The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Resistance Exercise with Pressure Biofeedback Unit on the Gait Ability and Knee Joint Function in Subject with Total Knee Replacement Patients

  • Jin Park (Department of Physical Therapy, Drim Sol Hospital)
  • Received : 2024.01.15
  • Accepted : 2024.02.27
  • Published : 2024.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was conducted to verify the effect of applying a pressure biofeedback unit on walking ability and knee joint function while performing knee joint extensor strengthening exercises using resistance exercise equipment in total knee replacement (TKR) patients. Methods: This study was conducted on twelve patients receiving rehabilitation treatment after being admitted to a rehabilitation hospital post-TKR. Of these, six were allocated to a feedback group with a pressure biofeedback unit, and the other 6 were allocated to a control group without a pressure biofeedback unit. The subjects performed an exercise program for 45 minutes per session, five times a week, for two weeks. Walking ability and knee joint function were evaluated and analyzed before and after exercise. Results: The feedback group showed significantly better improvements in walking speed, gait cycle, step length on the non-operation side, time on the foot on the operation side, K-WOMAC stiffness, and K-WOMAC function than the control group (p<0.05). Conclusion: When strengthening the knee joint extensor muscles using resistance exercise equipment in TKR patients, the provision of a pressure biofeedback unit was found to improve walking ability and knee joint function by inducing concentric-eccentric contraction of the knee joint extensor muscles. Therefore, the study shows that exercise based on the provision of a pressure biofeedback unit should be considered when strengthening knee joint extensor muscles to improve the walking ability and knee joint function of TKR patients in clinical practice.

Keywords

References

  1. 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. 
  2. Christensen JC, Capin JJ, Hinrichs LA et al. Gait mechanics are influenced by quadriceps strength, age, and sex after total knee arthroplasty. J Orthop Res. 2021;39(7):1523-3.  https://doi.org/10.1002/jor.24878
  3. 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
  4. 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.  https://doi.org/10.2519/jospt.2010.3317
  5. McClelland JA, Webster KE, Feller JA. Gait analysis of patients following total knee replacement: a systematic review. Knee. 2007;14:253-63.  https://doi.org/10.1016/j.knee.2007.04.003
  6. Mizner RL, Petterson SC, Snyder-Mackler L. Quadriceps strength and the time course of functional recovery after total knee arthroplasty. J Orthop Sports Phys Ther. 2005;35:424-36.  https://doi.org/10.2519/jospt.2005.35.7.424
  7. Barcellona MG, Morrissey MC, Milligan P et al. The effect of knee extensor open kinetic chain resistance training in the ACL-injured knee. Knee Surg Sports Traumatol Arthrosc. 2015;23(11):3168-77.  https://doi.org/10.1007/s00167-014-3110-6
  8. Suh MJ, Kim BR, Kim SR et al. Effects of early combined eccentric-concentric 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
  9. Neumann DA. Kinesiology of the musculoskeletal system: foundations for physical rehabilitation. Mosby & Elsevier, Missouri, 2010:560-69. 
  10. Ahn JO, Weon JH, Koh EK et al. Effectiveness of hamstring stretching using a pressure biofeedback unit for 4 weeks: a randomized controlled trial. Hong Kong Physiother J. 2020;40(2):99-107.  https://doi.org/10.1142/S1013702520500092
  11. Horstmann H, Colcuc C, Lobenhoffer P et al. Evaluation of the acceptability of a sphygmomanometer device in knee extension training following surgical procedures of the knee. Int J Orthop Trauma Nurs. 2017;25:42-7.  https://doi.org/10.1016/j.ijotn.2016.10.003
  12. Kim GJ, Kong KW, Kwon SO et al. The study of stability exercise using pressure biofeedback unit for low back pain. J Korean Phys Ther Sci. 2012;19(2):63-71. 
  13. Vieira DCL, Dourado MAA, Ugliara L et al. Can hip joint position affect quadriceps muscle responses during knee extension exercise? Int J Sports Med. 2020;41(13):929-35.  https://doi.org/10.1055/a-1179-8374
  14. Gharib NM, AbdEl Maksoud GM, Rezk-Allah SS. Efficacy of gait trainer as an adjunct to traditional physical therapy on walking performance in hemiparetic patients: a randomized controlled trial. Clin Rehabil. 2011;25(10):924-34.  https://doi.org/10.1177/0269215511400768
  15. Bae SC, Lee HS, Yun HR et al. Cross-cultural adaptation and validation of Korean western ontario and McMaster Universities (WOMAC) and lequesne osteoarthritis indices for clinical research. Osteoarthr Cartil. 2001;9(8):746-50.  https://doi.org/10.1053/joca.2001.0471
  16. Ko TS, Kim SY, Lee JS. Reliability and validity of the Korean western ontario and McMaster Universities (WOMAC) osteoarthritis index in patients with osteoarthritis of the knee. J Korean Med Rehabil. 2009;19(2):251-60. 
  17. An J, Son YW, Lee BH. Effect of combined kinematic chain exercise on physical function, balance ability, and gait in patients with total knee arthroplasty: a single-blind randomized controlled trial. Int J Environ Res Public Health. 2023;20(4):3524. 
  18. Collins NJ, Misra D, Felson DT et al. Measures of knee function: international knee documentation committee (IKDC) subjective knee evaluation form, knee injury and osteoarthritis outcome score (KOOS), knee injury and osteoarthritis outcome score physical function short form (KOOS-PS), knee outcome survey activities of daily living scale (KOSADL), lysholm knee scoring scale, oxford knee score (OKS), western ontario and McMaster Universities osteoarthritis index (WOMAC), activity rating scale (ARS), and tegner activity score (TAS). Arthritis Care Res. 2011;63(11):208-28.  https://doi.org/10.1002/acr.20354
  19. Umberger BR. Stance and swing phase costs in human walking. J R Soc Interface. 2010;7(5):1329-40.  https://doi.org/10.1098/rsif.2010.0084
  20. Turkmen C, Harput G, Kinikli GI et al. Correlation of force sense error test measured by a pressure biofeedback unit and EMG activity of quadriceps femoris in healthy individuals. J Electromyogr Kinesiol. 2019;49:102366.