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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2017 | Research article

Circuit training enhances function in patients undergoing total knee arthroplasty: a retrospective cohort study

Authors: Wei-Hsiu Hsu, Wei-Bin Hsu, Wun-Jer Shen, Zin-Rong Lin, Shr-Hsin Chang, Robert Wen-Wei Hsu

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2017

Abstract

Background

The number of patients receiving total knee arthroplasty (TKA) has been rising every year due to the aging population and the obesity epidemic. Post-operative rehabilitation is important for the outcome of TKA.

Methods

A series of 34 patients who underwent primary unilateral TKA was retrospectively collected and divided into either exercise group (n = 16) and control group (n = 18). The exercise group underwent a 24-week course of circuit training beginning 3 months after total knee arthroplasty (TKA). The effect of circuit training on TKA patients in terms of motion analysis, muscle strength testing, Knee injury and Osteoarthritis Outcomes Score (KOOS) questionnaire and patient-reported outcome measurement Short-Form Health Survey (SF-36) at the pre-operation, pre-exercise, mid-exercise, and post-exercise.

Results

Motion analysis revealed the stride length, step velocity, and excursion of active knee range of motion significantly improved in the exercise group when compared to those in the control group. KOOS questionnaire showed a greater improvement in pain, ADL, and total scores in the exercise group. The SF-36 questionnaire revealed a significant improvement in general health, bodily pain, social function, and physical components score in the exercise group.

Conclusions

The post-operative circuit training intervention can facilitate recovery of knee function and decrease the degree of pain in the TKA and might be considered a useful adjunct rehabilitative modality. The ultimate influence of circuit training on TKA needs further a prospective randomized clinical trial study and long-term investigation.

Trial registration

NCT02928562

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Title: Circuit training enhances function in patients undergoing total knee arthroplasty: a retrospective cohort study
Authors: Wei-Hsiu Hsu
Wei-Bin Hsu
Wun-Jer Shen
Zin-Rong Lin
Shr-Hsin Chang
Robert Wen-Wei Hsu
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2017
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-017-0654-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Circuit training enhances function in patients undergoing total knee arthroplasty: a retrospective cohort study

Abstract

Background

Methods

Results

Conclusions

Trial registration

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Trial registration

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