Preoperative proprioceptive training in patients with total knee arthroplasty

Gstoettner, Michaela; Raschner, Christian; Dirnberger, Eva; Leimser, Hannes; Krismer, Martin

doi:10.1016/j.knee.2010.05.012

Cited by 85 publications

(105 citation statements)

References 24 publications

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“…12 The fact that our prehabilitation programme was personally tailored to address patients' specific needs could also explain its relative efficacy compared to programmes used in other studies. 9,10,15 As in previous studies reporting positive effects of prehabilitation interterventions, 12,13 the fact that our programme was delivered in supervised group education sessions may also have positively influenced outcomes. Group or class sessions will inherently add a social-support component, since participants interact with one another on multiple occasions.…”

Section: Discussionmentioning

confidence: 75%

“…The majority of published studies on the effects of a prehabilitation intervention used prehabilitation programmes of shorter duration, and these studies often show no or little effect of prehabilitation. 9,10,15,[31][32][33] Only one study in the literature incorporated a prehabilitation programme longer than the one presented here. Nuñ ez and colleagues (2006) used a 3-month prehabilitation programme for patients awaiting knee TJA; using the Western Ontario and McMaster Universities Arthritis Index (WOMAC) as the primary outcome measure, they found that participants in the prehabilitation programme showed a significant improvement in self-reported function compared to a control group receiving usual pharmacological care.…”

Section: Discussionmentioning

confidence: 97%

“…Des tests de t de Student et des tests Wilcoxon pour mesures apparié es ont é té utilisé s pour comparer les changements en termes de douleurs et d'incapacité s suivant le programme de pré -ré adaptation. Ré sultats : Au total, 28 individus (16 femmes, 12 hommes) avec un â ge moyen (é cart-type : ET) de 67 (10) ans et un IMC moyen de 33 (8) kg/m 2 en attente d'une arthroplastie (10 hanches, 18 genoux) ont participé au programme de pré -ré adaptation d'une duré e moyenne de 9 (6) semaines. Suivant l'intervention, des changements significatifs ont é té observé s en termes d'incapacité s fonctionnelles mesuré par l'É FMI (changement moyen de 7,6; IC 95%, 1,7-13,5; p ¼ 0,013), au test de marche à vitesse libre (changement moyen de 0,17 m/s; IC 95%: 0,07-0,26; p ¼ 0,001), au test TUG (changement moyen de 4,2 s; IC 95%, 2,0-6,4; p < 0,001) et au test chronomé tré des escaliers (changement moyen de 3,8 s [ET : 14,6]; p ¼ 0,005).…”

Section: Ré Suméunclassified

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Prehabilitation Improves Physical Function of Individuals with Severe Disability from Hip or Knee Osteoarthritis

Desmeules

Hall

Woodhouse

2013

Physiotherapy Canada

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Purpose: To evaluate the effects of prehabilitation (enhancing physical capacity before total hip or knee joint arthroplasty) on pain and physical function of adults with severe hip and knee osteoarthritis (OA). Methods: Consecutive patients (n ¼ 650) from 2006 to 2008 with hip or knee OA awaiting total joint arthroplasty (TJA) attended a hospital outpatient clinic for a prehabilitation assessment. All participants completed self-report (Lower Extremity Functional Scale [LEFS] and visual analogue scale for pain [VAS]) and functional performance measures (self-paced walk [SPW], timed stair, and timed up-and-go [TUG] tests). A subset of 28 participants with severe disability participated in a structured outpatient prehabilitation programme. Between-group differences were assessed via independent t-tests; paired Student's t-tests and Wilcoxon signed rank tests were used to compare changes in pain and function following the prehabilitation programme. Results: A total of 28 individuals (16 female) with mean age 67 (SD 10) years and BMI 33 (8) kg /m 2 awaiting TJA (10 hips, 18 knees) participated in a prehabilitation programme of 9 (6) weeks' duration. Relative to baseline, there was significant improvement in LEFS score (mean change 7.6; 95% CI, 1.7-13.5; p ¼ 0.013), SPW (mean change 0.17 m/s; 95% CI, 0.07-0.26; p ¼ 0.001), TUG (mean change 4.2 s; 95% CI, 2.0-6.4; p < 0.001), and stair test performance (mean change 3.8 s [SD 14.6]; p ¼ 0.005) following prehabilitation. Conclusion: This study presents preliminary evidence that prehabilitation improves physical function even in the most severely compromised patients with OA awaiting TJA.Key Words: arthroplasty; exercise; osteoarthritis; physical therapy specialty; rehabilitation. RÉ SUMÉ 116From the

