Effects of knee extension exercise starting within 4 h after total knee arthroplasty
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 w...
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| Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2022-07, Vol.32 (5), p.803-809 |
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| container_title | European journal of orthopaedic surgery & traumatology |
| container_volume | 32 |
| creator | Kubota, Masafumi Kokubo, Yasuo Miyazaki, Tsuyoshi Matsuo, Hideaki Naruse, Hiroaki Shouji, Kazuki Shimada, Seiichiro Matsumine, Akihiko |
| description | 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. |
| doi_str_mv | 10.1007/s00590-021-03042-9 |
| format | Article |
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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.</description><identifier>ISSN: 1432-1068</identifier><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-021-03042-9</identifier><identifier>PMID: 34142251</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Gait ; Knee ; Medicine ; Medicine & Public Health ; Original Article ; Range of motion ; Rehabilitation ; Surgery ; Surgical Orthopedics ; Traumatic Surgery</subject><ispartof>European journal of orthopaedic surgery & traumatology, 2022-07, Vol.32 (5), p.803-809</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-d631557da5b5f033b3d958c615a7301b436ff3a95fe865dbff041123f858f9eb3</citedby><cites>FETCH-LOGICAL-c441t-d631557da5b5f033b3d958c615a7301b436ff3a95fe865dbff041123f858f9eb3</cites><orcidid>0000-0003-4382-2437</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00590-021-03042-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00590-021-03042-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34142251$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kubota, Masafumi</creatorcontrib><creatorcontrib>Kokubo, Yasuo</creatorcontrib><creatorcontrib>Miyazaki, Tsuyoshi</creatorcontrib><creatorcontrib>Matsuo, Hideaki</creatorcontrib><creatorcontrib>Naruse, Hiroaki</creatorcontrib><creatorcontrib>Shouji, Kazuki</creatorcontrib><creatorcontrib>Shimada, Seiichiro</creatorcontrib><creatorcontrib>Matsumine, Akihiko</creatorcontrib><title>Effects of knee extension exercise starting within 4 h after total knee arthroplasty</title><title>European journal of orthopaedic surgery & traumatology</title><addtitle>Eur J Orthop Surg Traumatol</addtitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><description>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.</description><subject>Gait</subject><subject>Knee</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Range of motion</subject><subject>Rehabilitation</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Traumatic Surgery</subject><issn>1432-1068</issn><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kMlOwzAQhi0EomV5AQ4oEhcuAY-XLEdUlUWqxIWeLScZtylpUmxX0LfhWXgyDCmLOHDySP7-f0YfISdAL4DS9NJRKnMaUwYx5VSwON8hQxCcxUCTbPfXPCAHzi0oBZmD3CcDLkAwJmFIpmNjsPQu6kz02CJG-OKxdXXXhgltWTuMnNfW1-0seq79vG4j8fY6j7TxaCPfed30wcDMbbdqtPObI7JndOPwePsekun1-GF0G0_ub-5GV5O4FAJ8XCUcpEwrLQtpKOcFr3KZlQlInXIKheCJMVzn0mCWyKowhgoAxk0mM5NjwQ_Jed-7st3TGp1Xy9qV2DS6xW7tFJOCC5GwTAT07A-66Na2DdcplqQCOKQZDxTrqdJ2zlk0amXrpbYbBVR9SFe9dBWkq0_pKg-h0231ulhi9R35shwA3gMufLUztD-7_6l9ByKOjJo</recordid><startdate>20220701</startdate><enddate>20220701</enddate><creator>Kubota, Masafumi</creator><creator>Kokubo, Yasuo</creator><creator>Miyazaki, Tsuyoshi</creator><creator>Matsuo, Hideaki</creator><creator>Naruse, Hiroaki</creator><creator>Shouji, Kazuki</creator><creator>Shimada, Seiichiro</creator><creator>Matsumine, Akihiko</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4382-2437</orcidid></search><sort><creationdate>20220701</creationdate><title>Effects of knee extension exercise starting within 4 h after total knee arthroplasty</title><author>Kubota, Masafumi ; Kokubo, Yasuo ; Miyazaki, Tsuyoshi ; Matsuo, Hideaki ; Naruse, Hiroaki ; Shouji, Kazuki ; Shimada, Seiichiro ; Matsumine, Akihiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-d631557da5b5f033b3d958c615a7301b436ff3a95fe865dbff041123f858f9eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Gait</topic><topic>Knee</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Range of motion</topic><topic>Rehabilitation</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kubota, Masafumi</creatorcontrib><creatorcontrib>Kokubo, Yasuo</creatorcontrib><creatorcontrib>Miyazaki, Tsuyoshi</creatorcontrib><creatorcontrib>Matsuo, Hideaki</creatorcontrib><creatorcontrib>Naruse, Hiroaki</creatorcontrib><creatorcontrib>Shouji, Kazuki</creatorcontrib><creatorcontrib>Shimada, Seiichiro</creatorcontrib><creatorcontrib>Matsumine, Akihiko</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kubota, Masafumi</au><au>Kokubo, Yasuo</au><au>Miyazaki, Tsuyoshi</au><au>Matsuo, Hideaki</au><au>Naruse, Hiroaki</au><au>Shouji, Kazuki</au><au>Shimada, Seiichiro</au><au>Matsumine, Akihiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of knee extension exercise starting within 4 h after total knee arthroplasty</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><date>2022-07-01</date><risdate>2022</risdate><volume>32</volume><issue>5</issue><spage>803</spage><epage>809</epage><pages>803-809</pages><issn>1432-1068</issn><issn>1633-8065</issn><eissn>1432-1068</eissn><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.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>34142251</pmid><doi>10.1007/s00590-021-03042-9</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-4382-2437</orcidid></addata></record> |
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| ispartof | European journal of orthopaedic surgery & traumatology, 2022-07, Vol.32 (5), p.803-809 |
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| language | eng |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Gait Knee Medicine Medicine & Public Health Original Article Range of motion Rehabilitation Surgery Surgical Orthopedics Traumatic Surgery |
| title | Effects of knee extension exercise starting within 4 h after total knee arthroplasty |
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