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

Zaghlol, Rabab S.; Khalil, Sahar S.; Attia, Ahmed Mohammed Ibrahim; Dawa, Ghada A.

doi:10.1186/s43166-020-00034-1

Cited by 2 publications

(3 citation statements)

References 36 publications

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“…As a part of both high-and low-intensity rehabilitation programs, quadriceps strengthening exercises such as quadriceps setting, weight bearing lunges, body-weight squatting, and stair ambulation have been incorporated into rehabilitation plans for patients with TKA to improve muscle strength asymmetries between the replaced and non-replaced limbs [39]. However, quadriceps strengthening has been shown to have no effect on the internal knee extension or abduction moments in patients with knee osteoarthritis in gait [41][42][43]. In this context, uphill walking may be an effective exercise for high-intensity early and long-term rehabilitation programs, with a lower peak GRF than stair ambulation.…”

Section: Discussionmentioning

confidence: 99%

Do Interlimb Knee Joint Loading Asymmetries Persist throughout Stance during Uphill Walking Following Total Knee Arthroplasty?

Thorsen

Wen

Porter

et al. 2023

IJERPH

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The purpose of this study was to determine differences in total (TCF), medial compartment (MCF), and lateral compartment (LCF) tibiofemoral joint compressive forces and related muscle forces between replaced and non-replaced limbs during level and uphill walking at an incline of 10°. A musculoskeletal modeling and simulation approach using static optimization was used to determine the muscle forces and TCF, MCF, and LCF for 25 patients with primary TKA. A statistical parametric mapping repeated-measures ANOVA was conducted on knee compressive forces and muscle forces using statistical parametric mapping. Greater TCF, MCF, and LCF values were observed throughout the loading response, mid-stance, and late stance during uphill walking. During level walking, knee extensor muscle forces were greater throughout the first 50% of the stance during level walking, yet greater during uphill walking during the last 50% of the stance. Conversely, knee flexor muscle forces were greater through the loading response and push-off phases of the stance. No between-limb differences were observed for compressive or muscle forces, suggesting that uphill walking may promote a more balanced loading of replaced and non-replaced limbs. Additionally, patients with TKA appear to rely on the hamstrings muscle group during the late stance for knee joint control, thus supporting uphill walking as an effective exercise modality to improve posterior chain muscle strength.

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Section: Discussionmentioning

confidence: 99%

Do Interlimb Knee Joint Loading Asymmetries Persist throughout Stance during Uphill Walking Following Total Knee Arthroplasty?

Thorsen

Wen

Porter

et al. 2023

IJERPH

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“…Lebih dari 80% pasien dengan OA lutut mengalami keterbatasan dalam melakukan aktivitas hidup sehari-hari, seperti mobilitas di luar rumah, pekerjaan rumah tangga, dan tugas kerja (2). OA lutut dapat terjadi karena terganggunya equilibrium antara degenerasi tulang rawan dan regenerasi dengan penuaan, menyebabkan nyeri sendi lutut, kaku, pincang, bahkan dapat terjadi deformitas (3). OA lutut cenderung lebih banyak terjadi pada wanita.…”

Section: Pendahuluanunclassified

“…Sebuah penelitian mengemukakan prevalensi OA lutut pada orang berusia ≥ 45 tahun diproyeksikan meningkat dari 13,8% pada tahun 2012 menjadi 15,7% pada tahun 2032 (6). Dalam kasus OA lutut ketika pengobatan secara konservatif gagal dikarenakan berbagai macam faktor maka artoplasti Total Knee Replacement (TKR) menjadi pilihan yang tepat untuk menangani OA lutut dengan tingkat keparahan yang sudah tinggi (3).…”

Section: Pendahuluanunclassified

Program Fisioterapi Pada Kasus Post Arthroplasty Total Knee Replacement Sinistra Et Causa Osteoarthritis Knee: Case Report

