The Effect of a Rehabilitation Program with Progressive Intensity on Dynamic Growth of Lower Extremity Strength in the Elderly with Osteoarthritis after Total Knee Arthroplasty

Document Type : Research Paper

Authors

1 . Assistant Professor, Department of Physical Education and Sports Sciences, Faculty of Humanities and Social Sciences, University of Kurdistan, Kurdistan, Iran

2 PhD Student, Department of Corrective Exercises and Sport Injury, Faculty of Physical Education, Kharazmi University, Tehran, Iran

Abstract

The aim of this research was to evaluate the effect of a rehabilitation program with progressive intensity on the dynamic growth of lower extremity strength in the elderly with osteoarthritis after total knee arthroplasty. For this purpose, 30 elderly subjects who the same physician operated on their knees with a technique similar to total knee arthroplasty were studied in two training groups (each group 15 subjects). The training regimen of one group was typical physical training for knee arthroplasty. But in the other group, the intensity of training increased periodically. ANOVA results showed a significant progress of lower extremity strength in both groups. But the results of strength test showed that the group with intensity performed 25% better than the other group (P=0.016). These results indicated that the dynamic growth of lower extremity strength may stop if gradual increase of training intensities is disregard in the elderly after knee arthroplasty.

Keywords

References

 
1. Aagaard, P.,Suetta, C.,Caserotti, P.,Magnusson, S.P.and Kjaer, M. (2010). "Roleof the nervous system in sarcopenia and muscle atrophy withaging: strength training as a countermeasure". Scand J Med Sci Sports., No.20,PP:49–64.
2. Callahan, C.M.,Drake, B.G.,Heck. D.A. et al. (1994). "Patientoutcomes following tricompartmental total kneereplacement". JAMA., Vol.271,No.17,PP: 1349-57.
3. Csuka, M.and McCarty, D.J. (1985). "Simple method for measurement of lowerextremity muscle strength". Am J Med., No.78,PP: 77– 81.
4. Evans, I.K., Fehnel, D.J., et al. "Partial and total knee arthroplasty home exercise program". Sports Medicine North Orthopaedic Surgery.Inc [Internet]. Available from: http://www.sportsmednorth.com/sites/sportsmednorth.com/files/TotalKneeExerciseProgram.pdf.
5. Faulkner, J.A.,Larkin, L.M.,Claflin, D.R. and Brooks, S.V. (2007). "Age-relatedchanges in the structure and function of skeletal muscles". Clin Exp Pharmacol Physiol., No.34,PP: 1091–6.
6. Hawker, G.,Wright, J.,Coyte, P. et al. (1998). "Health-relatedquality of life after knee replacement". J Bone Joint Surg Am., Vol.80,No.2, PP: 163-73.
7. He´bert, R. Syndrome d’immobilisation.( 1997) "In: Arcand M, He´bert R, editors". Pre´cis pratique de ge´riatrie. St-Hyacinthe/Paris: Edisem/ Maloine.
8. Liu, C.J.and Latham, N.K. (2009). "Progressive resistance strength training for improving physical function in older adults". Cochrane Database of Systematic Reviews.  Issue 3. Art. No.: CD002759. DOI:10.1002/14651858.CD002759.pub2.
9. Marilyn, L.T. (2011). "Total knee replacement". American Nurse Today [Internet]., Vol.6,No.3,PP:27-32. Available from:http://www.americannursetoday.com/assets/0/434/436/440/7364/7542/7544/7566/9eeaff40-7aca-4eb2-a776-30b4dd7ce0b0.pdf
10. Mayer, F.,Scharhag-Rosenberger, F.,Carlsohn, A., Cassel. M.,Müller, S.and Scharhag, J. (2011). "The Intensity and Effects of StrengthTraining in the Elderly". Deutsches Ärzteblatt International., Vol.108,No.21,PP: 359–64.
11. Minns Lowe, C.J,Barker, K.L.,Dewey, M. and Sackley, C.M. (2007). "Effectiveness of physiotherapy exercise after knee arthroplasty for osteoarthritis: systematic review and meta-analysis ofrandomised controlled trials". BMJ., PP; 335-812.
12. Moffet, H.,Collet, J.P.,Shapiro, S.H.,Paradis, G.,Marquis, F.and  Roy, L. (2004). "Effectiveness of intensive rehabilitation on functional ability and quality of life after first total knee arthroplasty: A single-blind randomized controlled trial". Arch Phys Med Rehabil., Vol.85,No.4.PP: 546-56.
13. Newcomer, K.L.,Krug, H.E.and Mahowald, M.L. (1993). "Alidity and reliability ofthe timed-stands test for patients with rheumatoid arthritis and otherchronic diseases". J Rheumatol., No.20,PP: 21–27.
14. Petrella, R.J.and Chudyk, A. (2008). (2008). "Exercise prescription in the older athleteas it applies to muscle, tendon, and arthroplasty". Clin J Sport Med., No.18,PP: 522–30.
15. Petterson ,S.C.,Mizner, R.L,Stevens, J.E. et al. (2009). "Improved  function from progressive strengthening interventions after total knee arthroplasty: A randomized clinical trial with an imbedded prospective cohort". Arthritis & Rheumatism (Arthritis Care & Research)., Vol.61.No.2,PP: 174-183.
                                                                                                                                                
Sport Sciences and Health Research
Volume 7, Issue 1 - Serial Number 1
بهار وتابستان 94
June 2015
Pages 69-84

Files

Share

How to cite

Statistics