The Effect of a Single Session of Preoperative Exercise Training on The Rate of Functional Improvement in Patients Who Underwent Total Knee Arthroplasty at a Tertiary Hospital in Southern Thailand: A Retrospective Cohort Study

Authors

  • Pongphon Chuchuen Department of Rehabilitation Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Varah Yuenyongviwat Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Theerawit Hongnaparak Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Khanin Iamthanaporn Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Alan Geater Department of Epidemiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Rassamee Chotipanvithayakul Department of Epidemiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Jaikan Mankaket Physical Therapy Unit, Songklanagarind Hospital, Hat Yai, Songkhla 90110, Thailand.
  • Chonnanid Limsakul Department of Rehabilitation Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.

DOI:

https://doi.org/10.31584/jhsmr.20241080

Keywords:

functional performance, knee arthroplasty, knee osteoarthritis, physical therapy, prehabilitation

Abstract

Objective: To evaluate the effect of a preoperative exercise training program before total knee arthroplasty (TKA) and the factors associated with functional outcomes after TKA.
Material and Methods: A retrospective cohort study was conducted. Patients were selected to receive a preoperative exercise training program before TKA. The changes in the Knee Society Score (KSS) were evaluated before and after surgery at 6, 12, and 24 weeks between the preoperative exercise and the standard care groups.
Results: The mean objective scores (KS-OS) and functional scores (KS-FS) were significantly improved at 6 (T1), 12 (T2), and 24 (T3) weeks following surgery. The effect of a single session of preoperative exercise training had no significant difference in both scores (KS-OS T1 p-value=0.53, KS-OS T2 p-value=0.59, KS-OS T3 p-value=0.63; KS-FS T1 p-value=0.16, KS-FS T2 p-value=0.94, KS-FS T3 p-value=0.99). There was no significant difference in the knee range of motion at 6 (p-value=0.68), 12 (p-value=0.12), and 24 (p-value=0.05) weeks after surgery. Ages of 65 years and older and length of stay in hospital, equal to or greater than 5 days, were associated with lower functional outcomes.
Conclusion: The preoperative exercise training program did not affect functional outcomes. Advanced age and longer length of stay in the hospital were associated with poor functional outcomes.

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Published

2024-12-19

How to Cite

1.
Chuchuen P, Yuenyongviwat V, Hongnaparak T, Iamthanaporn K, Geater A, Chotipanvithayakul R, Mankaket J, Limsakul C. The Effect of a Single Session of Preoperative Exercise Training on The Rate of Functional Improvement in Patients Who Underwent Total Knee Arthroplasty at a Tertiary Hospital in Southern Thailand: A Retrospective Cohort Study. J Health Sci Med Res [Internet]. 2024 Dec. 19 [cited 2024 Dec. 22];43(1):e20241080. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/275921

Issue

Vol. 43 No. 1 (2025): Jan-Feb

Section

Original Article

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