期刊
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
卷 18, 期 11, 页码 -出版社
MDPI
DOI: 10.3390/ijerph18116071
关键词
osteoarthritis; prehabilitation; telerehabilitation; total knee arthroplasty
资金
- Academic Research Fund of Myung Ki (MIKE) Hong in 2021
The study showed that a preoperative telerehabilitation program can improve muscle strength, knee range of motion, and functional outcomes in elderly female patients with end-stage osteoarthritis before total knee arthroplasty. This contributes to better functional recovery after the surgery.
This study aims to investigate the effect of a preoperative telerehabilitation (PT) program on muscle strength, knee range of motion (ROM), and functional outcomes in candidates for total knee arthroplasty (TKA). Sixty patients (all women, mean age 70.53 +/- 2.7 years) scheduled for bilateral TKA participated in this study. The PT and preoperative patient education (PE) groups participated in a 3-week intensive exercise program (30 min/session, 2 times/day, 5 days/week), whereas the control group received the usual care before TKA. Quadriceps muscle strength, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), ROM of knee flexion, pain, and time up-and-go (TUG) test time were evaluated at 4 weeks preoperatively, post-interventionally, and 6 weeks after TKA. Significant differences were found in the time-by-group interaction for 60 degrees/s extension peak torque [F(4, 100) = 2.499, p = 0.047, eta(2)(p) = 0.91], 180 degrees/s extension peak torque [F(4, 100) = 3.583, p = 0.009, eta(2)(p) = 0.125], ROM [F(4, 100) = 4.689, p = 0.002, eta(2)(p) = 0.158], TUG time [F(4, 100) = 7.252, p < 0.001, eta(2)(p) = 0.225], WOMAC pain [F(4, 100) = 9.113, p < 0.001, eta(2)(p) = 0.267], WOMAC functional outcome [F(4, 100) = 6.579, p < 0.001, eta(2)(p) = 0.208], and WOMAC total score [F(4, 100) = 10.410, p < 0.001, eta(2)(p) = 0.294]. The results of this study demonstrate the early benefits of a PT program in elderly female patients with end-stage osteoarthritis. The PT program improved muscle strength, ROM, and functional outcomes before TKA, which contributed to better functional recovery after TKA.
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