A Balance Exercise Program Appears to Improve Function for Patients With Total Knee Arthroplasty: A Randomized Clinical Trial

Abstract

There is a need for conducting a larger randomized controlled trial to test the effectiveness of an FT+B program after TKA.

Body Mass Index and Functional Mobility Outcome Following Early Rehabilitation After a Total Knee Replacement: A Retrospective Study in Taiwan

“…Because being overweight or obese is a risk factor for poor postural stability (56)(57)(58), and because changes in body weight influence balance control (59,60), it is reasonable to expect that overweight and obese patients perform more poorly in the FRT and SLS test compared with patients with a normal BMI, because such tasks are highly dependent on postural stability and balance control. Previous studies have shown that the performance of postural stabilitydependent mobility tasks improves after balance-based post-TKR rehabilitation (24,38), which is consistent with the significant improvements in the FRT and SLS test results for all of the BMI groups at the 2-month and 6-month post-TKR followup assessments in the current study.…”

“…Previous studies have also shown that exercise interventions can reduce physical disability in overweight or obese patients with knee OA (53-55), indicating that rehabilitation can reduce the limiting effects of high BMI on mobility in overweight or obese patients with OA. Studies of TKR have shown postoperative rehabilitation promotes the recovery of functional mobility in overweight and obese patients (38,49). In the current study, the outcome measures for all of the patients, including those with a high BMI, were improved by an active postoperative rehabilitation program.…”

“…Performance-based tasks, such as the FRT, SLS test, TUG test, CRT, TMWT, and SCT, are used as measures to evaluate balance and mobility outcomes following post-TKR rehabilitation (18,20,21,24,38,(49)(50)(51). However, the impact of a high BMI on such clinical outcomes has not been clarified completely.…”

“…The balance training program has been described elsewhere (36,37). Following the completion of outpatient rehabilitation, a previously described home-based exercise program was initiated (38).…”

Unipedal Balance Is Affected by Lower Extremity Joint Arthroplasty Procedure 1 Year Following Surgery

“…Recent research has studied how exercise programs including functional training and balance can improve single leg stance. Piva et al examined whether a functional training program alone (FT group) or with a balance exercise program (FT + B group) could improve single leg stance performance in TKA patients at least 2 months out from surgery [46]. The FT group had mean preoperative SLS times of 11.7 ± 11.9 s and 11.0 ± 10.8 s on the surgical and non-surgical sides, respectively, while the FT + B group exhibited times of 16.4 ± 10.9 s and 11.0 ± 10.0 s on the surgical and non-surgical sides, respectively.…”