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http://dx.doi.org/10.5762/KAIS.2018.19.2.422

The Effects of Trunk Stability Exercise on Knee function, Balance, Gait in patients after Total Knee Arthroplasty  

Lee, Jae-Hong (Dept. of Physical Therapy, Daegu health college)
Min, Dong-Ki (Dept. of Physical Therapy, Daegu health college)
Lee, Sang-Jae (Daegu The open hospital)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.19, no.2, 2018 , pp. 422-428 More about this Journal
Abstract
This study was conducted to investigate the effects of trunk stability exercise on knee function, balance and gait in patients who underwent total knee arthroplasty. The subjects of this study were recruited from individuals diagnosed with degenerative arthritis who had undergone total knee arthroplasty. Overall, 24 patients were randomly divided into a control groups and an experimental groups (12 each). The trunk stability exercise was conducted for 4 weeks with three exercises developed in a previous study. The measurement tools used were knee function measurements based on the Lysholm knee score, balance ability measured using a test of TUG and OLS, and a walking ability test measured using a 10MWT. Pre and post test results were within groups were compared using the paired t-test, whole differences between groups were compared using the independent t-test. The experimental group showed significantly enhanced results relative to the control group (p<0.05). Based on these results, trunk stability exercise in parallel with knee joint therapy effectively improves the recovery of patients with total knee arthroplasty.
Keywords
Balance; Gait; Knee function; Total knee arthroplasty; Trunk stability exercise;
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1 Akuthota V, Nadler S. F, "Core strengthening", Archives of physical medicine and rehabilitation, vol. 85, pp. 86-92, 2004. DOI: https://doi.org/10.1053/j.apmr.2003.12.005
2 Marshall P. W, Murphy B. A, "Core stability exercises on and off a swiss ball", Archives of physical medicine and rehabilitation, vol. 86, no. 2, pp. 242-249, 2005. DOI: https://doi.org/10.1053/j.apmr.2003.12.005   DOI
3 O'Sullivan P. B, Twomey L. T, Allison G. T, "Evaluation of specific stabilizing exercise in the treatment of chronin low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis", Spine, vol. 22, no. 24, pp. 2959-2967, 1997. DOI: https://doi.org/10.1097/00007632-199712150-00020   DOI
4 M. S. Jung, H. S. Kwak, "The effects of a muscle strengthening exercise program on pain, straight leg raising ability, passive range of motion, independent walking time and satisfaction with total knee arthroplasty(TKA)", The journal of Korean Academic Society of Nursing Education, vol. 14, no. 1, pp. 20-29, 2008. DOI: http://dx.doi.org/10.5977/JKASNE.2008.14.1.020   DOI
5 H. S. Min, "Effects of muscle strengthening exercise program on pain, fatigue, physical function in elderly women with total knee arthroplasty", Journal of Muscle and Joint Health, vol. 18, no. 2, pp. 203-214, 2011. DOI: https://doi.org/10.5953/JMJH.2011.18.2.203   DOI
6 Maniar R. N, Baviskar J. V, Singhi T, Rathi S. S, "To use or not to use continuous passive motion post-total knee arthroplasty", The Journal of arthroplasty, vol. 27, no. 2, pp. 193-200, 2012. DOI: https://doi.org/10.1016/j.arth.2011.04.009   DOI
7 Synder M, Kozlwski P, Drobniewski M, Grzegorzewski A, Glowacka A, "The use of continuous passive motion(CPM) in the rehabilitation of patients after total knee arthroplasty", Journal of Orthopaedics and Traumatology, vol. 6, no. 3, pp. 336-41, 2004
8 Liebenson, C. Spinal stabilization training: the transverse abdominis. Journal of Bodywork and Movement Therapies, vol. 2, no. 4, pp. 218-223. 1998. DOI: https://doi.org/10.1016/S1360-8592(98)80018-1   DOI
9 Sara R, Piva, Alexandra B, Gil, Gustabo J, Almeida M, Antony M, DGgioia III, Iimothy J, Levison G, Kelley Fitzgerald, "A balance exercise program appears to improve function for patiens with total knee arthroplasty : a randomized clinical trial", Journal of the american physical therapy association, vol. 90, no. 6, pp. 880-894, 2010.
10 J. Y. Youn, "Effect of thera band exercise program following total knee replacement", Dankook University Dissertation of Master Degree, 2013.
11 Liebenson, C. Functional abdominal training. Journal of Bodywork and Movement Therapies, vol. 7, no. 2, pp. 101-103. 2003. DOI: https://doi.org/10.1016/S1360-8592(02)00112-2   DOI
12 C. B. Jeon, "Effects of Trunk Stabilization Exercise on the Thickness of the Deep Abdominal Muscles and Balance in Hemiplegic Patients", Daegu University Dissertation of Master Degree, 2012.
13 C. Y. Kim, "The Effects of Trunk Stability Exercise on Trunk Strengthening, Dynamic Balance and Walking in the Persons with Chronic Stroke", Sahmyook University Dissertation of Master Degree, 2008.
