Abstract
Introduction
Elastic band exercise not only improves muscle strength and elasticity, increases efficiency, balance, and quality of life but also decreases the injury risk. This study was conducted to determine the effect of elastic band exercise on pain, kinesiophobia, functional, and psychological status after total knee arthroplasty.
Methods
This study was conducted out between October 2019 and April 2020 as a randomized controlled experimental study with a total of 60 patients. Data collection tools in this study included a descriptive information form, visual analog scale, Tampa Kinesiophobia, WOMAC Osteoarthritis Index, and Beck Depression Inventory.
Results
Before intervention, the total score of VAS, WOMAC, Tampa Kinesiophobia, and Beck Depression showed no statistically significant difference between intervention group and control group. However, 4 weeks after intervention observed a statistically significant difference between the intervention and control groups in terms of VAS (U = 10,000; p < 0.001), WOMAC (U = 0.00; p < 0.001), Tampa Kinesiophobia (U = 221.5; p = 0.001), and Beck Depression means score (U = 112.5; p < 0.001). In addition, 4 weeks after the intervention, joint range and walking test assessments were statistically significant between the intervention and control groups (p < 0.001).
Conclusion
The results of the research showed that elastic band exercise had a positive effect on psychological and functional capacity.
Trial registration
This study is registered in the Clinical Trial Registry (registration number NCT04981106)
Key points • Patients with total knee arthroplasty require rehabilitation exercise to avoid physical function weakness. • Elastic band exercise significantly reduces patients’ fear of movement and depression. • Elastic band exercise activities facilitate significant physical motion function. • Elastic band exercise inspires the will of patients to engage in home rehabilitation exercise patients after total knee arthroplasty. |
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Data availability
The data that support the findings of this study are available from the corresponding author upon reasonable request.
References
Kalyoncuo S, Tekinsoy PK (2021) Active aging and nursing care. ERU J Fac Health Sci 8(1):26–32
Chou LN, Chen ML (2019) Effects of elastic band exercise on lower limb rehabilitation of elderly patients undergoing total knee arthroplasty. Rehabil Nurs 44(1):60–66. https://doi.org/10.1097/rnj.0000000000000109
Usiskin IM, Yang HY, Deshpande BR, Collins JE, Michl GL, Smith SR, Klara KM, Selzer F, Katz JN, Losina E (2016) Association between activity limitations and pain in patient scheduled for total knee arthroplasty. BMC Musculoskelet Disord 17:378. https://doi.org/10.1186/s12891-016-1233
Tunay VB, Baltacı G, Atay AO (2020) Hospital-based versus home-based proprioceptive and strengthening exercise programs in knee osteoarthritis. Acta Orthop Traumatol Turc 44(4):270–277
Grayson C, Decker R (2012) Total joint arthroplasty for persons with osteoarthritis. PM & R: The Journal of Injury, Function, And Rehabilitation 4(5 Suppl):S97
Meier W, Mizner RL, Marcus RL, Dibble LE, Peters C, Lastayo PC (2008) Total knee arthroplasty: muscle impairments, functional limitations, and recommended rehabilitation approaches. J Orthop Sports Phys Ther 38:246–256
Ekşioğlu E, Gürçay A (2013) Rehabılıtatıon after total knee arthroplasty. J Ist Faculty Med 76(1)
Huo MH, Parvizi J, Bal BS, Mont MA (2008) What’s new in total hip arthroplasty. J Bone Joint Surg 90(9):2043–2055
Kuntze G, von Tscharner V, Hutchison C, Ronsky JL (2015) Multi-muscle activation strategies during walking in female post-operative total joint replacement patients. J Electromyogr Kinesiol 25(4):715–721. https://doi.org/10.1016/j.jelekin.2006.02.003
Chen YP, Kuo YJ, Hung SW, Wen TW, Chien PC, Chiang MS, Maffulli N, Lin CY (2021) Loss of skeletal muscle mass can be predicted by sarcopenia and reflects poor functional recovery at one year after surgery for geriatric hip fractures. Injury 52(11):3446–3452
