Total Joint Arthroplasty

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Improved function from progressive strengthening interventions after total knee arthroplasty: A randomized clinical trial with an imbedded prospective cohort†

  1. Stephanie C. Petterson1,
  2. Ryan L. Mizner2,
  3. Jennifer E. Stevens3,
  4. Leo Raisis4,
  5. Alex Bodenstab4,
  6. William Newcomb4,
  7. Lynn Snyder-Mackler1,*

Article first published online: 29 JAN 2009

DOI: 10.1002/art.24167

Issue

Arthritis Care & Research

Arthritis Care & Research

Volume 61, Issue 2, pages 174–183, 15 February 2009

Additional Information

How to Cite

Petterson, S. C., Mizner, R. L., Stevens, J. E., Raisis, L., Bodenstab, A., Newcomb, W. and Snyder-Mackler, L. (2009), Improved function from progressive strengthening interventions after total knee arthroplasty: A randomized clinical trial with an imbedded prospective cohort. Arthritis & Rheumatism, 61: 174–183. doi: 10.1002/art.24167

Author Information

  1. 1

    University of Delaware, Newark

  2. 2

    Eastern Washington University, Spokane

  3. 3

    Health Sciences Center and University of Colorado at Denver

  4. 4

    First State Orthopaedics, Newark, Delaware

*University of Delaware, 301 McKinly Laboratory, Newark, DE 19716

  1. †

    ClinicalTrials.gov identifier: NCT00224913.

Publication History

  1. Issue published online: 29 JAN 2009
  2. Article first published online: 29 JAN 2009
  3. Manuscript Accepted: 6 OCT 2008
  4. Manuscript Received: 20 FEB 2008