14 Lysholm, J., & J. Gillquist. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale, Am J Sports Med, 10, pp. 150-154. 1982. DOI: https://doi.org/10.1177/036354658201000306   DOI
15 Posiadlo D, Richardson S. The Timed "Up & Go": a test of basic functional mobility for frail elderly persons, J Am Geriatr Soc, 39: pp. 142-148, 1991. DOI: https://doi.org/10.1111/j.1532-5415.1991.tb01616.x   DOI
16 Man-Roung Lin, Hei-Fen Hwang, et al., Psychometric Comparisons of the Timed Up and Go, One-Leg Stand, Functional Reach, and Tinetti Balance Measures in Community-Dwelling Older People. 2004.
17 O'sullivan P. B, "Lumbar segmental 'instability': clinical presentation and specific stabilizing exercise management", Man Ther, 5, 1, pp. 2-12, 2000. DOI: https://doi.org/10.1016/j.math.2006.07.009   DOI
18 Wirz M, Van Hedel HJ, et al., Muscle force and gait performance : relationships after spinalcord injury. 2006.
19 Urquhart D. M, Hodges P. W., Allen T. J., Story I. H.., "Abdominal muscle recruitment during a range of voluntary exercises", Man Ther, 10, 2, pp. pp. 144-153, 2005. DOI: https://doi.org/10.1016/j.math.2004.08.011   DOI
20 Stevens V. K, Coorevits P. L., Bouche K. G., Mahieu N. N., Vanderstraeten G. G., Danneels L. A., "The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises", Man Ther, 12, 3, pp. pp. 271-279, 2007. DOI: https://doi.org/10.1016/j.math.2006.07.009   DOI
21 Ryerson S, Byl N. N., Brown D. A., Wong R. A., Hidler J. M., "Altered trunk position sense and its relation to balance functions in people post-stroke", Journal Neurol Phys Ther, 32, 1, pp. pp. 14-20, 2008. DOI: https://doi.org/10.1097/NPT.0b013e3181660f0c   DOI
22 M. Piirtola and P. Era, "Force platform measurement as predictors of falls among older people-a review", Gerontology, vol. 52, pp. 1-16, 2006. DOI: https://doi.org/10.1159/000089820   DOI
23 B. J. Park, "Effects of Core Stability Combined Rehabilitation on Muscle Strenght, Stability of Knee Joint after ACL Reconstruction", Korea University Dissertation of Master Degree, 2011.
24 I. Y. Oh, "The Effects of 12wk Accelerated Rehabilitation Exercise on Knee Strengthening, Balance, Thigh Circumference and Lysholm Score After ACL Reconstruction", Kookmin University Dissertation of Master Degree, 2011.
25 Hodges P. W, Richardson, C. A. "Contraction of the abdominal muscle associated with movement of the lower limb", Physical Therapy, 77, pp. pp. 132-142, 1997. DOI: https://doi.org/10.1093/ptj/77.2.132   DOI
26 Kramer J. F, Speechley M, Bourne R, Rorabeck C, Vaz M, "Comparison of clinic and home-based rehabilitation programs after total knee arthroplasty", Clinical orthopaedics and related research, vol. -no. 410, pp. 225-234, 2003.
27 Badley E. E., Wang P. P., "Arthritis and the aging population: Projection of arthritis prevalence in Canada 1991 to 2031", The Journal of rheumatology, vol. 25, no. 1, pp. 138-144, 1998.
28 Brooks P. M., "Impact of osteoarthritis on individual and society: how much disability? Social consequences and health economic implication", CURRENT OPINION IN RHEUMATOLOGY, vol. 14, no. 5, pp. 573-577, 2002. DOI: https://doi.org/10.1097/00002281-200209000-00017   DOI
29 Creamer P, Lethbridge-Cejku M, Hochberg M. C, "Factors associated with functional impairment in symptomatic knee osteoarthritis", Rheumatology, vol. 39, no. 5, pp. 490-496, 2000. DOI: https://doi.org/10.1093/rheumatology/39.5.490   DOI
30 H. J. Cho, C. B. Chang, J. W. Jung, S. C. Seong, T. K. Kim, "Prevalence of radiographic knee osteoarthritis in elderly kreans", Korean Knee Society, vol. 21, no. 4, pp. 223-231, 2009.
31 K. O. Hwang, "The effects of isometric exercise and active stretching on joint function in patient with osteoarthritis", Daegu University Dissertation of Master Degree, 2005
32 Brill P. W, Couzen G. S, "The core program", 1-231, Bantam Book, 2002.
33 Akuthota, V., Nadler, S. F. "Core strengthening", Archives of Physical Medicine and Rehabilitation, vol. 85, no. 3, 92, 586, 2004.
34 Dennis, D.A., Evaluation of painful total knee arthroplasty, J Arthroplasty, 19(4 Suppl 1): p. pp. 35-40, 2004. DOI: https://doi.org/10.1016/j.arth.2004.03.003
35 Y. H. Kim, "The Effects of Trunk Stability Exercise on the Balance and Gait in the Patients with Stroke", Daegu University Dissertation of Master Degree, 2010.
36 Kane K, Bell A, "A core stability group program for children with developmental coordination disorder: 3 clinical case reports", Pediatric Phys Ther, 21, 4, pp. pp. 375-382, 2009. DOI: https://doi.org/10.1097/PEP.0b013e3181beff38   DOI