Exercise- and education-based prehabilitation before total knee arthroplasty: a pilot study.

Autor:	Gränicher P; Department of Epidemiology, CAPHRI School for Public Health and Primary Care, Maastricht University, Peter Debyeplein 1, 6229 HA Maastricht, The Netherlands; University Center for Prevention and Sports Medicine, Balgrist University Hospital, University of Zurich, Forchstrasse 319, CH-8008 Zurich, Switzerland. pascale.graenicher@balgrist.ch., Mulder L; Department of Epidemiology, CAPHRI School for Public Health and Primary Care, Maastricht University, Peter Debyeplein 1, 6229 HA Maastricht, The Netherlands; Maastricht University MUMC+, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands., Lenssen T; Department of Epidemiology, CAPHRI School for Public Health and Primary Care, Maastricht University, Peter Debyeplein 1, 6229 HA Maastricht, The Netherlands; Maastricht University MUMC+, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands., Fucentese SF; Department of Orthopedic Surgery, Balgrist University Hospital, University of Zurich, Forchstrasse 340, CH-8008 Zurich, Switzerland., Swanenburg J; Integrative Spinal Research ISR, Department of Chiropractic Medicine, Balgrist University Hospital. Forchstrasse 340, 8008, Zurich, Switzerland; UZH Space Hub, Air Force Center - Überlandstrasse 271, 8600 Dübendorf, Switzerland; Institute of Anatomy, Faculty of Medicine, University of Zurich - Winterthurerstrasse 190, 8057 Zurich, Switzerland., De Bie R; Department of Epidemiology, CAPHRI School for Public Health and Primary Care, Maastricht University, Peter Debyeplein 1, 6229 HA Maastricht, The Netherlands., Scherr J; University Center for Prevention and Sports Medicine, Balgrist University Hospital, University of Zurich, Forchstrasse 319, CH-8008 Zurich, Switzerland.
Jazyk:	angličtina
Zdroj:	Journal of rehabilitation medicine [J Rehabil Med] 2024 Jan 08; Vol. 56, pp. jrm18326. Date of Electronic Publication: 2024 Jan 08.
DOI:	10.2340/jrm.v56.18326
Abstrakt:	Objective: To determine the feasibility and estimates of effects of a supervised exercise- and education-based prehabilitation programme aiming to improve knee functioning compared with usual care in patients awaiting total knee arthroplasty. Design: A randomized controlled pilot study. Subjects: Patients receiving primary, unilateral total knee arthroplasty. Methods: Patients randomized to the intervention group participated in a personalized 4-8-week prehabilitation programme before surgery. Feasibility of the intervention and self-reported knee functioning, pain, physical performance and hospital stay were assessed at baseline, immediately preoperatively, 6 and 12 weeks after surgery. Results: Twenty patients (mean age 72.7±5.95 years) were enrolled in this study. The personalized prehabilitation programme was found to be feasible and safe, with an exercise adherence of 90%. Significant medium interaction effects between groups and over time favouring prehabilitation were reported for the sport subscale of the Knee Osteoarthritis Outcome Score (F(3/54) = 2.895, p = 0.043, η² = 0.139) and Tegner Activity Scale (F(2.2/39.1) = 3.20, p = 0.048, η² = 0.151). Conclusion: The absence of adverse events and high adherence to the programme, coupled with beneficial changes shown in the intervention group, support the conduct of a full-scale trial investigating the effectiveness of prehabilitation.
Databáze:	MEDLINE
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