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The Capital Region of Denmark - a part of Copenhagen University Hospital
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The efficacy of early initiated, supervised, progressive resistance training compared to unsupervised, home-based exercise after unicompartmental knee arthroplasty: a single-blinded randomized controlled trial

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OBJECTIVE: To examine if supervised progressive resistance training was superior to home-based exercise in rehabilitation after unicompartmental knee arthroplasty.

DESIGN: Single blinded, randomized clinical trial.

SETTING: Surgery, progressive resistance training and testing was carried out at Aarhus University Hospital and home-based exercise was carried out in the home of the patient.

SUBJECTS: Fifty five patients were randomized to either progressive resistance training or home-based exercise.

INTERVENTION: Patients were randomized to either progressive resistance training (home based exercise five days/week and progressive resistance training two days/week) or control group (home based exercise seven days/week).

MAIN MEASURES: Preoperative assessment, 10-week (primary endpoint) and one-year follow-up were performed for leg extension power, spatiotemporal gait parameters and knee injury and osteoarthritis outcome score (KOOS).

RESULTS: Forty patients (73%) completed 1-year follow-up. Patients in the progressive resistance training group participated in average 11 of 16 training sessions. Leg extension power increased from baseline to 10-week follow-up in progressive resistance training group (progressive resistance training: 0.28 W/kg, P= 0.01, control group: 0.01 W/kg, P=0.93) with no between-group difference. Walking speed and KOOS scores increased from baseline to 10-week follow-up in both groups with no between-group difference (six minutes walk test P=0.63, KOOS P>0.29).

CONCLUSIONS: Progressive resistance training two days/week combined with home based exercise five days/week was not superior to home based exercise seven days/week in improving leg extension power of the operated leg.

Original languageEnglish
JournalClinical Rehabilitation
Volume31
Issue number1
Pages (from-to)61-70
Number of pages10
ISSN0269-2155
DOIs
Publication statusPublished - Jan 2017

    Research areas

  • Aged, Arthroplasty, Replacement, Knee, Early Ambulation, Female, Home Care Services, Humans, Male, Middle Aged, Osteoarthritis, Knee, Resistance Training, Single-Blind Method, Treatment Outcome, Journal Article, Randomized Controlled Trial

ID: 52792074