Funded by

  • NIH. Grant Number: R01-HD041055

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REFERENCES

  • 1
    Guccione AA, Felson DT, Anderson JJ, Anthony JM, Zhang Y, Wilson PW, et al. The effects of specific medical conditions on the functional limitations of elders in the Framingham Study. Am J Public Health 1994; 84: 351–8.
  • 2
    National Center for Health Statistics, US Department of Health and Human Services, Centers for Disease Control and Prevention. National Hospital Discharge Survey 1998–2005: number of patients, number of procedures, average patient age, average length of stay. In: Data extracted and analyzed by American Academy of Orthopaedic Surgeons. Washington, DC: Department of Research and Scientific Affairs; 2005.
  • 3
    American Academy of Orthopedic Surgeons. Total knee replacement. 2006.
  • 4
    Walsh M, Woodhouse LJ, Thomas SG, Finch E. Physical impairments and functional limitations: a comparison of individuals 1 year after total knee arthroplasty with control subjects. Phys Ther 1998; 78: 248–58.
  • 5
    Moffet H, Collet JP, Shapiro SH, Paradis G, Marquis F, Roy L. Effectiveness of intensive rehabilitation on functional ability and quality of life after first total knee arthroplasty: a single-blind randomized controlled trial. Arch Phys Med Rehabil 2004; 85: 546–56.
  • 6
    Stevens JE, Mizner R, Snyder-Mackler L. Quadriceps strength and volitional activation before and after total knee arthroplasty for osteoarthritis. J Orthop Res 2003; 21: 775–9.
    Direct Link:
  • 7
    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.
  • 8
    Ritter MA, Thong AE, Davis KE, Berend ME, Meding JB, Faris PM. Long-term deterioration of joint evaluation scores. J Bone Joint Surg Br 2004; 86: 438–42.
  • 9
    Minns Lowe CJ, Barker KL, Dewey M, Sackley CM. Effectiveness of physiotherapy exercise after knee arthroplasty for osteoarthritis: systematic review and meta-analysis of randomised controlled trials. BMJ 2007; 335: 812–20.
  • 10
    National Institute of Health. NIH consensus development conference on total knee replacement: final statement. NIH Consensus Development Program; 2003 Dec 8–10; Bethesda, MD. Bethesda (MD): NIH; 2003.
  • 11
    Fitzgerald GK, Piva SR, Irrgang JJ. A modified neuromuscular electrical stimulation protocol for quadriceps strength training following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther 2003; 33: 492–501.
  • 12
    Snyder-Mackler L, Delitto A, Bailey S, Stralka S. Strength of quadriceps femoris muscle and functional recovery after reconstruction of the anterior cruciate ligament: a prospective, randomized clinical trial of electrical stimulation. J Bone Joint Surg Am 1995; 77: 1166–73.
  • 13
    Delitto A, Rose SJ, McKowen JM, Lehman RC, Thomas JA, Shively RA. Electrical stimulation versus voluntary exercise in strengthening thigh musculature after anterior cruciate ligament surgery. Phys Ther 1988; 68: 660–3.
  • 14
    Lewek M, Stevens J, Snyder-Mackler L. The use of electrical stimulation to increase quadriceps femoris muscle force in an elderly patient following a total knee arthroplasty. Phys Ther 2001; 81: 1565–71.
  • 15
    Stevens JE, Mizner R, Snyder-Mackler L. Neuromuscular electrical stimulation for quadriceps muscle strengthening after bilateral total knee arthroplasty: a case series. J Orthop Sports Phys Ther 2004; 34: 21–9.
  • 16
    Petterson S, Snyder-Mackler L. The use of neuromuscular electrical stimulation to improve activation deficits in a patient with chronic quadriceps strength impairments following total knee arthroplasty. J Orthop Sports Phys Ther 2006; 36: 678–85.
  • 17
    Sinacore DR, Delitto A, King DS, Rose SJ. Type II fiber activation with electrical stimulation: a preliminary report. Phys Ther 1990; 70: 416–22.
  • 18
    Cabric M, Appell HJ, Resic A. Fine structural changes in electrostimulated human skeletal muscle: evidence for predominant effects on fast muscle fibres. Eur J Appl Physiol Occup Physiol 1988; 57: 1–5.
  • 19
    Binder-Macleod SA, Halden EE, Jungles KA. Effects of stimulation intensity on the physiological responses of human motor units. Med Sci Sports Exerc 1995; 27: 556–65.
  • 20
    Centers for Disease Control and Prevention. BMI for adults: what does this all mean? In: Department of Health and Human Services, Centers for Disease Control and Prevention, editors. World Health Organization. BMI classification in global database on body mass index. URL: http://www.who.int/bmi/index.jsp?intropage=itro_3.html.
  • 21
    Snyder-Mackler L, Delitto A, Stralka SW, Bailey SL. Use of electrical stimulation to enhance recovery of quadriceps femoris muscle force production in patients following anterior cruciate ligament reconstruction. Phys Ther 1994; 74: 901–7.
  • 22
    Kent-Braun JA, Le Blanc R. Quantitation of central activation failure during maximal voluntary contractions in humans. Muscle Nerve 1996; 19: 861–9.
    Direct Link:
  • 23
    Stevens JE, Binder-Macleod S, Snyder-Mackler L. Characterization of the human quadriceps muscle in active elders. Arch Phys Med Rehabil 2001; 82: 973–8.
  • 24
    Lewek M, Rudolph K, Snyder-Mackler L. Quadriceps femoris muscle weakness and activation failure in patients with symptomatic knee osteoarthritis. J Orthop Res 2004; 22: 110–5.
    Direct Link:
  • 25
    Manal TJ, Snyder-Mackler L. Failure of voluntary activation of the quadriceps femoris muscle after patellar contusion. J Orthop Sports Phys Ther 2000; 30: 655–60.
