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Preoperative high-intensity strength training improves postural control after TKA: randomized-controlled trial
- Source :
- Casaña, J, Calatayud, J, Ezzatvar, Y, Vinstrup, J, Benítez, J & Andersen, L L 2019, ' Preoperative high-intensity strength training improves postural control after TKA : randomized-controlled trial ', Knee Surgery, Sports Traumatology, Arthroscopy, vol. 27, no. 4, pp. 1057-1066 . https://doi.org/10.1007/s00167-018-5246-2
- Publication Year :
- 2018
-
Abstract
- PURPOSE: This study investigates the effectiveness of preoperative high-intensity strength training (with a special emphasis on lower limb muscle strength and secondarily on balance training) on postural control after TKA.METHODS: Forty-four subjects (7 men, 37 women, and mean age 66.7 ± 3.9 years) scheduled for unilateral TKA for osteoarthritis (OA) participated in this randomized-controlled trial. Each patient performed two postural control tests: Romberg test with eyes open and closed. These tests were assessed at 8 weeks before surgery (T1), after 8 weeks of training (T2), 1 month after TKA (T3), and finally 3 months after TKA (T4). The intervention group completed an 8-week training program 3 days per week prior to surgery, while the control group received no intervention.RESULTS: The Center of Pressure area (COP) was lower (i.e., better score) for the intervention group at T2, T3, and T4. The anteroposterior range of COP with eyes open was lower in the intervention group at T2, T3, and T4 and with eyes closed at T2. The medial-lateral standard deviation of COP with eyes open was lower in the intervention group at T2 and T4 and with eyes closed at T2 and T3. The anteroposterior standard deviation of COP with eyes open did not change, while that with eyes closed the intervention group showed lower score at T2.CONCLUSION: Preoperative high-intensity strength training is effective for improving postural control before and early after TKA. Recommendations should include preoperative strength training, and not only balance training, to speed-up recovery of postural control after TKA.LEVEL OF EVIDENCE: 1.
- Subjects :
- Male
medicine.medical_specialty
Postural Balance/physiology
Knee Joint
Strength training
Osteoarthritis
Preoperative Care/methods
Resistance Training/methods
Postural control
law.invention
03 medical and health sciences
Knee Joint/physiopathology
0302 clinical medicine
Lower limb muscle
Randomized controlled trial
law
Preoperative Care
Medicine
Humans
Orthopedics and Sports Medicine
Arthroplasty, Replacement, Knee
Postural Balance
Balance (ability)
Aged
030222 orthopedics
business.industry
Osteoarthritis, Knee/physiopathology
High intensity
Resistance Training
030229 sport sciences
Middle Aged
Osteoarthritis, Knee
medicine.disease
Treatment Outcome
Orthopedic surgery
Physical therapy
Surgery
Female
business
Arthroplasty, Replacement, Knee/methods
Follow-Up Studies
Subjects
Details
- ISSN :
- 14337347
- Volume :
- 27
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
- Accession number :
- edsair.doi.dedup.....a4e87ea4fcbbba9743af76b68c310e9d