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

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

J Rehabil Med

University Center for Prevention and Sports Medicine, Balgrist University Hospital, University of Zurich, Forchstrasse 319, CH-8008 Zurich, Switzerland.

Published: January 2024

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10859968PMC
http://dx.doi.org/10.2340/jrm.v56.18326DOI Listing

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