Chen YP, Kuo YJ, Liu CH, Chien PC, Chang WC, Lin CY, Pakpour AH (2021) Prognostic factors for 1-year functional outcome, quality of life, care demands, and mortality after surgery in Taiwanese geriatric patients with a hip fracture: a prospective cohort study. Ther Adv Musculoskelet Dis 13:1–11
Chen YP, Wong PK, Tsai MJ, Chang WC, Hsieh TS, Leu TH, Lin CFJ, Lee CH, Kuo YJ, Lin CY (2020) The high prevalence of sarcopenia and its associated outcomes following hip surgery in Taiwanese geriatric patients with a hip fracture. J Formos Med Assoc 119(12):1807–1816
Cheng SH, Kuo YJ, Lin JCF, Chang WC, Wu CC, Chu YL, Lee CH, Chen YP, Lin CY (2020) Fat distribution may predict intra- or extra-capsular hip fracture geriatric patients after falling. Injury 51(2):414–419
Doury-Panchout F, Metivier JC, Fouquet B (2015) Kinesiophobia negatively influences recovery of joint function following total knee arthroplasty. Eur J Phys Rehabil Med 51(2):155–161
Güney H, Kinikli G, Karaha S, Çağla O, Atilla B, Yüksel İ (2016) The relationship between kinesiophobia and early functional and physiological outcomes in patients with total hip and knee arthroplasty. J Occup Ther Rehabil 4(2):97–101
Amano T, Tamari K, Tanaka S, Uchida S, Ito H, Morikawa S, Kawamura K (2016) Factors for assessing the effectiveness of early rehabilitation after minimally invasive total knee arthroplasty: a prospective cohort study. PLoS One 11(7):e0159172. https://doi.org/10.1371/journal.pone.0159172
Yoshioka T, Sugaya H, Kubota S, Onishi M, Kanamori A, Sankai Y, Yamazaki M (2016) Knee-extension training with a single-joint hybrid assistive limb during the early postoperative period after total knee arthroplasty in a patientwith osteoarthritis. Case Rep Orthop 2016:9610745. https://doi.org/10.1155/2016/9610745
Shabbir M, Umar B, Ehsan S, Munir S, Bunin U, Sarfraz K (2017) Comparison of functional training and strength training in improving knee extension lagnafter first four weeks of total knee replacement. Biomed Res 28(12):5623–5627
Liu S, Zhi-ling H, Qing-xi T, Xiao-feng Q, Jian-hua Y, Qing-hui J (2018) Effect of knee joint function training on joint functional rehabilitation after knee replacement. Medicine (Baltimore) 97(28):e11270. https://doi.org/10.1097/MD.0000000000011270
Moutzouri M, Coutts F, Gliatis J, Billis E, Tsepis E, Gleeson N (2019) Early initiation of home-based sensori-motortraining improves muscle strength, activation and size in patients after knee replacement: a secondary analysis of a controlled clinical trial. BMC Musculoskelet Disord 20:231
Kwak CJ, Kim YL, Lee SM (2016) Effects of elastic-band resistance exercise on balance, mobility and gait function, flexibility and fall efficacy in elderly people. J Phys Ther Sci 28:3189–3196
Lin SF, Sung HC, Li TL, Hsieh TC, Lan HC, Perng SJ, Smith GD (2015) The effects of tai-chi in conjunction with thera-band resistance exercise on functional fitness and muscle strength among community-based older people. J Clin Nurs 24:1357–1366
Oh SL, Kim HJ, Woo S, Cho BL, Song M, Park YH, Lim JY, Song W (2017) Effects of an integrated health education and elastic band resistance training program on physical function and muscle strength in community-dwelling elderly women: healthy aging and happy aging II study. Geriatr Gerontol Int 17:825–833
Park SY, Kim JK, Lee S (2015) The effects of a community-centered muscle strengthening exercise program using an elastic band on the physical abilities and quality of life of the rural elderly. J Phys Ther Sci 27:2061–2063
Chen YP, Wang SM, Wu Y, Lin HY, Wu CC, Chuang TY, Ho WP, Kuo YJ, Leu TH, Lin CY (2019) Worsen depression after viscosupplementation treatment for geriatric people with knee osteoarthritis? Int J Clin Health Psychol 19(1):31–40
Chen YP, Huang YY, Wu Y, Kuo YJ, Lin CY (2019) Depression negatively affects patient-reported knee functional outcome after intraarticular hyaluronic acid injection among geriatric patients with knee osteoarthritis. J Orthop Surg Res 14:387
