DOI QR코드

DOI QR Code

Effects of Repetitive Sit to Stand Training on the Knee Extensor Strength and Walking Ability in Subject with Total Knee Replacement Patients

  • Park, Jin (Department of Physical Therapy, Drim Sol Hospital)
  • Received : 2021.01.14
  • Accepted : 2021.02.11
  • Published : 2021.02.28

Abstract

Purpose: The purpose of this study was to verify the effectiveness of repetitive sit to stand training to improve knee extensor strength and walking ability of total knee replacement patients. Methods: In this study, 12 patients with total knee replacement patients were recruited from a rehabilitation hospital. They were divided into two groups: a repetitive sit to stand group (n=6) and a control group (n=6). They all received 30 minutes of continuous passive motion (CPM). After that, the repetitive sit to stand group performed repetitive sit to stand training, and the control group performed resistance exercise for 15 minutes five times a week for 2 weeks. After 2 weeks of training, knee extensor strength and spatiotemporal gait parameters were measured. Knee extensor strength was measured by Biodex system 3, walking ability was measured by Biodex gait trainer 2. Paired t test was performed to verify the difference between before and after intervention within the group, and analysis of covariance was used to verify the differences between the two groups. Results: After the training periods, the repetitive sit to stand group showed a significant improvement in knee extensor muscle strength, walking speed, step length of the operated side, and step length of the non-operated side (p<0.05). Conclusion: The results of this study showed that repetitive sit to stand training was more effective in improving knee extensor muscle strength and walking ability. Therefore, to strengthen knee extensor muscles and improve the walking ability of total knee replacement patients, it is necessary to consider repetitive sit to stand training.

Keywords

References

  1. Iversen MD. Managing hip and knee osteoarthritis with exercise: what is the best prescription?. Ther Adv Musculoskelet Dis. 2010;2(5):279-90. https://doi.org/10.1177/1759720X10378374
  2. Christanell F, Hoser C, Huber R et al. The influence of electromyographic biofeedback therapy on knee extension following anterior cruciate ligament reconstruction: a randomized controlled trial. Sports Med Arthrosc Rehabil Ther Technol. 2012;4(1):41.
  3. Bade MJ, Kohrt WM, Stevens-Lapsley JE. Outcomes before and after total knee arthroplasty compared to healthy adults. J Orthop Sports Phys Ther. 2010;40(9):559-67.
  4. Levinger P, Menz HB, Morrow AD et al. Lower limb proprioception deficits persist following knee replacement surgery despite improvements in knee extension strength. Knee Surg Sports Traumatol Arthrosc. 2012;20(6):1097-103.
  5. Baczkowicz, D, Skiba G, Czerner M et al. Gait and functional status analysis before and after total knee arthroplasty. Knee. 25(5):888-96. https://doi.org/10.1016/j.knee.2018.06.004
  6. Yim SJ, Min KD, Lee YK et al. Efficacy of physiotherapist after total knee arthroplasty. Knee Surg Relat Res. 2009;21(4):258-64.
  7. Christiansen CL, Bade MJ, Weitzenkamp DA et al. Factors predicting weight-bearing asymmetry 1 month after unilateral total knee arthroplasty: a cross-sectional study. Gait Posture. 2013;37(3):363-7. https://doi.org/10.1016/j.gaitpost.2012.08.006
  8. Suh MJ, Kim BR, Kim SR et al. Bilateral quadriceps muscle strength and pain correlate with gait speed and gait endurance early after unilateral total knee arthroplasty: a cross-sectional study. Am J Phys Med Rehabil. 2019;98(10):897-905. https://doi.org/10.1097/phm.0000000000001222
  9. Suh MJ, Kim BR, Kim SR et al. Effects of exraly combined eccentricconcentric versus concentric resistance training following total knee arthroplasty. Ann Rehabil Med. 2017;41(5):816-27. https://doi.org/10.5535/arm.2017.41.5.816
  10. Teissier V, Leclercq R, Schiano-Lomoriello S et al. Does eccentric-concentric resistance training improve early functional outcomes compared to concentric resistance training after total knee arthroplasty? Gait Posture. 2020;79:145-51. https://doi.org/10.1016/j.gaitpost.2020.04.020
  11. Rossi MD, Everle T, Roche M et al. Closed-chain exercise after simultaneous bilateral knee replacement surgery: a case report. Physiother Theory Pract. 2010;26(3):204-14.
  12. Millington PJ, Myklebust BM, Shambes GM. Biomechanical analysis of the sit-to-stand motion in elderly persons. Arch Phys Med Rehabil. 1992;73(7):609-17.
  13. Riley PO, Schenkman ML, Mann RW et al. Mechanics of a constrained chair-rise. J Biomech. 1991;24(1):77-85. https://doi.org/10.1016/0021-9290(91)90328-K
  14. Regterschot GRH, Folkersma M, Zhang W et al. Sensitivity of sensor-based sit-to-stand peak power to the effects of training leg strength, leg power and balance in older adults. Gait Posture. 2014;39(1):303-7. https://doi.org/10.1016/j.gaitpost.2013.07.122
  15. Yamashita F, Iwamoto J, Osugi T et al. Chair rising exercise is more effective than one-leg standing exercise in improving dynamic body balance: a randomized controlled trial. J Musculoskelet Neuronal Interact. 2012;12(2):74-9.
  16. Matsufuji S, Shoji T, Yano Y et al. Effect of chair stand exercise on activity of daily living: a randomized controlled trial in hemodialysis patients. J Ren Nutr. 2015;25(1):17-24. https://doi.org/10.1053/j.jrn.2014.06.010
  17. Tung FL, Yang YR, Lee CC et al. Balance outcomes after additional sitto-stand training in subjects with stroke: a randomized controlled trial. Clin Rehabil. 2010;24(6):533-42. https://doi.org/10.1177/0269215509360751
  18. Fujita E, Taaffe DR, Yoshitake Y et al. Repeated sit-to-stand exercise enhances muscle strength and reduces lower body muscular demands in physically frail elders. Exp Gerontol. 2019;116:86-92. https://doi.org/10.1016/j.exger.2018.12.016
  19. Scarborough MD, Krebs DE, Harris BA. Quadriceps muscle strength and dynamic stability in elderly persons. Gait Posture. 1999;10(1):10-20. https://doi.org/10.1016/S0966-6362(99)00018-1
  20. Furu M, Ito H, Nishikawa T et al. Quadriceps strength affects patient satisfaction after total knee arthroplasty. J Orthop Sci. 2016;21(1):38-43. https://doi.org/10.1016/j.jos.2015.10.002
  21. Perry MC, Morrissey MC, King JB et al. Effects of closed versus open kinetic chain knee extensor resistance training on knee laxity and leg function in patients during the 8- to 14-week post-operative period after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2005;13(5):357-69.