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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-04-2019 | KNEE

Preoperative high-intensity strength training improves postural control after TKA: randomized-controlled trial

Authors: José Casaña, Joaquín Calatayud, Yasmín Ezzatvar, Jonas Vinstrup, Josep Benítez, Lars L. Andersen

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 4/2019

Abstract

Purpose

This study investigates the effectiveness of preoperative high-intensity strength training (with a special emphasis on lower limb muscle strength and secondarily on balance training) on postural control after TKA.

Methods

Forty-four subjects (7 men, 37 women, and mean age 66.7 ± 3.9 years) scheduled for unilateral TKA for osteoarthritis (OA) participated in this randomized-controlled trial. Each patient performed two postural control tests: Romberg test with eyes open and closed. These tests were assessed at 8 weeks before surgery (T1), after 8 weeks of training (T2), 1 month after TKA (T3), and finally 3 months after TKA (T4). The intervention group completed an 8-week training program 3 days per week prior to surgery, while the control group received no intervention.

Results

The Center of Pressure area (COP) was lower (i.e., better score) for the intervention group at T2, T3, and T4. The anteroposterior range of COP with eyes open was lower in the intervention group at T2, T3, and T4 and with eyes closed at T2. The medial–lateral standard deviation of COP with eyes open was lower in the intervention group at T2 and T4 and with eyes closed at T2 and T3. The anteroposterior standard deviation of COP with eyes open did not change, while that with eyes closed the intervention group showed lower score at T2.

Conclusion

Preoperative high-intensity strength training is effective for improving postural control before and early after TKA. Recommendations should include preoperative strength training, and not only balance training, to speed-up recovery of postural control after TKA.

Level of evidence

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Title: Preoperative high-intensity strength training improves postural control after TKA: randomized-controlled trial
Authors: José Casaña
Joaquín Calatayud
Yasmín Ezzatvar
Jonas Vinstrup
Josep Benítez
Lars L. Andersen
Publication date: 01-04-2019
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 4/2019
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-018-5246-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Preoperative high-intensity strength training improves postural control after TKA: randomized-controlled trial

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

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