title: Prehabilitation before knee arthroplasty increases postsurgical function: a case study.
abstract: Conditioning the body to undergo physical stress such as joint arthroplasty has been termed prehabilitation. This case study examined the effect of a 4-week prehabilitation intervention on functional outcomes after total knee arthroplasty (TKA). Two female subjects completed baseline strength and functional assessments before TKA. Subjects were randomized to either a 4-week prehabilitation intervention (ES) aimed at increasing strength and range of motion or a usual care condition (CS). After 4 weeks of training, subjects were reassessed and underwent TKA. Subjects completed a final assessment 12 weeks after TKA. Functional outcomes included 6-minute walk, number of times up from a chair in 30 seconds, proprioception, and self-reported function and pain using the Western Ontario and McMaster Universities Osteoarthritis Index. The data suggest that 4 weeks of prehabilitation had a positive effect on functional task performance and knee proprioception before surgery. After surgery, the ES continued to exhibit higher levels of functioning and less pain compared with the CS. Prehabilitation before TKA may contribute to improved recovery after surgery.
authors.affiliation: Exercise Physiology Laboratory, University of Louisville, Louisville, Kentucky 40292, USA. jaggers@louisville.edu
authors.forename: Jason R
authors.initials: JR
authors.lastname: Jaggers
authors.forename: Crystal D
authors.initials: CD
authors.lastname: Simpson
authors.forename: Karen L
authors.initials: KL
authors.lastname: Frost
authors.forename: Peter M
authors.initials: PM
authors.lastname: Quesada
authors.forename: Robert V
authors.initials: RV
authors.lastname: Topp
authors.forename: Ann M
authors.initials: AM
authors.lastname: Swank
authors.forename: John A
authors.initials: JA
authors.lastname: Nyland
mesh_terms: D019645:Arthroplasty, Replacement, Knee; D004185:Disability Evaluation; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D018763:Muscle Fatigue / Q000502:physiology; D020370:Osteoarthritis, Knee / Q000503:physiopathology / Q000601:surgery; D010147:Pain Measurement; D011183:Postoperative Complications / Q000517:prevention & control*; D011300:Preoperative Care; D016059:Range of Motion, Articular