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Published in: Journal of Orthopaedic Surgery and Research 1/2018

Open Access 01-12-2018 | Research article

The effect of intensive exercise program and kinesiotaping following total knee arthroplasty on functional recovery of patients

Authors: Birhan Oktas, Ozge Vergili

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2018

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Abstract

Background

Total knee arthroplasty (TKA) is a gold standard for terminal term gonarthrosis patients in order to diminish pain, correct deformities, and regain stability. Postoperative functional recovery of patients depends on the current postoperative rehabilitation program to an important extent. The purpose of our study is to compare midterm functional level of gonarthrosis patients who were included in physiotherapy rehabilitation program following TKA with people in similar ages without any surgical indication nor intervention. We have aimed also to compare functionality of people who had additional kinesiotaping (KT) treatment with people who had conservative treatment only after knee arthroplasty.

Methods

Functional level and knee functionality of people in study were evaluated at the end of postoperative first month by 6-min walk test and Lysholm knee score respectively.

Results

There was no statistical difference between groups with and without TKA in terms of height, weight, body mass index, Lysholm score, and 6-min walk test score (p > 0.05). In patient group with TKA, people with postoperative KT treatment had greater 6-min walk test score for postoperative first month (p = 0.005).

Conclusion

TKA is considered a gold standard procedure in order to increase the quality of life and improve functionality of terminal term gonarthrosis patients. It is necessary to immediately control pain and edema of knee and apply intensive rehabilitation program aimed at muscle strengthening around hip and knee in order to increase the success of operation.
Literature
1.
go back to reference Callahan CM, Drake BG, Heck DA, et al. Patient outcomes following tricompartmental total knee replacement. A meta-analysis. JAMA. 1994;271:1349–57.CrossRefPubMed Callahan CM, Drake BG, Heck DA, et al. Patient outcomes following tricompartmental total knee replacement. A meta-analysis. JAMA. 1994;271:1349–57.CrossRefPubMed
2.
go back to reference Jones CA, Beaupre LA, Johnston DW, et al. Total joint arthroplasties: current concepts of patient outcomes after surgery. Rheum Dis Clin N Am. 2007;33:71–86.CrossRef Jones CA, Beaupre LA, Johnston DW, et al. Total joint arthroplasties: current concepts of patient outcomes after surgery. Rheum Dis Clin N Am. 2007;33:71–86.CrossRef
3.
go back to reference Carr AJ, Robertsson O, Graves S, Price AJ, Arden NK, Judge A, Beard DJ. Knee replacement. Lancet. 2012;379:1331–40.CrossRefPubMed Carr AJ, Robertsson O, Graves S, Price AJ, Arden NK, Judge A, Beard DJ. Knee replacement. Lancet. 2012;379:1331–40.CrossRefPubMed
4.
go back to reference Van Herck P, Vanhaecht K, Deneckere S, et al. Key interventions and outcomes in joint arthroplasty clinical pathways: a systematic review. J Eval Clin Pract. 2010;16:39–49.CrossRefPubMed Van Herck P, Vanhaecht K, Deneckere S, et al. Key interventions and outcomes in joint arthroplasty clinical pathways: a systematic review. J Eval Clin Pract. 2010;16:39–49.CrossRefPubMed
5.
