Effectiveness of structured exercise program on the functional outcomes in total knee replacement
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2016, Vol 2, Issue 3
Abstract
Background: Total knee replacement (TKR) surgery has become the most successful surgery for patients with severe debilitating arthritis. Numerous factors influence the outcomes in TKR Post-operative physiotherapy and rehabilitation greatly influences the outcome of TKR. Despite the high incidence of TKR in recent years there is no post-operative rehabilitation approach being incorporated correctly to address the muscular and functional deficits following surgery. Objective: The main objective of the study is to analyze the effectiveness of structured rehabilitation program on the functional outcome of patients following total knee replacement. Materials & Methods: All patients who were planned to undergo elective primary TKR were recruited. Subjects posted for revision TKR, rheumatoid arthritis posted for TKR, immediate post-operative complications like deep vein thrombosis, signs of infection, TKR for Post-fracture cases were excluded. Eighty subjects enrolled for the study were randomly allocated to control and experimental group using simple random sampling. The control group receives standard care and experimental group receive structured exercise program comprising range of motion, staged training of quadriceps, vastus medialis strengthening exercises, early balance training and functional retraining. Outcomes including pain severity, knee joint mobility, isometric muscle strength, six minute walk test and functional outcome using KOOS scale were measured post-surgery and after 3 months follow up. Results: In experimental group, follow up measures of pain severity (p-.0001), knee joint extension range (p-.0016), isometric strength of hamstrings (p-0008) shows statistically significant results than control group. Whereas, in experimental group, follow up measures of knee flexion range (p-< .0001), isometric strength of quadriceps (p-<.0001), six minute walk test (p-< .0001), functional outcome subscale of KOOS-symptoms and quality of life (< .0001) shows statistical highly significant results than control group. Conclusion: The structured exercise program was effective in improving the primary and secondary outcomes following primary total knee replacement.
Authors and Affiliations
P. Antony Leo Aseer Aseer, G. Arun Maiya, M. Mohan Kumar, P. V. Vijayaraghavan4
Keywords
Related Articles
- EP ID EP242510
- DOI -
- Views 132
- Downloads 0
The comparison of triceps reflecting anconeus pedicle and olecranon osteotomy approaches in the treatment of intercondylar fractures of the humerus
Introduction: Intercondylar fractures owing to complex anatomy of elbow joint and neurovascular structures in surrounding makes it difficult to treat. Operative techniques like open reduction and internal fixation helps...
Managing clubfoot with Ponseti method: Our experience with children upto 3 years of age
Introduction Ponseti method has become the mainstay of congenital clubfoot treatment in children presenting at early age The initial efficacy rate of Ponseti method reaches almost 100 The Ponseti method is also effective...
Profile of rare disabling musculoskeletal diseases in the North-Eastern Region of India: A hospital based study
Traditionally, research and development of treatments for rare diseases has been neglected in favour of more common diseases. Rare diseases are rare but rare disease patients may not be that rare in a populous country. I...
Complex proximal tibia fracture dislocations managed by Ilizaorov fixator- A case series with review of literature
Background: Bicondylartibial fractures are serious injuries and are difficult to manage even for the most experienced trauma surgeons. The soft tissue around proximal tibia demonstrates poor healing response following di...
Direct lateral approach to shaft of radius – a cadaver study
Introduction: Shaft of radius is traditionally approached by Henry’s volar approach and Thomson’s dorsal approach. Direct lateral approach is described by Muhammed Hanif et al in 2014. We wanted to evaluate the direct la...