64 patients was recruited to achieve the aim of this study. Four tools were used to collect the study data. These are the structured interview questionnaire to assess patients' knowledge regarding total knee arthroplasty, Barthel ADL index scale, Lysholm knee scoring scale, and Numeric Pain Rating Scale to assess the effect of the enhanced exercise program. Results: Showed that nearly two-thirds of the study sample was ≤60 years old, females, and married. The study also showed a statistically significant difference between pre-and post- enhanced exercise program in terms of total knowledge mean score among the study sample, as well as an increase in the total mean score in Barthel ADL index, decrease Lysholm knee scoring, and pain score after one month and after three months of enhanced program exercise implementation. Conclusion: Implementing an enhanced exercise program for patients with total knee arthroplasty effectively improved knowledge, increased physical activity (Barthel ADL index), decreased Lysholm knee scoring, and pain score. The present study recommended including an enhanced exercise program in the treatment plan for patients with total knee arthroplasty to improve patient's knowledge and practices. Also, repeating the study on a larger probability sample to achieve generalization of the findings.            

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