go back to reference Hopkins JT, Ingersoll CD. Arthrogenic muscle inhibition: a limiting factor in joint rehabilitation. J Sport Rehabil. 2000;9:135–59.CrossRef Hopkins JT, Ingersoll CD. Arthrogenic muscle inhibition: a limiting factor in joint rehabilitation. J Sport Rehabil. 2000;9:135–59.CrossRef
6.
go back to reference Stevens-Lapsley JE, Balter JE, Wolfe P, et al. Early neuromuscular electrical stimulation to improve quadriceps muscle strength after total knee arthroplasty: a randomized controlled trial. Phys Ther. 2012;92:210–26.CrossRefPubMed Stevens-Lapsley JE, Balter JE, Wolfe P, et al. Early neuromuscular electrical stimulation to improve quadriceps muscle strength after total knee arthroplasty: a randomized controlled trial. Phys Ther. 2012;92:210–26.CrossRefPubMed
7.
go back to reference Morita S, Kusaka T, Tanaka S, et al. The relationship between muscle weakness and activation of the cerebral cortex early after unicompartmental knee arthroplasty. J Phys Ther Sci. 2013;25:301–7.CrossRef Morita S, Kusaka T, Tanaka S, et al. The relationship between muscle weakness and activation of the cerebral cortex early after unicompartmental knee arthroplasty. J Phys Ther Sci. 2013;25:301–7.CrossRef
8.
go back to reference Mizner RL, Petterson SC, Stevens JE, et al. Early quadriceps strength loss after total knee arthroplasty. The contributions of muscle atrophy and failure of voluntary muscle activation. J Bone Joint Surg Am. 2005;87:1047–53.CrossRefPubMedPubMedCentral Mizner RL, Petterson SC, Stevens JE, et al. Early quadriceps strength loss after total knee arthroplasty. The contributions of muscle atrophy and failure of voluntary muscle activation. J Bone Joint Surg Am. 2005;87:1047–53.CrossRefPubMedPubMedCentral
9.
go back to reference Schenck RC Jr, Blaschak MJ, Lance ED, et al. A prospective outcome study of rehabilitation programs and anterior cruciate ligament reconstruction. Arthroscopy. 1997;13:285–90.CrossRefPubMed Schenck RC Jr, Blaschak MJ, Lance ED, et al. A prospective outcome study of rehabilitation programs and anterior cruciate ligament reconstruction. Arthroscopy. 1997;13:285–90.CrossRefPubMed
10.
go back to reference Wheatley WB, Krome J, Martin DF. Rehabilitation programmes following arthroscopic meniscectomy in athletes. Sports Med. 1996;21:447–56.CrossRefPubMed Wheatley WB, Krome J, Martin DF. Rehabilitation programmes following arthroscopic meniscectomy in athletes. Sports Med. 1996;21:447–56.CrossRefPubMed
11.
go back to reference Rajan RA, Pack Y, Jackson H, et al. No need for outpatient physiotherapy following total knee arthroplasty: a randomized trial of 120 patients. Acta Orthop Scand. 2004;75:71–3.CrossRefPubMed Rajan RA, Pack Y, Jackson H, et al. No need for outpatient physiotherapy following total knee arthroplasty: a randomized trial of 120 patients. Acta Orthop Scand. 2004;75:71–3.CrossRefPubMed
12.
go back to reference Korean Knee Society. Guidelines for the management of postoperative pain after total knee arthroplasty. Knee Surg Relat Res. 2012;24:201–7.CrossRefPubMedCentral Korean Knee Society. Guidelines for the management of postoperative pain after total knee arthroplasty. Knee Surg Relat Res. 2012;24:201–7.CrossRefPubMedCentral
13.
go back to reference Holm B, Kristensen MT, Bencke J, Husted H, Kehlet H, Bandholm T. Loss of knee extension strength is related to knee swelling after total knee arthroplasty. Arch Phys Med Rehabil. 2010;91:1170–776.CrossRef Holm B, Kristensen MT, Bencke J, Husted H, Kehlet H, Bandholm T. Loss of knee extension strength is related to knee swelling after total knee arthroplasty. Arch Phys Med Rehabil. 2010;91:1170–776.CrossRef
15.
