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
Bibliographic Data
| ID | 15501685 |
|---|---|
| Authors | Jungae An (0000-0003-1409-6069, Sahmyook University), Young-Wan Son (Sahmyook University), Byoung‐Hee Lee (0000-0001-9766-6068, Sahmyook University, corresponding author) |
| Year | 2023 |
| Volume | 20 |
| Issue | 4 |
| Pages | 3524-3524 |
| Publication date | 2023-02-16 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph20043524 |
| PMID | 36834218 |
| OpenAlex | W4321249755 |
| Language | EN |
| References cited | 53 |
Total knee arthroplasty (TKA) is an effective treatment for end-stage osteoarthritis. However, evidence of combined kinematic chain exercise (CCE) in early-phase rehabilitation after TKA remains lacking. This study investigated the effects of CCE training on physical function, balance ability, and gait in 40 patients who underwent TKA. Participants were randomly assigned to the CCE ( n = 20) and open kinematic chain exercise (OKCE) groups ( n = 20). The CCE and OKCE groups were trained five times a week (for 4 weeks) for 30 min per session. Physical function, range of motion (ROM), balance, and gait were assessed before and after the intervention. The time × group interaction effects and time effect as measured with the Western Ontario and McMaster Universities Osteoarthritis Index, ROM, Knee Outcome Survey-Activities of Daily Living, balancing ability (e.g., confidence ellipse area, path length, and average speed), and gait parameters (e.g., timed up-and-go test, gait speed, cadence, step length, and stride length) were statistically significant ( p p < 0.05). Both groups showed significant within-group improvement from baseline to postintervention. Our results suggest that CCE training positively affects physical function, balance ability, and gait as an early intervention for patients undergoing TKA
Balance (ability · Cadence · Gait · Osteoarthritis · Physical medicine and rehabilitation · Physical therapy · Preferred walking speed · Randomized controlled trial · Range of motion · WOMAC · Medicine · Orthopaedic implants and arthroplasty · Orthopedic Infections and Treatments · Total Knee Arthroplasty Outcomes · Rehabilitation · Surgery
| Citation velocity | historical |
|---|---|
| Highly cited | No |