Masafumi Kubota1,2, Yasuo Kokubo3, Tsuyoshi Miyazaki4, Hideaki Matsuo5, Hiroaki Naruse5, Kazuki Shouji5, Seiichiro Shimada5, Akihiko Matsumine4. 1. Department of Physical Therapy, Graduate Course of Rehabilitation Science, School of Health Sciences, College of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Kanazawa, Japan, 5-11-80 Kodatsuno , Ishikawa , 920-0942 . mkubota@staff.kanazawa-u.ac.jp. 2. Division of Physical Therapy and Rehabilitation Medicine, University of Fukui Hospital, Fukui, Japan, 23-3 Matsuoka shimoaiduki, Eiheiji, Yoshida, Ishikawa , 910-1193 . mkubota@staff.kanazawa-u.ac.jp. 3. Surgical Center, University of Fukui Hospital, Fukui, Japan, 23-3 Matsuoka Shioaiduki, Eiheiji, Yoshida, Ishikawa , 910-1193. 4. Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan, 23-3 Matsuoka shimoaiduki, Eiheiji, Yoshida, Ishikawa, 910-1193. 5. Division of Physical Therapy and Rehabilitation Medicine, University of Fukui Hospital, Fukui, Japan, 23-3 Matsuoka shimoaiduki, Eiheiji, Yoshida, Ishikawa , 910-1193.
Abstract
PURPOSE: To determine the beneficial effects of knee extension exercise applied from 4 h after TKA. METHODS: Patients undergoing TKA for osteoarthritis were assigned to early rehabilitation (n = 41) and control rehabilitation (n = 39) groups. Rehabilitation of knee extension exercise was started within 4 h postoperative in the early group and 2 days after surgery in the control group. Joint range of motion and pain were assessed before surgery and at 3 days to 12 months after surgery. Muscle strength and gait parameters were assessed before and 3 weeks after surgery. RESULTS: Extension range of motion was significantly increased in the early group than the control at 3 days, 3 weeks and 6 months after surgery. In gait parameters, peak knee flexion and extension angles during stance phase were significantly improved in the early group than the control group at 3 weeks after surgery. Flexion range of motion was increased in the early group than the control at 12 months after surgery. CONCLUSION: Starting knee extension exercise within 4 h after TKA reduced the early loss of extension range of motion and improved gait pattern and seemed to contribute to be better functional outcome one year after surgery.
PURPOSE: To determine the beneficial effects of knee extension exercise applied from 4 h after TKA. METHODS: Patients undergoing TKA for osteoarthritis were assigned to early rehabilitation (n = 41) and control rehabilitation (n = 39) groups. Rehabilitation of knee extension exercise was started within 4 h postoperative in the early group and 2 days after surgery in the control group. Joint range of motion and pain were assessed before surgery and at 3 days to 12 months after surgery. Muscle strength and gait parameters were assessed before and 3 weeks after surgery. RESULTS: Extension range of motion was significantly increased in the early group than the control at 3 days, 3 weeks and 6 months after surgery. In gait parameters, peak knee flexion and extension angles during stance phase were significantly improved in the early group than the control group at 3 weeks after surgery. Flexion range of motion was increased in the early group than the control at 12 months after surgery. CONCLUSION: Starting knee extension exercise within 4 h after TKA reduced the early loss of extension range of motion and improved gait pattern and seemed to contribute to be better functional outcome one year after surgery.
Authors: Anna-Maija Kauppila; Eero Kyllönen; Pasi Ohtonen; Martti Hämäläinen; Paula Mikkonen; Vesa Laine; Pertti Siira; Paula Mäki-Heikkilä; Harri Sintonen; Juhana Leppilahti; Jari P A Arokoski Journal: Clin Rehabil Date: 2010-03-30 Impact factor: 3.477
Authors: Nuria Sánchez Labraca; Adelaida Maria Castro-Sánchez; Guillermo A Matarán-Peñarrocha; Manuel Arroyo-Morales; María Del Mar Sánchez-Joya; Carmen Moreno-Lorenzo Journal: Clin Rehabil Date: 2011-03-07 Impact factor: 3.477
Authors: Robert B Bourne; Bert M Chesworth; Aileen M Davis; Nizar N Mahomed; Kory D J Charron Journal: Clin Orthop Relat Res Date: 2010-01 Impact factor: 4.176