go back to reference Donec V, Crisciunas A. The effectiveness of Kinesiotaping after total knee replacement in early postoperative rehabilitation period. A randomized controlled trial. Eur J Phys Rehabil Med. 2014;50:363–71.PubMed Donec V, Crisciunas A. The effectiveness of Kinesiotaping after total knee replacement in early postoperative rehabilitation period. A randomized controlled trial. Eur J Phys Rehabil Med. 2014;50:363–71.PubMed
16.
go back to reference Kase K, Wallis J, Kase T. Clinical therapeutic applications of the Kinesio taping method. 2nd ed. Tokyo: Ken Ikai Co Ltd; 2003. Kase K, Wallis J, Kase T. Clinical therapeutic applications of the Kinesio taping method. 2nd ed. Tokyo: Ken Ikai Co Ltd; 2003.
17.
go back to reference Thelen MD, Dauber JA, Stoneman PD. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded. Clinical Trial J Orthop Sports Phys Ther. 2008;38:389–95.CrossRefPubMed Thelen MD, Dauber JA, Stoneman PD. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded. Clinical Trial J Orthop Sports Phys Ther. 2008;38:389–95.CrossRefPubMed
19.
go back to reference Kennedy DM, Stratford PW, Riddle DL. Assessing recovery and establishing prognosis following total knee arthroplasty. Phys Ther. 2008;88:22–32.CrossRefPubMed Kennedy DM, Stratford PW, Riddle DL. Assessing recovery and establishing prognosis following total knee arthroplasty. Phys Ther. 2008;88:22–32.CrossRefPubMed
20.
go back to reference Bade MJ, Kohrt WM, Stevens-Lapsley JE. Outcomes before and after total knee arthroplasty compared to healthy adults. J Orthop Sports PhysTher. 2010;40:559–67.CrossRef Bade MJ, Kohrt WM, Stevens-Lapsley JE. Outcomes before and after total knee arthroplasty compared to healthy adults. J Orthop Sports PhysTher. 2010;40:559–67.CrossRef
21.
go back to reference Petterson SC, Mizner RL, Stevens JE. Improved function from progressive strengthening interventions after total knee arthroplasty: a randomized clinical trial with an imbedded prospective cohort. Arthritis Rheum. 2009;61:174–83.CrossRefPubMed Petterson SC, Mizner RL, Stevens JE. Improved function from progressive strengthening interventions after total knee arthroplasty: a randomized clinical trial with an imbedded prospective cohort. Arthritis Rheum. 2009;61:174–83.CrossRefPubMed
22.
go back to reference Jakobsen TL, Kehlet H, Bandholm T. Reliability of the 6-min walk test after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2013;21:2625–8.CrossRefPubMed Jakobsen TL, Kehlet H, Bandholm T. Reliability of the 6-min walk test after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2013;21:2625–8.CrossRefPubMed
23.
go back to reference Ünver B, Kahraman T, Kalkan S, Yüksel E, Karatosun V. Reliability of the six-minute walk test after total hip arthroplasty. Hip Int. 2013;23:541–5.CrossRefPubMed Ünver B, Kahraman T, Kalkan S, Yüksel E, Karatosun V. Reliability of the six-minute walk test after total hip arthroplasty. Hip Int. 2013;23:541–5.CrossRefPubMed
24.
go back to reference Çelik D, Coşkunsu D, Kılıçoğlu Ö. Translation and cultural adaptation of the Turkish Lysholm knee scale: ease of use, validity, and reliability. Clin Orthop Relat Res. 2013;471:2602–10.CrossRefPubMedPubMedCentral Çelik D, Coşkunsu D, Kılıçoğlu Ö. Translation and cultural adaptation of the Turkish Lysholm knee scale: ease of use, validity, and reliability. Clin Orthop Relat Res. 2013;471:2602–10.CrossRefPubMedPubMedCentral
25.
go back to reference Ries MD, Philbin EF, Groff GD. Improvement in cardiovascular fitness after total knee arthroplasty. J Bone Joint SurgAm. 1996;78A:1696–701.CrossRef Ries MD, Philbin EF, Groff GD. Improvement in cardiovascular fitness after total knee arthroplasty. J Bone Joint SurgAm. 1996;78A:1696–701.CrossRef
