The efficacy of early initiated, supervised, progressive resistance training compared to unsupervised, home-based exercise after unicompartmental knee arthroplasty: a single-blinded randomized controlled trial

Peter B Jørgensen; Søren B Bogh; Signe Kierkegaard; Henrik Sørensen; Anders Odgaard; Kjeld Søballe; Inger Mechlenburg

doi:10.1177/0269215516640035

The efficacy of early initiated, supervised, progressive resistance training compared to unsupervised, home-based exercise after unicompartmental knee arthroplasty: a single-blinded randomized controlled trial

Peter B Jørgensen, Søren B Bogh, Signe Kierkegaard, Henrik Sørensen, Anders Odgaard, Kjeld Søballe, Inger Mechlenburg

Institut for Klinisk Medicin

11 Citationer (Scopus)

Abstract

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.

Originalsprog	Engelsk
Tidsskrift	Clinical Rehabilitation
Vol/bind	31
Udgave nummer	1
Sider (fra-til)	61-70
Antal sider	10
ISSN	0269-2155
DOI	https://doi.org/10.1177/0269215516640035
Status	Udgivet - 1 jan. 2017

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10.1177/0269215516640035

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Citationsformater

Jørgensen, P. B., Bogh, S. B., Kierkegaard, S., Sørensen, H., Odgaard, A., Søballe, K., & Mechlenburg, I. (2017). The efficacy of early initiated, supervised, progressive resistance training compared to unsupervised, home-based exercise after unicompartmental knee arthroplasty: a single-blinded randomized controlled trial. Clinical Rehabilitation, 31(1), 61-70. https://doi.org/10.1177/0269215516640035

The efficacy of early initiated, supervised, progressive resistance training compared to unsupervised, home-based exercise after unicompartmental knee arthroplasty: a single-blinded randomized controlled trial. / Jørgensen, Peter B; Bogh, Søren B; Kierkegaard, Signe et al.
I: Clinical Rehabilitation, Bind 31, Nr. 1, 01.01.2017, s. 61-70.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

Jørgensen, PB, Bogh, SB, Kierkegaard, S, Sørensen, H, Odgaard, A, Søballe, K & Mechlenburg, I 2017, 'The efficacy of early initiated, supervised, progressive resistance training compared to unsupervised, home-based exercise after unicompartmental knee arthroplasty: a single-blinded randomized controlled trial', Clinical Rehabilitation, bind 31, nr. 1, s. 61-70. https://doi.org/10.1177/0269215516640035

Jørgensen PB, Bogh SB, Kierkegaard S, Sørensen H, Odgaard A, Søballe K et al. The efficacy of early initiated, supervised, progressive resistance training compared to unsupervised, home-based exercise after unicompartmental knee arthroplasty: a single-blinded randomized controlled trial. Clinical Rehabilitation. 2017 jan. 1;31(1):61-70. doi: 10.1177/0269215516640035

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title = "The efficacy of early initiated, supervised, progressive resistance training compared to unsupervised, home-based exercise after unicompartmental knee arthroplasty: a single-blinded randomized controlled trial",

abstract = "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.",

keywords = "Aged, Arthroplasty, Replacement, Knee, Early Ambulation, Female, Home Care Services, Humans, Male, Middle Aged, Osteoarthritis, Knee, Resistance Training, Single-Blind Method, Treatment Outcome, Journal Article, Randomized Controlled Trial",

author = "J{\o}rgensen, {Peter B} and Bogh, {S{\o}ren B} and Signe Kierkegaard and Henrik S{\o}rensen and Anders Odgaard and Kjeld S{\o}balle and Inger Mechlenburg",

year = "2017",

month = jan,

day = "1",

doi = "10.1177/0269215516640035",

language = "English",

volume = "31",

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journal = "Clinical Rehabilitation",

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T1 - The efficacy of early initiated, supervised, progressive resistance training compared to unsupervised, home-based exercise after unicompartmental knee arthroplasty

T2 - a single-blinded randomized controlled trial

AU - Jørgensen, Peter B

AU - Bogh, Søren B

AU - Kierkegaard, Signe

AU - Sørensen, Henrik

AU - Odgaard, Anders

AU - Søballe, Kjeld

AU - Mechlenburg, Inger

PY - 2017/1/1

Y1 - 2017/1/1

N2 - 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.

AB - 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.

KW - Aged

KW - Arthroplasty, Replacement, Knee

KW - Early Ambulation

KW - Female

KW - Home Care Services

KW - Humans

KW - Male

KW - Middle Aged

KW - Osteoarthritis, Knee

KW - Resistance Training

KW - Single-Blind Method

KW - Treatment Outcome

KW - Journal Article

KW - Randomized Controlled Trial

U2 - 10.1177/0269215516640035

DO - 10.1177/0269215516640035

M3 - Journal article

C2 - 27029938

SN - 0269-2155

VL - 31

SP - 61

EP - 70

JO - Clinical Rehabilitation

JF - Clinical Rehabilitation

IS - 1

ER -