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The Effect of Preoperative Exercise in Total Knee Replacement Patients

The Effect of Preoperative Exercise in Total Knee Replacement Patients

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Abstract: This review aims to investigate research in the area of preoperative exercise therapy in patients with osteoarthritis awaiting knee replacement surgery. The benefits of exercise in osteoarthritis patients have been well documented. Research is lacking in the area of preoperative interventions and to date has been unable to justify its use. However limitations within these studies have been identified.
Abstract: This review aims to investigate research in the area of preoperative exercise therapy in patients with osteoarthritis awaiting knee replacement surgery. The benefits of exercise in osteoarthritis patients have been well documented. Research is lacking in the area of preoperative interventions and to date has been unable to justify its use. However limitations within these studies have been identified.

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Published by: Undergraduate Awards on Sep 01, 2012
Copyright:Attribution Non-commercial

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03/19/2014

 
Literature Review:
The Effect of PreoperativeExercise in Total KneeReplacement Patients
Student Number: 06103243Submission Date: 02/05/2008
Word Count: 2665
 
The Effect of Preoperative Exercise in Total Knee Replacement Patients
 
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The Effect of Preoperative Exercise in Total Knee Replacement Patients
 
One in six Irish men and women suffer from arthritis (1). Prevalence of osteoarthritis increasessubstantially with age. With the average age of the population on the rise this will have seriousimpact on future provision of health care. The principal symptoms of osteoarthritis are pain,stiffness and swelling of the joint. The majority of Irish adults over 55 years have radiographicevidence of arthritis but are asymptomatic (1). Osteoarthritis can affect any joint in the body but ismost prevalent in the weight bearing joints of the lower limbs notably the hip and the knee.Patients with osteoarthritis of the knee have increased pain, disability and quadricepsweakness compared to their normal population counterparts (2, 3). Total knee arthroplasty (TKA)surgery is the most common orthopaedic intervention performed in patients with knee arthritis.The main aim of TKA surgery is to reduce pain and improve function in the knee joint (2), allowingpatients to return to the highest possible physical function. However immediately after surgeryquadriceps strength falls dramatically (4) and weakness can persist for many years (2). This mayimpact on the patient’s ability to positively contribute to his/her rehabilitation, thus taking themlonger to progress through the rehab process. Patients with lower preoperative physical functionrequire greater physical therapy post surgery, and are less likely to achieve similar functionaloutcomes to patients with less preoperative dysfunction (5). Thus one could postulate that apreoperative conditioning program may have a positive impact on the rate of recovery.The aim of this review is to investigate current research in the area of preoperativeexercise therapy in the management of patients with osteoarthritis awaiting TKA surgery. A
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