Progressive strength training (10 RM) commenced immediately after fast-track total knee arthroplasty: is it feasible?
Research output: Contribution to journal › Journal article › Research › peer-review
Purpose: To explore the feasibility of progressive strength training commenced immediately after total knee arthroplasty (TKA). Methods: A pilot study was conducted at an outpatient training facility. Fourteen patients with unilateral TKA were included from a fast-track orthopedic arthroplasty unit. They received rehabilitation including progressive strength training of the operated leg (leg press and knee-extension), using relative loads of 10 repetition maximum with three training sessions per week for 2 weeks. Rehabilitation was commenced 1 or 2 days after TKA. At each training session, knee pain, knee joint effusion and training load were recorded. Isometric knee-extension strength and maximal walking speed were measured before the first and last session. Results: The training load increased progressively (p <0.0001). Patients experienced only moderate knee pain during the strength training exercises, but knee pain at rest and knee joint effusion (p <0.0001) were unchanged or decreased over the six training sessions. Isometric knee-extension strength and maximal walking speed increased by 147 and 112%, respectively. Conclusion: Progressive strength training initiated immediately after TKA seems feasible, and increases knee-extension strength and functional performance without increasing knee joint effusion or knee pain. [Box: see text].
Original language | English |
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Journal | Disability and Rehabilitation |
Volume | 34 |
Issue number | 12 |
Pages (from-to) | 1034-40 |
ISSN | 0963-8288 |
DOIs | |
Publication status | Published - 2012 |
ID: 40169246