26.
go back to reference Hamel MB, Toth M, Legedza A, Rosen MP. Joint replacement surgery in elderly patients with severe osteoarthritis of the hip or knee: decision making, postoperative recovery and clinical outcomes. Arch Intern Med. 2008;168:1430–40.CrossRefPubMed Hamel MB, Toth M, Legedza A, Rosen MP. Joint replacement surgery in elderly patients with severe osteoarthritis of the hip or knee: decision making, postoperative recovery and clinical outcomes. Arch Intern Med. 2008;168:1430–40.CrossRefPubMed
27.
go back to reference Walsh M, Woodhouse LJ, Thomas SG, Finch E. Physical impairments and functional limitations: a comparison of individuals1year after total knee arthroplasty with control subjects. Phys Ther. 1998;78:248–58.CrossRefPubMed Walsh M, Woodhouse LJ, Thomas SG, Finch E. Physical impairments and functional limitations: a comparison of individuals1year after total knee arthroplasty with control subjects. Phys Ther. 1998;78:248–58.CrossRefPubMed
28.
go back to reference Pua YH, Seah FTJ, Clark RA, Poon CLL, Tan JWM, Chong HC. Factors associated with gait speed recovery after total knee arthroplasty: a longitudinal study. Semin Arthritis Rheum. 2017;46:544–51.CrossRefPubMed Pua YH, Seah FTJ, Clark RA, Poon CLL, Tan JWM, Chong HC. Factors associated with gait speed recovery after total knee arthroplasty: a longitudinal study. Semin Arthritis Rheum. 2017;46:544–51.CrossRefPubMed
29.
go back to reference Christensen C, Mizner RL, Foreman KB, Marcus R, Pelt CE, Lastayo PC. Quadriceps weakness preferentially predicts detrimental gait compensations among common impairments after total knee arthroplasty. J Orthop Res. 2018; https://doi.org/10.1002/jor.23894. Christensen C, Mizner RL, Foreman KB, Marcus R, Pelt CE, Lastayo PC. Quadriceps weakness preferentially predicts detrimental gait compensations among common impairments after total knee arthroplasty. J Orthop Res. 2018; https://​doi.​org/​10.​1002/​jor.​23894.
30.
go back to reference Schache MB, McClelland JA, Webster KE. Lower limb strength following total knee arthroplasty: a systematic review. Knee. 2014;21:12–20.CrossRefPubMed Schache MB, McClelland JA, Webster KE. Lower limb strength following total knee arthroplasty: a systematic review. Knee. 2014;21:12–20.CrossRefPubMed
31.
go back to reference Mizner RL, Petterson SC, Snyder-Mackler L. Quadriceps strength and the time course of functional recovery after total knee arthroplasty. J Orthop Sports Phys Ther. 2005;35:424–36.CrossRefPubMed Mizner RL, Petterson SC, Snyder-Mackler L. Quadriceps strength and the time course of functional recovery after total knee arthroplasty. J Orthop Sports Phys Ther. 2005;35:424–36.CrossRefPubMed
32.
go back to reference Rossi MD, Hasson S, Kohia M, Pineda E, Bryan W. Mobility and perceived function after total knee arthroplasty. J Arthroplast. 2006;21:6–12.CrossRef Rossi MD, Hasson S, Kohia M, Pineda E, Bryan W. Mobility and perceived function after total knee arthroplasty. J Arthroplast. 2006;21:6–12.CrossRef
33.
go back to reference Alnahdi AH, Zeni JA, Snyder-Mackler L. Hip abductor strength reliability and association with physical function after unilateral total knee arthroplasty: a cross-sectional study. Phys Ther. 2014;94:1154–62.CrossRefPubMedPubMedCentral Alnahdi AH, Zeni JA, Snyder-Mackler L. Hip abductor strength reliability and association with physical function after unilateral total knee arthroplasty: a cross-sectional study. Phys Ther. 2014;94:1154–62.CrossRefPubMedPubMedCentral
