Effects of Early Combined Eccentric-Concentric Versus Concentric Resistance Training Following Total Knee Arthroplasty

Suh, Min Ji; Kim, Bo Ryun; Kim, Sang Rim; Han, Eun Young; Lee, So Young

doi:10.5535/arm.2017.41.5.816

Cited by 10 publications

(8 citation statements)

References 37 publications

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“…Beneka et al found that resistance training effects were related to gender [ 17 ]. Thomas et al also found that the effects of high-velocity strength training on isometric strength were gender specific [ 18 ]. While training produced improvements in counter movement jump height in both genders, significant increases in maximal isometric force and rate of force development were found only in females [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…Thomas et al also found that the effects of high-velocity strength training on isometric strength were gender specific [ 18 ]. While training produced improvements in counter movement jump height in both genders, significant increases in maximal isometric force and rate of force development were found only in females [ 18 ]. However, most studies focused on single gender participants and did not consider gender as a potential confounding factor [ 6 , 12 , 14 ], while some studies analyzed the results of both genders as one group [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Gender-Specific Effects of 8-Week Multi-Modal Strength and Flexibility Training on Hamstring Flexibility and Strength

Wang

Xiong

et al. 2022

IJERPH

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The purpose of this study was to investigate the effects of multi-modal strength training or flexibility training on hamstring flexibility and strength in young males and females. A total of 20 male and 20 female college students (aged 18–24 years) participated in this study and were randomly assigned to either a multi-modal flexibility intervention group or strength intervention group. Passive straight leg raise and isokinetic strength test were performed before and after the intervention to determine flexibility and strength of the participants. Multivariate repeated-measure ANOVA was used to determine the effect of training group and gender on hamstring strength and flexibility. Both male and female participants in the strength intervention group significantly increased peak torque, relative peak torque, and flexibility (all p ≤ 0.029). Both male and female participants in the flexibility intervention group significantly increased flexibility (both p ≤ 0.001). Female participants in the flexibility intervention group significantly increased peak torque and relative peak torque (both p ≤ 0.023). However, no change was seen in peak torque and relative peak torque of male participants in the flexibility intervention group (p ≥ 0.676). An 8-week strength training program involving various training components can increase flexibility in both males and females, although the flexibility of male participants only increased slightly. While hamstring flexibility training protocol consisted of different types of stretching improved both flexibility and strength in female participants, male participants increased only flexibility but not strength, indicating such effects were gender-specific. For subjects with relatively low strength (e.g., older adults, sedentary women, postoperative rehabilitation population, etc.), strength training alone or flexibility training alone may increase both strength and flexibility.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Gender-Specific Effects of 8-Week Multi-Modal Strength and Flexibility Training on Hamstring Flexibility and Strength

Wang

Xiong

et al. 2022

IJERPH

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“…The vast majority of previous studies examining eccentric RT have implemented a moderate or high intensity training routine (using our definition of >50% of maximal eccentric strength and/or ≥12 on the Borg scale) ( LaStayo et al, 2003 , 2007 , 2011 , 2017 ; Dibble et al, 2006 ; Jacobs et al, 2014 ; Tanner et al, 2015 ; McKenzie et al, 2017 ; Suh et al, 2017 ; Briggs et al, 2018 ; Reidy et al, 2018 ; Gordon et al, 2019 ; Crane et al, 2020 ; Kumar, 2021 ). While the gains from these doses were indeed favorable, it is possible that such loads are more excessive than what is needed to elicit adaptations from eccentric RT since eccentric contractions inherently create high internal muscle-tendon forces, even without performing near maximal contractions ( Hody et al, 2019 ).…”

Section: Eccentric Resistance Training For Older Adultsmentioning

confidence: 99%

“…Exercise session durations for multi-joint eccentric training have varied considerably within the broad (all adult ages) literature from a more minimal dose (e.g., three/min sessions) ( Gordon et al, 2019 ; Crane et al, 2020 ) up to 30 min/sessions ( Dibble et al, 2006 ; Suh et al, 2017 ; Lim and Lee, 2018 ; Kim et al, 2019 ). While a three/min exercise session may represent a minimal training approach, this previous work was conducted in young adults ( Gordon et al, 2019 ; Crane et al, 2020 ).…”

Section: Eccentric Resistance Training For Older Adultsmentioning

confidence: 99%

Potential Benefits of a Minimal Dose Eccentric Resistance Training Paradigm to Combat Sarcopenia and Age-Related Muscle and Physical Function Deficits in Older Adults

Harper

Thompson

2021

Front. Physiol.

