High-Velocity Quadriceps Exercises Compared to Slow-Velocity Quadriceps Exercises Following Total Knee Arthroplasty: A Randomized Clinical Study

Doerfler, Deborah; Gurney, Burke; Mermier, Christine M.; Rauh, Mitchell J.; Black, Liza; Andrews, Ron

doi:10.1519/jpt.0000000000000071

Cited by 10 publications

(6 citation statements)

References 68 publications

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“…Therefore, it is important to improve gait function within the first few weeks after surgery. Various intervention methods focusing on the quadriceps, such as neuromuscular electrical stimulation7 ) and high-velocity training12 ) , were examined, and improvement in gait function was recognized. These interventions are thought to be based on the premise that the relationship between gait function and quadriceps strength is strong.…”

Section: Introductionmentioning

confidence: 99%

Different improvement trends in gait function and quadriceps strength early after total knee arthroplasty

et al. 2019

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[Purpose] Improved quadriceps strength is a primary target of rehabilitation early after total knee arthroplasty. However, patients demonstrate varying improvement trends in gait function and quadriceps strength. This study evaluated the relationship between improvements in quadriceps strength and gait function. [Participants and Methods] The study included 49 patients who were scheduled to undergo unilateral total knee arthroplasty. Gait function, bilateral quadriceps strength, and pain were assessed in all patients. All assessments were performed preoperatively and at 2 and 3 weeks postoperatively. [Results] A significant correlation between gait function and the quadriceps strength on the operated side was observed preoperatively and 3 weeks postoperatively. The quadriceps strength on the non-operated side was significantly correlated with gait function at all time points. Multiple regression analysis showed that the quadriceps strength on the non-operated side was significantly associated with gait function, except the gait speed at 2 weeks. However, the quadriceps strength on the operated side was not observed to be an independent variable at all time points. [Conclusion] The quadriceps strength on the operated side is not an important determinant of gait function. It may be necessary to reconsider typical rehabilitation programs by focusing on the quadriceps strength on the operated side in patients undergoing total knee arthroplasty.

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Section: Introductionmentioning

confidence: 99%

Different improvement trends in gait function and quadriceps strength early after total knee arthroplasty

et al. 2019

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“…There were 64 (57%) studies that had mentioned exercise adherence within their study [ 18 , 19 , 22 – 24 , 27 , 29 , 31 , 33 , 34 , 36 – 38 , 42 – 47 , 50 , 53 , 54 , 58 , 59 , 63 , 65 – 69 , 73 , 74 , 78 , 79 , 82 – 84 , 86 , 90 – 93 , 96 – 100 , 102 – 104 , 107 – 109 , 111 , 112 , 114 , 117 , 118 , 121 , 123 , 126 , 127 , 129 , 131 ]. Of these studies only 41 (65%) reported sufficient information (e.g.…”

Section: Resultsmentioning

confidence: 99%

Reporting of post-operative rehabilitation interventions for Total knee arthroplasty: a scoping review

Bakaa

Chen

Carlesso

et al. 2021

BMC Musculoskelet Disord

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Objective The aim of this study was to evaluate the completeness of reporting of exercise adherence and exercise interventions delivered as part of clinical trials of post-operative total knee replacement (TKA) rehabilitation. Design: Scoping review Literature search A literature search was conducted in PubMed, EMBASE, AMED, CINAHL, SPORTDiscus and Cochrane Library. Study selection criteria All randomized controlled trials (RCT) that examined post-operative exercise-based interventions for total knee arthroplasty were eligible for inclusion. Studies that were multifactorial or contained exercise interventions for both hip and knee arthroplasty were also included. Data synthesis The definition, type of measurement used and outcome for exercise adherence were collected and analyzed descreptively. Quality of reporting of exercise interventions were assessed using the Consensus for Exercise Reporting Tool (CERT) and the Cochrane Risk of Bias Tool. Results There were a total of 112 RCTs included in this review. The majority of RCTs (63%, n = 71) did not report exercise adherence. Only 23% (n = 15) of studies provided a definition of adherence. RCTs were of poor quality, with 85% (n = 95) of studies having high or unclear risk of bias. Reporting of exercise interventions was poor, with only 4 items (of 19) (21%) of the CERT adequately reported (88–99%), with other items not fulfilled on at least 60% of the RCTs. There were no RCTs that had fulfilled all the criteria for the CERT. Conclusion The RCTs included in this study poorly reported exercise adherence, as well as description of the post-operative TKA rehabilitation intervention. Future RCTs should use valid and reliable measures of adherence and a proper tool for reporting of exercise interventions (e.g., CERT, TiDER). Pre-registration OSF:https://osf.io/9ku8a/

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“…There is initial evidence to support this paradigm in a small randomized controlled trial which found high velocity quadriceps exercise resulted in improved six-minute walk test performance compared to slow velocity exercise in patients after TKA. 22 Additionally, eccentric exercise effectively improved lower extremity rate of torque development in young and older adults. 23 This prior evidence and the inclusion of quadriceps rate of torque development in both regression models suggest that maximizing improvement in rate of torque development as a means of improving gait following TKA may be worthy of further investigation.…”

Section: Discussionmentioning

confidence: 99%

Rate of torque development is the primary contributor to quadriceps avoidance gait following total knee arthroplasty

et al. 2019

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Background: Following rehabilitation for total knee arthroplasty, "quadriceps avoidance gait", defined by limited knee flexion angle excursion during walking, persists and contributes to poor long-term outcomes. Given the presence of several post-surgical impairments, identifying the contribution of multiple factors to knee flexion angle excursion is important to developing targeted interventions to improve recovery after total knee arthroplasty.Research Questions: Which outcomes continue to improve following rehabilitation for total knee arthroplasty? What are the primary contributors to impaired knee flexion angle excursion during walking following total knee arthroplasty?

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High-Velocity Quadriceps Exercises Compared to Slow-Velocity Quadriceps Exercises Following Total Knee Arthroplasty: A Randomized Clinical Study

Abstract: HV quadriceps exercises may be an effective rehabilitation strategy in conjunction with a standardized progressive resistance exercise program beginning 4 to 6 weeks after TKA.

Cited by 10 publications

References 68 publications

Different improvement trends in gait function and quadriceps strength early after total knee arthroplasty

Different improvement trends in gait function and quadriceps strength early after total knee arthroplasty

Reporting of post-operative rehabilitation interventions for Total knee arthroplasty: a scoping review

Rate of torque development is the primary contributor to quadriceps avoidance gait following total knee arthroplasty

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