Comparison of the effectiveness of late-phase clinic-based and home-based progressive resistance training in female patients with total knee arthroplasty

• DOI: 10.1080/09593985.2023.2205925
• Publication Date: 2023-05-10T19:14:07Z
• Authors: Khaled Yahya Abdu...; Ummuhan Baş Aslan; Gökhan Bayrak; Raziye Şavkın; Nihal Büker; Harun Reşit Güngör
• Keywords: Program; Physical Therapy; Total Knee Arthroplasty; Rehabilitation; Replacement; home-based exercise; 610; Home-Based Exercise; Muscle Impairments; Total Hip; 3. Good health; clinic-based exercise; Clinic-Based Exercise; Quality-Of-Life; Physical Function; Progressive Resistance Training; Total knee arthroplasty; progressive resistance training; physical therapy; Functional Limitations; Strength; Exercise

Background Early rehabilitation after total knee arthroplasty (TKA) is crucial in functional outcomes. However, considering improvements the first six months, there may be benefits to continuing beyond three months postoperatively achieve maximum functionality and strength.Objective The aim was compare: (a) effectiveness of late-phase clinic-based home-based progressive resistance training (PRT) female patients with TKA; (b) crude cost both interventions explore feasibility.Methods Thirty-two were assigned PRT (n = 16) groups. A program performed at clinic or home for eight weeks. Pain, quadriceps hip abductor strength, patient-reported performance-based outcomes, range motion (ROM), joint awareness, quality life (QoL) assessed baseline (three postoperatively) 8-week intervention (five postoperatively). Feasibility examined.Results Exercise adherence 100% 90.6% group. Both improved muscle ROM, awareness without side effects (p < .05). Clinic-based showed better results in: activity pain .004, ES −0.888); flexion .002, 0.875) extension ROM −1.081); chair sit-to-stand test .013, 0.935); .008, 0.927); QoL than .05).Conclusion Late-phase clinical-based beneficial improving strength TKA. feasible, cost-effective, recommended