34.
go back to reference Piva SR, Teixeira PE, Almeida GJ, Gil AB, DiGioia IIIAM, Levison TJ. Contribution of hip abductor strength to physical function in patients with total knee arthroplasty. Phys Ther. 2011;91:225–33.CrossRefPubMedPubMedCentral Piva SR, Teixeira PE, Almeida GJ, Gil AB, DiGioia IIIAM, Levison TJ. Contribution of hip abductor strength to physical function in patients with total knee arthroplasty. Phys Ther. 2011;91:225–33.CrossRefPubMedPubMedCentral
35.
go back to reference Schache MB, McClelland JA, Webster KE. Does the addition of hip strengthening exercises improve outcomes following total knee arthroplasty? A study protocol for a randomized trial. BMC Musculoskelet Disord. 2016;17:259.CrossRefPubMedPubMedCentral Schache MB, McClelland JA, Webster KE. Does the addition of hip strengthening exercises improve outcomes following total knee arthroplasty? A study protocol for a randomized trial. BMC Musculoskelet Disord. 2016;17:259.CrossRefPubMedPubMedCentral
36.
go back to reference Nashi N, Hong CC, Krishna L. Residual knee pain and functional outcome following total knee arthroplasty in osteoarthritic patients. Knee Surg Sports Traumatol Arthrosc. 2015;23:1841–7.CrossRefPubMed Nashi N, Hong CC, Krishna L. Residual knee pain and functional outcome following total knee arthroplasty in osteoarthritic patients. Knee Surg Sports Traumatol Arthrosc. 2015;23:1841–7.CrossRefPubMed
37.
go back to reference Silva M, Shephard EF, Jackson WO, Pratt JA, Mcclung CD, Schmalaried TP. Knee strength after total knee arthroplasty. J Arthroplast. 2003;18:605–11.CrossRef Silva M, Shephard EF, Jackson WO, Pratt JA, Mcclung CD, Schmalaried TP. Knee strength after total knee arthroplasty. J Arthroplast. 2003;18:605–11.CrossRef
38.
go back to reference Rudolph KS, Schmitt LC, Lewek MD. Age-related changes in strength, joint laxity, and walking patterns: are they related to knee osteoarthritis? Phys Ther. 2007;87:1422–32.CrossRefPubMedPubMedCentral Rudolph KS, Schmitt LC, Lewek MD. Age-related changes in strength, joint laxity, and walking patterns: are they related to knee osteoarthritis? Phys Ther. 2007;87:1422–32.CrossRefPubMedPubMedCentral
39.
go back to reference Schmitt LC, Rudolph KS. Muscle stabilization strategies in people with medial knee osteoarthritis: the effect of instability. J Orthop Res. 2008;26:1180–5.CrossRefPubMedPubMedCentral Schmitt LC, Rudolph KS. Muscle stabilization strategies in people with medial knee osteoarthritis: the effect of instability. J Orthop Res. 2008;26:1180–5.CrossRefPubMedPubMedCentral
40.
go back to reference Thomas AC, Judd DL, Davidson BS, Eckhoff DG, Stevens-Lapsey JE. Quadriceps/hamstrings co-activation increases early after total knee arthroplasty. Knee. 2014;21:1115–9.CrossRefPubMedPubMedCentral Thomas AC, Judd DL, Davidson BS, Eckhoff DG, Stevens-Lapsey JE. Quadriceps/hamstrings co-activation increases early after total knee arthroplasty. Knee. 2014;21:1115–9.CrossRefPubMedPubMedCentral
41.
go back to reference Furu M, Ito H, Nishikawa TS, Nankaku M, Kuriyama S, Ishikawa M, Nakamura S, Azukizawa M, Hamamoto Y, Matsuda S. Quadriceps strength affects patient satisfaction after total knee arthroplasty. J Orthop Sci. 2016;21:38–43.CrossRefPubMed Furu M, Ito H, Nishikawa TS, Nankaku M, Kuriyama S, Ishikawa M, Nakamura S, Azukizawa M, Hamamoto Y, Matsuda S. Quadriceps strength affects patient satisfaction after total knee arthroplasty. J Orthop Sci. 2016;21:38–43.CrossRefPubMed
