Effects of Muscle Strengthening around the Hip on Pain, Physical Function, and Gait in Elderly Patients with Total Knee Arthroplasty: A Randomized Controlled Trial

Healthcare
KwangSun Do, JongEun Yim

Abstract

Background: Functional limitations may still remain even after a patient completes a traditional quadriceps-based rehabilitative program after total knee arthroplasty. Based on studies reporting that patients with knee osteoarthritis have muscle weakness around the hip joint after total knee arthroplasty, we investigated whether strengthening the hip muscles can reduce pain and improve the physical function and gait of patients who underwent total knee arthroplasty. Methods: Patients were randomly divided into three groups: hip, quadriceps, and control. The hip group (n = 19) completed an extensor, adductor, and external muscle strengthening exercise program. The quadriceps group (n = 20) completed a quadriceps strengthening exercise program. The control group (n = 16) completed an active range of motion exercises. Therapy was conducted thrice weekly for 12 weeks. Pain and function items from the Western Ontario and McMaster Universities Osteoarthritis Index, Alternate Step Test, Five Times Sit to Stand Test, and Single Leg Stance Test were performed to assess pain and physical function. In the gait analysis, stride, single-stance (%), double-stance (%), and gait speed were measured. Data were collected at baseline and at 4, 8,...Continue Reading

References

Feb 1, 1991·Journal of the American Geriatrics Society·D Podsiadlo, S Richardson
Jul 1, 1984·Physical Therapy·R W BohannonJ Singer
Jan 1, 1980·Archives of Orthopaedic and Trauma Surgery·E Y ChaoR N Stauffer
Jan 23, 1999·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·T H LeeH Moriya
May 12, 2001·Clinical Orthopaedics and Related Research·H YamadaT Saito
May 15, 2002·Disability and Rehabilitation·K S Al-Zahrani, A M O Bakheit
Jul 2, 2003·Seminars in Arthritis and Rheumatism·Mao-Hsiung HuangChia-Ling Lee
Feb 12, 2004·Arthritis and Rheumatism·Jolanda CibereJacek Kopec
Aug 20, 2005·The Journal of Orthopaedic and Sports Physical Therapy·Ryan L MiznerLynn Snyder-Mackler
Oct 29, 2005·Arthritis and Rheumatism·Alison ChangLeena Sharma
Feb 1, 2006·The Journal of Arthroplasty·Mark D RossiWilliam Bryan
May 29, 2007·The Knee·Jodie A McClellandJulian A Feller
Aug 7, 2007·Journal of Biomechanics·Annegret MündermannThomas P Andriacchi
Nov 8, 2007·Physical Therapy·Deborah M KennedyJeffrey D Gollish
Sep 2, 2008·Arthritis and Rheumatism·Joshua N FarrEllen Cussler
Jun 5, 2010·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Anne TiedemannCatherine Sherrington
Aug 13, 2010·Arthritis Care & Research·Rana S HinmanKim L Bennell
Aug 17, 2010·The Journal of Orthopaedic and Sports Physical Therapy·Michael J BadeJennifer E Stevens-Lapsley
Aug 25, 2010·Journal of Strength and Conditioning Research·Gretchen D OliverJeffery A Bonacci
Oct 19, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Pazit LevingerNeil Bergman
Nov 15, 2011·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Jinger S GottschallRiley C Sheehan
Jan 18, 2012·Exercise and Sport Sciences Reviews·Abbey C Thomas, Jennifer E Stevens-Lapsley
Jun 22, 2013·Regional Anesthesia and Pain Medicine·Stephen ChoiColin J McCartney
Sep 17, 2013·The Knee·Margaret B SchacheKate E Webster

❮ Previous
Next ❯

Software Mentioned

OptoGait
SPSS Statistics
Graphpad

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.