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 97%

Section: Ré Suméunclassified

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Prehabilitation Improves Physical Function of Individuals with Severe Disability from Hip or Knee Osteoarthritis

Desmeules

Hall

Woodhouse

2013

Physiotherapy Canada

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“… Ejercicios para mejorar el balance muscular. Pueden recomendarse la realización de diferentes protocolos de ejercicios de mejora del balance muscular después de ATR y ATC, pero no se existe un protocolo específico que sea mejor que otro (110)(111)(112).  Terapia acuática.…”

Section: Movilización Precoz Rehabilitación Postquirúrgicaunclassified

Abordaje del dolor agudo en traumatología

Álvaro¹

2017

Rev. Soc. Esp. Dolor.

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Instrucciones de citación para el artículo / Citation instructions for the article:Oteo Álvaro Ángel. Abordaje del dolor agudo en traumatología / Acute pain management in orthopedics. Rev. Soc. Esp. Dolor. 2017. doi: 10.20986/resed.2017.3639/2017 Este es un archivo PDF de un manuscrito inédito que ha sido aceptado para su publicación en la Revista de la Sociedad Española del Dolor. Como un servicio a nuestros clientes estamos proporcionando esta primera versión del manuscrito en estado de prepublicación. El manuscrito será sometido a la corrección de estilo final, composición y revisión de la prueba resultante antes de que se publique en su forma final. Tenga en cuenta que durante el proceso de producción se pueden dar errores lo que podría afectar el contenido final. El copyright y todos los derechos legales que se aplican al artículo pertenecen a la Revista de la Sociedad Española de Dolor.

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“…The functional training consisted of warm-up, strengthening exercises, functional task-oriented exercises, endurance exercises, and cool-down (21). The balance training program has been described elsewhere (36,37). Following the completion of outpatient rehabilitation, a previously described home-based exercise program was initiated (38).…”

mentioning

confidence: 99%

Body Mass Index and Functional Mobility Outcome Following Early Rehabilitation After a Total Knee Replacement: A Retrospective Study in Taiwan

Liao

Huang

et al. 2015

Arthritis Care & Research

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ObjectiveObesity is associated with an increased risk of osteoarthritis, and the incidence of obese patients requiring a total knee replacement (TKR) has increased in recent years. A high body mass index (BMI) may influence post‐TKR rehabilitation outcomes. We investigated the effects of obesity on functional mobility outcomes following post‐TKR rehabilitation in Asian patients whose BMIs were not as high as those reported in similar studies performed in non‐Asian countries.MethodsA total of 113 patients were categorized as normal weight (n = 23), overweight (n = 32), class I obese (n = 31), or class II/III obese (n = 27). Patients were retrospectively followed up for 6 months after undergoing TKR followed by 2 months of active rehabilitation. Outcome measures were recorded at baseline and at the 2‐month and 6‐month followup assessments and included the Western Ontario and McMaster Universities Osteoarthritis Index and the following tests: functional reach, single‐leg stance, ten‐meter walk, timed up and go, chair rise, and stair climbing.ResultsA 4 × 3 (group × time) repeated‐measures analysis of variance showed significant improvement in all of the outcome measures for all of the BMI groups at the 2‐month and 6‐month followup assessments (P < 0.05 for all). No significant intergroup differences at the 2‐month and 6‐month followup assessments were observed for any of the mobility measures except the functional reach and single‐leg stance (P < 0.05).ConclusionPatients with class II/III obesity benefit from early post‐TKR outpatient rehabilitation and respond as well as patients with lower BMIs.

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Preoperative proprioceptive training in patients with total knee arthroplasty

Cited by 85 publications

References 24 publications

Prehabilitation Improves Physical Function of Individuals with Severe Disability from Hip or Knee Osteoarthritis

Prehabilitation Improves Physical Function of Individuals with Severe Disability from Hip or Knee Osteoarthritis

Abordaje del dolor agudo en traumatología

Body Mass Index and Functional Mobility Outcome Following Early Rehabilitation After a Total Knee Replacement: A Retrospective Study in Taiwan

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