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The ability of older adults to perform activities of daily living is often limited by the ability to generate high mechanical outputs. Therefore, assessing and developing maximal neuromuscular capacity is essential for determining age-related risk for functional decline as well as the effectiveness of therapeutic interventions. Interventions designed to enhance neuromuscular capacities underpinning maximal mechanical outputs could positively impact functional performance in daily life. Unfortunately, < 10% of older adults meet the current resistance training guidelines. It has recently been proposed that a more “minimal dose” RT model may help engage a greater proportion of older adults, so that they may realize the benefits of RT. Eccentric exercise offers some promising qualities for such an approach due to its efficiency in overloading contractions that can induce substantial neuromuscular adaptations. When used in a minimal dose RT paradigm, eccentric-based RT may be a particularly promising approach for older adults that can efficiently improve muscle mass, strength, and functional performance. One approach that may lead to improved neuromuscular function capacities and overall health is through heightened exercise tolerance which would favor greater exercise participation in older adult populations. Therefore, our perspective article will discuss the implications of using a minimal dose, submaximal (i.e., low intensity) multi-joint eccentric resistance training paradigm as a potentially effective, and yet currently underutilized, means to efficiently improve neuromuscular capacities and function for older adults.

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“…Progressive resistance-based strengthening exercises consisted of concentric knee extension and flexion exercises and hip abduction and adduction exercises that were performed on air resistance machines (HUR® machines, HUR Led, Kokkola, Finland) at 30% of the 1-repetition maximum (1RM) for 3 sets of 15 repetitions in a 30-min session. The 1RM was reassessed every week, and the training prescription was advanced to a new resistance level until the patients performed at 60% of the 1RM for 3 sets of 10 repetitions (11). Gait training was performed using a lower-body positive-pressure (LBPP) treadmill (AlterG® M320 Anti-Gravity Treadmill®, Alter G, Inc., Fremont, CA, USA).…”

Section: Rehabilitation Protocolmentioning

confidence: 99%

Preoperative physical factors that predict stair-climbing ability at one month after total knee arthroplasty

Lee¹,

Kim²,

Kim³

et al. 2020

J Rehabil Med

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The aim of this study was to find out which physical performance factors in patients before a knee replacement operation (total knee arthroscopy) can be used to predict what the patient's stair-climbing ability might be at one month after the operation. Patients having a primary total knee arthroplasty in one knee were enrolled in a prospective cohort study (a study that follows a group of similar patients over time, who differ in terms of a number of factors). The results show that scores on the following tests before the operation were the best independent predictors of the time taken to climb the stairs after the operation. These were: Timed Up-and-Go test scores and extensor torque of the operated knee. The time taken to descend the stairs after the operation were strongly predicted by the time taken to descend stairs before the operation and the patient's age. These findings will be useful in developing pre-and post-operative rehabilitation strategies for improving stair-climbing ability in the early stages after total knee arthroplasty. Objective: To identify preoperative physical performance factors that predict stair-climbing ability at one month after total knee arthroplasty. Design: Prospective cohort study. Setting: University-based rehabilitation centre. Subjects: Eighty-four patients who underwent a primary unilateral total knee arthroplasty. Methods: Before and one month post-operation, the patients completed physical performance tests, including a stair-climbing test, a 6-minute walk test, a Timed Up-and-Go test, tests of the isometric flexor and extensor strength of the operated and nonoperated knees, and instrumental gait analysis. Disease-specific physical function was measured by the Western Ontario McMaster Universities Osteoarthritis Index. Results: Correlation analysis showed that postoperative stair-climbing test scores were significantly correlated with preoperative physical performance and function. Linear regression analysis showed that postoperative stair-ascent scores were correlated with preoperative Timed Up-and-Go test scores and peak torque of the extensor of the operated knee. Postoperative stair-descent scores were positively correlated with preoperative stair-descent scores and age. Conclusion: The results show that preoperative balance ability and quadriceps strength in the operated knee could influence postoperative stair-climbing ability at one month after total knee arthroplasty. These findings will be useful for developing pre-and post-operative rehabilitation strategies for improving stair-climbing ability in the early stages after total knee arthroplasty.

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Effects of Early Combined Eccentric-Concentric Versus Concentric Resistance Training Following Total Knee Arthroplasty

Cited by 10 publications

References 37 publications

Gender-Specific Effects of 8-Week Multi-Modal Strength and Flexibility Training on Hamstring Flexibility and Strength

Gender-Specific Effects of 8-Week Multi-Modal Strength and Flexibility Training on Hamstring Flexibility and Strength

Potential Benefits of a Minimal Dose Eccentric Resistance Training Paradigm to Combat Sarcopenia and Age-Related Muscle and Physical Function Deficits in Older Adults

Preoperative physical factors that predict stair-climbing ability at one month after total knee arthroplasty

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