Article

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.

Langue : ANGLAIS