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Efficacy of a 12-month, monitored home exercise programme compared with normal care commencing 2 months after total knee arthroplasty: a randomized controlled trial

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Vuorenmaa, M., Ylinen, J., Piitulainen, K., Salo, P., Kautiainen, H., Pesola, M., & Häkkinen, A. (2014). Efficacy of a 12-month, monitored home exercise programme compared with normal care commencing 2 months after total knee arthroplasty: a randomized controlled trial. Journal of Rehabilitation Medicine, 46 (2), 166-172. doi:10.2340/16501977-1242
Published in
Journal of Rehabilitation Medicine
Authors
Vuorenmaa, Mirja |
Ylinen, Jari |
Piitulainen, Kirsi |
Salo, Petri |
Kautiainen, Hannu |
Pesola, Maija |
Häkkinen, Arja
Date
2014
Discipline
Fysioterapia
Copyright
© 2014 Foundation of Rehabilitation Information. Published in this repository with the kind permission of the publisher.

 
Objective: To evaluate the efficacy of a delayed home exercise programme compared with normal care after primary total knee arthroplasty. Design: Single-blind, prospective, randomized, controlled trial. Participants: A total of 108 participants (61% females, mean age 69 years [standard deviation 8.7]), were randomized to a home-based exercise group (EG, n=53) or to a control group (CG, n=55). Methods: Two months post-operatively, the EG received a home exercise programme, while the CG received no additional guidance. The outcome measurements were: pain and disability, measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC); healthrelated quality of life (HRQoL), measured using the Short Form-36 questionnaire (SF-36); maximal walking speed; isometric knee muscle strength; and the Timed Up and Go (TUG) test. Measurements were made at baseline and at 12 months thereafter. Results: At the 12-month follow-up, maximal walking speed (p<0.001) and knee flexion strength (p=0.009) were significantly greater in the EG. Both groups showed similar improvements in all of the WOMAC subscale scores, the SF-36 summary scores and the TUG time. Conclusion: Home-based training was not superior to normal care with regard to pain, disability or HRQoL, but resulted in greater improvement in objectively measured physical performance. ...
Publisher
Foundation of Rehabilitation Information
ISSN Search the Publication Forum
1650-1977
Keywords
polvet tekonivelet tekonivelleikkaus kuntoutus disability exercisem health-related quality of life home programme knee replacement osteoarthritis rehabilitation
DOI
10.2340/16501977-1242
URI

http://urn.fi/URN:NBN:fi:jyu-201602031432

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