Vitamara,

Santoso,

Larasati

2023

fisioterapi

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ABSTRAK Pendahuluan: Total Knee Replacement (TKR) adalah prosedur pembedahan yang ditujukan untuk mengembalikan fungsi dan penyembuhan nyeri pada pasien Osteoartritis lutut (OA lutut). Semakin meningkatnya prevalensi OA lutut dengan tingkat keparahan yang tinggi, maka meningkat pula prevalensi TKR. Meskipun TKR efektif untuk mengurangi rasa nyeri dan meningkatkan fungsi fisik pada pasien OA lutut, pasien yang menjalani operasi TKR sangat memungkinkan masih mengalami gangguan fungsional yang cukup besar pasca operasi. Fisioterapi pada pasien post op TKR secara umum dilakukan dengan tujuan optimalisasi pasca hasil operasi, termasuk kekuatan otot, fungsi fisik, dan pengurangan rasa nyeri, hingga dapat kembali lagi ke aktivitas normal sehari-hari. Tujuan: Untuk mengetahui efektivitas dan pengaruh pemberian intervensi fisioterapi dengan modalitas Transcutaneous Electrical Nerve Stimulation (TENS) dan Closed Kinetic Chain (CKC) exercise pada pasien dengan kondisi post operasi artoplasti Total Knee Replacement (TKR). Metode: Single-subject research yang dilakukan kepada seorang wanita berusia 54 tahun dengan kondisi post op Total Knee Replacement sinistra. Subjek diberikan intervensi TENS dan Closed Kinetic Chain Exercise (CKC) sebanyak 3 kali pertemuan selama 3 minggu. Hasil: Evaluasi dilakukan dengan menggunakan instrumen pengukuran Numeric Pain Rating Scale (NPRS), Range of Motion (ROM), Manual Muscle Testing (MMT), dan WOMAC indeks. Simpulan: Terdapat perubahan kondisi pasien ke arah baik yaitu penurunan rasa nyeri, peningkatan ROM, MMT, dan kemampuan aktivitas fungsional. Kata Kunci: total knee replacement, osteoartritis lutut, nyeri, TENS, closed kinetic chain exercise ABSTRACT Introduction: Total Knee Replacement (TKR) is a surgical procedure aimed at restoring function and healing pain in patients with Osteoarthritis knee (OA of the knee). With the increasing prevalence of knee OA with a high level of severity, the prevalence of TKR also increases. Although TKR is effective in reducing pain and improving physical function in patients with knee OA, it is very likely that patients who undergo TKR surgery still experience significant functional impairment after surgery. Physiotherapy in TKR post-op patients is generally carried out to optimize postoperative results, including muscle strength, physical function, and pain reduction so that they can return to normal daily activities. Objective: To determine the effectiveness and effect of providing physiotherapy interventions with Transcutaneous Electrical Nerve Stimulation (TENS) and Closed Kinetic Chain (CKC) exercise modalities in patients with postoperative Total Knee Replacement (TKR) arthroplasty conditions. Methods: Single-subject research was conducted on a 54-year-old woman with post-op Total Knee Replacement left. Subjects were given TENS intervention and Closed Kinetic Chain Exercise (CKC) 3 meetings for 3 weeks. Results: The evaluation was carried out using the Numeric Pain Rating Scale (NPRS), Range of Motion (ROM), Manual Muscle Testing (MMT), and the WOMAC index. Conclusion: There is a change in the patient's condition in a good direction, namely a decrease in pain, an increase in ROM, MMT, and ability to function. Keyword: total knee replacement, osteoarthritis knee, pain, TENS, closed kinetic chain exercise

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

Cited by 2 publications

References 36 publications

Do Interlimb Knee Joint Loading Asymmetries Persist throughout Stance during Uphill Walking Following Total Knee Arthroplasty?

Do Interlimb Knee Joint Loading Asymmetries Persist throughout Stance during Uphill Walking Following Total Knee Arthroplasty?

Program Fisioterapi Pada Kasus Post Arthroplasty Total Knee Replacement Sinistra Et Causa Osteoarthritis Knee: Case Report

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