42.
go back to reference Stevens-Lapsley JE, Balter JE, Kohrt WM, Eckhoff DG. Quadriceps and hamstrings muscle dysfunction after total knee arthroplasty. Clin Orthop Relat Res. 2010;468:2460–8.CrossRefPubMedPubMedCentral Stevens-Lapsley JE, Balter JE, Kohrt WM, Eckhoff DG. Quadriceps and hamstrings muscle dysfunction after total knee arthroplasty. Clin Orthop Relat Res. 2010;468:2460–8.CrossRefPubMedPubMedCentral
44.
go back to reference Bade MJ, Kohrt WM, Stevens-Lapsey JE. Outcomes before and after total knee arthroplasty compared to healthy adults. J Orthop Sports Phys Ther. 2010;40:559–67.CrossRefPubMedPubMedCentral Bade MJ, Kohrt WM, Stevens-Lapsey JE. Outcomes before and after total knee arthroplasty compared to healthy adults. J Orthop Sports Phys Ther. 2010;40:559–67.CrossRefPubMedPubMedCentral
45.
go back to reference Merk J, Winkler C, Best R. Joint function and strength in patients before and after knee replacement surgery. DEUTSCHE ZEITSCHRIFT FUR SPORTMEDIZIN. 2008;59:136–40. Merk J, Winkler C, Best R. Joint function and strength in patients before and after knee replacement surgery. DEUTSCHE ZEITSCHRIFT FUR SPORTMEDIZIN. 2008;59:136–40.
46.
go back to reference Bade MJ, Stevens-Lapsley JE. Restoration of physical function in patients following total knee arthroplasty: an update on rehabilitation practices. Curr Opin Rheumatol. 2012;24:208–14.CrossRefPubMed Bade MJ, Stevens-Lapsley JE. Restoration of physical function in patients following total knee arthroplasty: an update on rehabilitation practices. Curr Opin Rheumatol. 2012;24:208–14.CrossRefPubMed
47.
go back to reference Bade MJ, Stevens-Lapsley JE. Early high-intensity rehabilitation following total knee arthroplasty improves outcomes. J Orthop Sports Phys Ther. 2011;41:932–41.CrossRefPubMed Bade MJ, Stevens-Lapsley JE. Early high-intensity rehabilitation following total knee arthroplasty improves outcomes. J Orthop Sports Phys Ther. 2011;41:932–41.CrossRefPubMed
48.
go back to reference Curry AL, Goehring MT, Bell J, Jette DU. Effect of physical therapy interventions in the acute care setting on function, activity and participation after total knee arthroplasty: a systematic review. JACPT. 2018;9(3):93–106. Curry AL, Goehring MT, Bell J, Jette DU. Effect of physical therapy interventions in the acute care setting on function, activity and participation after total knee arthroplasty: a systematic review. JACPT. 2018;9(3):93–106.
50.
go back to reference Donec V, Kriščiunas A. The effectiveness of Kinesio Taping after total knee replacement in early postoperative rehabilitation period. A randomized controlled trial. Eur J Phys Rehabil Med. 2014;50:363–71.PubMed Donec V, Kriščiunas A. The effectiveness of Kinesio Taping after total knee replacement in early postoperative rehabilitation period. A randomized controlled trial. Eur J Phys Rehabil Med. 2014;50:363–71.PubMed
52.
go back to reference Resende RFR, Roriz P. The effects of Kinesio Taping® in lower limb musculoskeletal disorders: a systematic review. Int J Ther Rehab Res. 2017;6:1–13. Resende RFR, Roriz P. The effects of Kinesio Taping® in lower limb musculoskeletal disorders: a systematic review. Int J Ther Rehab Res. 2017;6:1–13.
Metadata
Title
The effect of intensive exercise program and kinesiotaping following total knee arthroplasty on functional recovery of patients
Authors
Birhan Oktas
Ozge Vergili
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2018
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-018-0924-9

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