Resistance exercise training to improve post-operative rehabilitation in knee arthroplasty patients: A narrative review.
exercise
musculoskeletal
physiotherapy
rehabilitation
strength
Journal
European journal of sport science
ISSN: 1536-7290
Titre abrégé: Eur J Sport Sci
Pays: Germany
ID NLM: 101146739
Informations de publication
Date de publication:
Jul 2024
Jul 2024
Historique:
revised:
27
02
2024
received:
13
10
2023
accepted:
10
04
2024
medline:
3
7
2024
pubmed:
3
7
2024
entrez:
3
7
2024
Statut:
ppublish
Résumé
Knee osteoarthritis is associated with deficits in muscle strength, muscle mass, and physical functioning. These muscle-related deficits are acutely exacerbated following total knee arthroplasty (TKA) and persist long after surgery, despite the application of standardized rehabilitation programs that include physical/functional training. Resistance exercise training (RET) has been shown to be a highly effective strategy to improve muscle-related outcomes in healthy as well as clinical populations. However, the use of RET in traditional rehabilitation programs after TKA is limited. In this narrative review, we provide an updated view on whether adding RET to the standard rehabilitation (SR) in the recovery period (up to 1 year) after TKA leads to greater improvements in muscle-related outcomes when compared to SR alone. Overall, research findings clearly indicate that both muscle strength and muscle mass can be improved to a greater extent with RET-based rehabilitation compared to SR. Additionally, measures of physical functioning that rely on quadriceps strength and balance (e.g., stair climbing, chair standing, etc.) also appear to benefit more from a RET-based program compared to SR, especially in patients with low levels of physical functioning. Importantly though, for RET to be optimally effective, it should be performed at 70%-80% of the one-repetition maximum, with 3-4 sets per exercise, with a minimum of 3 times per week for 8 weeks. Based upon this narrative review, we recommend that such high-intensity progressive RET should be incorporated into standard programs during rehabilitation after TKA.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
938-949Subventions
Organisme : ZonMw
ID : 457001001
Pays : Netherlands
Informations de copyright
© 2024 The Authors. European Journal of Sport Science published by Wiley‐VCH GmbH on behalf of European College of Sport Science.
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