Kane RL, Bershadsky B, Rockwood T, Saleh K, Islam NC (2005) Visual analog scale pain reporting was standardized. J Clin Epidemiol 58(6):618–623
Yılmaz ÖT, Yakut Y, Uğur F, Uluğ N (2011) Turkish version of the Tampa Scale for Kinesiophobia and its test-retest reliability. Physiother Rehabil 22(1):44–49
Tüzün EH, Eker L, Aytar A, Daşkapan A, Bayramoğlu M (2005) Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthr Cartil 13(1):28–33
Hisli N (1989) Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. J Psychol 7:3–13
Gogia PP, Braatz JH, Rose SJ, Norton BJ (1987) Reliability and validity of goniometric measurements at the knee. Phys Ther 67(2):192–195
Yeo HN, Kim YK, Kang MA, Shin JS (2015) Effects of elastic band exercise on pain, range of motion, and fear of falling in patients with total knee replacement. J Korean Clin Nurs Res 21:266–275
Lee EN (2001) Effects of brisk walking & muscle strengthening exercise using thera-band on pain, fatigue, physical function, and disease activity in patients with rheumatoid arthritis. Korean J Rehabil Nurs 4:84–93
Chang TF, Liou TH, Chen CH, Huang YC, Chang KH (2012) Effects of elastic-band exercise on lower-extremity function among female patients with osteoarthritis of the knee. Disabil Rehabil 34(20):1727–1735
Kim GJ, Oh H, Lee S, Lee K, Kim K (2020) Effects of resistance exercise using the elastic band on the pain and function of patients with degenerative knee arthritis. J Phys Ther Sci :52–54
Ballesteros SL, Morales RE, Peralta PC, Gómez-Pineda AG, Guadarrama-Becerril JH (2020) Kinesiotape and quadriceps strengthening with elastic band in women with knee osteoarthritis and overweight or obesity, a randomized clinical trial. Reumatol Clin 16(1):11–16
Kim G, Kim SH, Seo SK, Yoon HJ, Kim TY (2007) Effects of elastic band resistance exercise on improving the balance ability in the elderly. J Kor Soc Phys Ther 20:1–10
Chen R, Wu Q, Wang D, Li Z, Liu H, Liu G, Cui Y, Song L (2019) Effects of elastic band exercise on the frailty states in pre-frail elderly people. Physiother Theory Pract 36(9):1–9. https://doi.org/10.1080/09593985.2018.1548673
Uluğ N, Yakut Y, Alemdaroğlu İ, Yılmaz Ö (2016) Comparison of pain, kinesiophobia and quality of life in patients with low back and neck pain. J Phys Ther Sci 28(2):665–670
Chan SY, Kuo CC, Chen KM, Tseng WS, Huang HT, Li CH (2016) Health promotion outcomes of a newly developed elastic band exercise program for older adults in the community: a pilot test. J Nurs Res 24(2):137–144. https://doi.org/10.1097/jnr.0000000000000099
Chen M, Li P, Lin F (2016) Influence of structured telephone follow-up on patient compliance with rehabilitation after total knee arthroplasty. Patient Prefer Adherence 10:257–263. https://doi.org/10.2147/PPA.S102156
Pua YH, Ong PH, Chong HC, Yeo W, Tan C, Lo NN (2013) Knee extension range of motion and self-report physical function in total knee arthroplasty: mediating effects of knee extensor strength. BMC Musculoskelet Disord 14:33. https://doi.org/10.1186/1471-2474-14-33
Studenski S, Perera S, Patel K, Rosano C, Faulkner K, Inzitari M, Brach J et al (2011) Gait speed and survival in older adults. JAMA 305:50–58
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We would like to thank all patients who agreed to participate in the study
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Authors (FÇ, AK) contributed significantly to this article, including the design of this review, the analysis and interpretation of data, and the drafting and revision of the article. Both authors approved the final version.
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Çetinkaya, F., Karakoyun, A. The effects of elastic band exercise on the pain, kinesiophobia, functional, and psychological status after total knee arthroplasty: a randomized controlled trial. Clin Rheumatol 41, 3179–3188 (2022). https://doi.org/10.1007/s10067-022-06266-0
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DOI: https://doi.org/10.1007/s10067-022-06266-0