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Exercise- and education-based prehabilitation before total knee arthroplasty: a pilot study.
Gränicher, Pascale; Mulder, Loes; Lenssen, Ton; Fucentese, Sandro F; Swanenburg, Jaap; De Bie, Rob; Scherr, Johannes.
Afiliación
  • Gränicher P; Department of Epidemiology, CAPHRI School for Public Health and Primary Care, Maastricht University, Peter Debyeplein 1, 6229 HA Maastricht, The Netherlands; University Center for Prevention and Sports Medicine, Balgrist University Hospital, University of Zurich, Forchstrasse 319, CH-8008 Zurich, Sw
  • Mulder L; Department of Epidemiology, CAPHRI School for Public Health and Primary Care, Maastricht University, Peter Debyeplein 1, 6229 HA Maastricht, The Netherlands; Maastricht University MUMC+, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
  • Lenssen T; Department of Epidemiology, CAPHRI School for Public Health and Primary Care, Maastricht University, Peter Debyeplein 1, 6229 HA Maastricht, The Netherlands; Maastricht University MUMC+, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
  • Fucentese SF; Department of Orthopedic Surgery, Balgrist University Hospital, University of Zurich, Forchstrasse 340, CH-8008 Zurich, Switzerland.
  • Swanenburg J; Integrative Spinal Research ISR, Department of Chiropractic Medicine, Balgrist University Hospital. Forchstrasse 340, 8008, Zurich, Switzerland; UZH Space Hub, Air Force Center - Überlandstrasse 271, 8600 Dübendorf, Switzerland; Institute of Anatomy, Faculty of Medicine, University of Zurich - Winte
  • De Bie R; Department of Epidemiology, CAPHRI School for Public Health and Primary Care, Maastricht University, Peter Debyeplein 1, 6229 HA Maastricht, The Netherlands.
  • Scherr J; University Center for Prevention and Sports Medicine, Balgrist University Hospital, University of Zurich, Forchstrasse 319, CH-8008 Zurich, Switzerland.
J Rehabil Med ; 56: jrm18326, 2024 Jan 08.
Article en En | MEDLINE | ID: mdl-38192160
ABSTRACT

OBJECTIVE:

To determine the feasibility and estimates of effects of a supervised exercise- and education-based prehabilitation programme aiming to improve knee functioning compared with usual care in patients awaiting total knee arthroplasty.

DESIGN:

A randomized controlled pilot study.

SUBJECTS:

Patients receiving primary, unilateral total knee arthroplasty.

METHODS:

Patients randomized to the intervention group participated in a personalized 4-8-week prehabilitation programme before surgery. Feasibility of the intervention and self-reported knee functioning, pain, physical performance and hospital stay were assessed at baseline, immediately preoperatively, 6 and 12 weeks after surgery.

RESULTS:

Twenty patients (mean age 72.7±5.95 years) were enrolled in this study. The personalized prehabilitation programme was found to be feasible and safe, with an exercise adherence of 90%. Significant medium interaction effects between groups and over time favouring prehabilitation were reported for the sport subscale of the Knee Osteoarthritis Outcome Score (F(3/54) = 2.895, p = 0.043, η² = 0.139) and Tegner Activity Scale (F(2.2/39.1) = 3.20, p = 0.048, η² = 0.151).

CONCLUSION:

The absence of adverse events and high adherence to the programme, coupled with beneficial changes shown in the intervention group, support the conduct of a full-scale trial investigating the effectiveness of prehabilitation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Rodilla / Ejercicio Preoperatorio Tipo de estudio: Clinical_trials Límite: Aged / Humans Idioma: En Revista: J Rehabil Med Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article Pais de publicación: Suecia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Rodilla / Ejercicio Preoperatorio Tipo de estudio: Clinical_trials Límite: Aged / Humans Idioma: En Revista: J Rehabil Med Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article Pais de publicación: Suecia