The efficacy of early initiated, supervised, progressive resistance training compared to unsupervised, home-based exercise after unicompartmental knee arthroplasty: a single-blinded randomized controlled trial
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The efficacy of early initiated, supervised, progressive resistance training compared to unsupervised, home-based exercise after unicompartmental knee arthroplasty : a single-blinded randomized controlled trial. / Jørgensen, Peter B; Bogh, Søren B; Kierkegaard, Signe; Sørensen, Henrik; Odgaard, Anders; Søballe, Kjeld; Mechlenburg, Inger.
In: Clinical Rehabilitation, Vol. 31, No. 1, 01.01.2017, p. 61-70.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The efficacy of early initiated, supervised, progressive resistance training compared to unsupervised, home-based exercise after unicompartmental knee arthroplasty
T2 - a single-blinded randomized controlled trial
AU - Jørgensen, Peter B
AU - Bogh, Søren B
AU - Kierkegaard, Signe
AU - Sørensen, Henrik
AU - Odgaard, Anders
AU - Søballe, Kjeld
AU - Mechlenburg, Inger
PY - 2017/1/1
Y1 - 2017/1/1
N2 - OBJECTIVE: To examine if supervised progressive resistance training was superior to home-based exercise in rehabilitation after unicompartmental knee arthroplasty.DESIGN: Single blinded, randomized clinical trial.SETTING: Surgery, progressive resistance training and testing was carried out at Aarhus University Hospital and home-based exercise was carried out in the home of the patient.SUBJECTS: Fifty five patients were randomized to either progressive resistance training or home-based exercise.INTERVENTION: Patients were randomized to either progressive resistance training (home based exercise five days/week and progressive resistance training two days/week) or control group (home based exercise seven days/week).MAIN MEASURES: Preoperative assessment, 10-week (primary endpoint) and one-year follow-up were performed for leg extension power, spatiotemporal gait parameters and knee injury and osteoarthritis outcome score (KOOS).RESULTS: Forty patients (73%) completed 1-year follow-up. Patients in the progressive resistance training group participated in average 11 of 16 training sessions. Leg extension power increased from baseline to 10-week follow-up in progressive resistance training group (progressive resistance training: 0.28 W/kg, P= 0.01, control group: 0.01 W/kg, P=0.93) with no between-group difference. Walking speed and KOOS scores increased from baseline to 10-week follow-up in both groups with no between-group difference (six minutes walk test P=0.63, KOOS P>0.29).CONCLUSIONS: Progressive resistance training two days/week combined with home based exercise five days/week was not superior to home based exercise seven days/week in improving leg extension power of the operated leg.
AB - OBJECTIVE: To examine if supervised progressive resistance training was superior to home-based exercise in rehabilitation after unicompartmental knee arthroplasty.DESIGN: Single blinded, randomized clinical trial.SETTING: Surgery, progressive resistance training and testing was carried out at Aarhus University Hospital and home-based exercise was carried out in the home of the patient.SUBJECTS: Fifty five patients were randomized to either progressive resistance training or home-based exercise.INTERVENTION: Patients were randomized to either progressive resistance training (home based exercise five days/week and progressive resistance training two days/week) or control group (home based exercise seven days/week).MAIN MEASURES: Preoperative assessment, 10-week (primary endpoint) and one-year follow-up were performed for leg extension power, spatiotemporal gait parameters and knee injury and osteoarthritis outcome score (KOOS).RESULTS: Forty patients (73%) completed 1-year follow-up. Patients in the progressive resistance training group participated in average 11 of 16 training sessions. Leg extension power increased from baseline to 10-week follow-up in progressive resistance training group (progressive resistance training: 0.28 W/kg, P= 0.01, control group: 0.01 W/kg, P=0.93) with no between-group difference. Walking speed and KOOS scores increased from baseline to 10-week follow-up in both groups with no between-group difference (six minutes walk test P=0.63, KOOS P>0.29).CONCLUSIONS: Progressive resistance training two days/week combined with home based exercise five days/week was not superior to home based exercise seven days/week in improving leg extension power of the operated leg.
KW - Aged
KW - Arthroplasty, Replacement, Knee
KW - Early Ambulation
KW - Female
KW - Home Care Services
KW - Humans
KW - Male
KW - Middle Aged
KW - Osteoarthritis, Knee
KW - Resistance Training
KW - Single-Blind Method
KW - Treatment Outcome
KW - Journal Article
KW - Randomized Controlled Trial
U2 - 10.1177/0269215516640035
DO - 10.1177/0269215516640035
M3 - Journal article
C2 - 27029938
VL - 31
SP - 61
EP - 70
JO - Clinical Rehabilitation
JF - Clinical Rehabilitation
SN - 0269-2155
IS - 1
ER -
ID: 184913983