Efficacy of a 12-month, monitored home exercise programme compared with normal care commencing 2 months after total knee arthroplasty: a randomized controlled trial
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
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Journal of Rehabilitation MedicineAuthors
Date
2014Discipline
FysioterapiaCopyright
© 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.
...


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