  • 26
    Snyder-Mackler L, De Luca PF, Williams PR, Eastlack ME, Bartolozzi AR 3rd. Reflex inhibition of the quadriceps femoris muscle after injury or reconstruction of the anterior cruciate ligament. J Bone Joint Surg Am 1994; 76: 555–60.
  • 27
    Stackhouse SK, Stevens JE, Johnson CD, Snyder-Mackler L, Binder-Macleod SA. Predictability of maximum voluntary isometric knee extension force from submaximal contractions in older adults. Muscle Nerve 2003; 27: 40–5.
    Direct Link:
  • 28
    Podsiadlo D, Richardson S. The timed “up & go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991; 39: 142–8.
  • 29
    Piva SR, Fitzgerald GK, Irrgang JJ, Bouzubar F, Starz TW. Get up and go test in patients with knee osteoarthritis. Arch Phys Med Rehabil 2004; 85: 284–9.
  • 30
    Mizner RL, Petterson SC, Stevens JE, Axe MJ, Snyder-Mackler L. Preoperative quadriceps strength predicts functional ability one year after total knee arthroplasty. J Rheumatol 2005; 32: 1533–9.
  • 31
    Kennedy DM, Stratford PW, Wessel J, Gollish JD, Penney D. Assessing stability and change of four performance measures: a longitudinal study evaluating outcome following total hip and knee arthroplasty. BMC Musculoskelet Disord 2005; 6: 3.
  • 32
    Enright PL. The six-minute walk test. Respir Care 2003; 48: 783–5.
  • 33
    Kervio G, Carre F, Ville NS. Reliability and intensity of the six-minute walk test in healthy elderly subjects. Med Sci Sports Exerc 2003; 35: 169–74.
  • 34
    McHorney CA, Ware JE, Raczek AE. The MOS 36-Item Short-Form Health Survey (SF-36). II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care 1993; 31: 247–63.
  • 35
    Irrgang JJ, Snyder-Mackler L, Wainner RS, Fu FH, Harner CD. Development of a patient-reported measure of function of the knee. J Bone Joint Surg Am 1998; 80: 1132–45.
  • 36
    Kosinski M, Keller SD, Hatoum HT, Kong SX, Ware JE Jr. The SF-36 Health Survey as a generic outcome measure in clinical trials of patients with osteoarthritis and rheumatoid arthritis: tests of data quality, scaling assumptions and score reliability. Med Care 1999; 37: MS10–22.
  • 37
    Reese NB, Bandy WD. Joint range of motion and muscle length testing. Philadelphia: WB Saunders; 2002.
  • 38
    Cibere J, Bellamy N, Thorne A, Esdaile JM, McGorm KJ, Chalmers A, et al. Reliability of the knee examination in osteoarthritis: effect of standardization. Arthritis Rheum 2004; 50: 458–68.
    Direct Link:
  • 39
    Hollis S, Campbell F. What is meant by intention to treat analysis? Survey of published randomised controlled trials. BMJ 1999; 319: 670–4.
  • 40
    Portney LG, Watkins MP. Foundations for clinical research: applications to practice. 2nd ed. Upper Saddle River (NJ): Prentice Hall Health; 2000.
  • 41
    Olejnik S, Li J, Huberty CJ, Supattathum S. Multiple testing and statistical power with modified Bonferroni procedures. J Educ Behav Stat 1997; 22: 389–406.
  • 42
    Berth A, Urbach D, Awiszus F. Improvement of voluntary quadriceps muscle activation after total knee arthroplasty. Arch Phys Med Rehabil 2002; 83: 1432–6.
  • 43
    Mizner RL, Stevens JE, Snyder-Mackler L. Voluntary activation and decreased force production of the quadriceps femoris muscle after total knee arthroplasty. Phys Ther 2003; 84: 359–65.
  • 44
    Kramer JF, Speechley M, Bourne RB, Rorabeck CH, Vaz M. Comparison of clinic- and home-based rehabilitation programs after total knee arthroplasty. Clin Orthop Relat Res 2003; 410: 225–34.
  • 45
    Moffet H, Collet JP, Shapiro SH, Paradis G, Marquis F, Roy L. Effectiveness of intensive rehabilitation on functional ability and quality of life after first total knee arthroplasty: a single-blind randomized controlled trial. Arch Phys Med Rehabil 2004; 85: 546–56.
  • 46
    Steffen TM, Hacker TA, Mollinger L. Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Phys Ther 2002; 82: 128–37.
  • 47
    Walsh M, Kennedy D, Stratford PW, Woodhouse LJ. Perioperative functional performance of women and men following total knee arthroplasty. Physiother Can 2001; 53: 92–100.
  • 48
    Mizner RL, Petterson SC, Stevens JE, Vandenborne K, Snyder-Mackler L. Early quadriceps strength loss after total knee arthroplasty: the contributions of muscle atrophy and failure of voluntary muscle activation. J Bone Joint Surg Am 2005; 87: 1047–53.
  • 49
    Hurley M, Newham D. The influence of arthrogenous muscle inhibition on quadriceps rehabilitation of patients with early, unilateral osteoarthritic knees. Br J Rheumatol 1993; 32: 127–31.
  • 50
    Kumar PJ, McPherson EJ, Dorr LD, Wan Z, Baldwin K. Rehabilitation after total knee arthroplasty: a comparison of 2 rehabilitation techniques. Clin Orthop Relat Res 1996; 331: 93–101.
  • 51
    Rajan RA, Pack Y, Jackson H, Gillies C, Asirvatham R. No need for outpatient physiotherapy following total knee arthroplasty: a randomized trial of 120 patients. Acta Orthop Scand 2004; 75: 71–3.
  • 52
    Ranawat CS, Ranawat AS, Mehta A. Total knee arthroplasty rehabilitation protocol. J Arthroplasty 2003; 18: 27–30.
  • 53
    Stratford PW, Kennedy D, Pagura SM, Gollish JD. The relationship between self-report and performance-related measures: questioning the content validity of timed tests. Arthritis Rheum 2003; 49: 535–40.
    Direct Link:
  • 54
    Enright PL, Sherrill DL. Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med 1998; 158: 1384–7.
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