Comparison of High Intensity Strength Training and Muscle Energy Techniques in TKR Patients

Not Applicable

Not yet recruiting

Conditions: Knee Osteoarthritis
Arthroplasty, Knee Replacement
Resistance Training

Interventions: Other: High Intensity Strength Training
Other: Muscle Energy Technique

Brief Summary: Globally, the prevalence of total joint replacement (TKR) procedures has been rising, providing patients with better joint function, decreased pain, and enhanced quality of life. A thorough and successful postoperative rehabilitation program, which attempts to restore optimal function and lower the risk of problems related to the treatment, is necessary for the success of total knee replacement (TKR) procedures. After total knee replacement, postoperative rehabilitation is a crucial stage in the patient's healing process. Normal knee function is frequently hampered by issues like pain management, muscular weakness, joint stiffness, and proprioceptive deficiencies. Therefore, choosing a suitable rehabilitation regimen is crucial.

Detailed Description: The main objective of this study is to compare two different rehabilitation strategies: Muscle Energy Techniques with Balance Exercises and High Intensity Strength Training with Balance Exercises. The research aims to maximize postoperative results for patients who have undergone total knee replacement surgery.

The focus on resistance exercises intended to improve muscle strength and power is what defines high intensity strength training, or HIST. Research has indicated that HIST is beneficial in enhancing joint stability, muscle function, and overall functional outcomes across a range of orthopedic groups. Its precise use and effect on patients recovering from TKR surgery, however, need further investigation. In order to increase joint mobility, lessen pain, and improve neuromuscular control, patients who get Muscle Energy Techniques (MET) actively participate in targeted muscle contractions. MET has demonstrated potential in treating muscular imbalances.

Recruitment & Eligibility

Inclusion Criteria

Individuals between the ages of 45 and 75
Patients should be within a certain timeframe following surgery (e.g., post op day 0-day) to ensure homogeneity throughout the rehabilitation phase.
Patients who have had primary total knee replacement
To take part in the RCT, participants must give informed consent
they must be able and willing to follow the study protocol's instructions for post-rehabilitation care.

Exclusion Criteria

Comorbidities: Individuals with significant comorbidities affecting rehabilitation, such as severe cardiovascular disease or neuromuscular disorders, may be excluded.
Allergies/Contraindications: Patients with allergies or contraindications to specific exercises or techniques used in the study.
Inadequate Cognitive Function: Participants with cognitive impairments that prevent them from comprehending and adhering to the rehabilitation protocols.
Other Knee Surgeries: Patients who have had other knee surgeries or have had bilateral knee replacements may be excluded due to variations in recovery and rehabilitation.

Arm && Interventions

Group	Intervention	Description
High Intensity Strength Training	High Intensity Strength Training	Group of TKR patients are given high intensity strength training.
Muscle Energy Technique Exercises	Muscle Energy Technique	patients are given muscle energy technique exercise.

Primary Outcome Measures

Name	Time	Method
Pain : Numeric Pain Rating Scale	4th week	A simple tool for measuring pain intensity is the Numeric Pain Rating Scale. This grading system has eleven points: zero represents no pain, and ten represents the "worst pain imaginable or highest level of discomfort. Changes from the baseline was taken.
ROM	4th week	An instrument called a goniometer will be used to measure angles or rotate objects into desired positions. In orthopedics, it is primarily used to quantify joint angles. Changes from the baseline was taken.
Functional Status: Knee Injury and Osteoarthritis outcome score	4th week	The Knee Injury and Osteoarthritis Outcome Score (KOOS) is a questionnaire designed to assess short and long-term patient-relevant outcomes following knee injury. Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems as common in orthopedic scales, and generic measures. Scores between 0 and 100 represent the percentage of the total possible score achieved.

Secondary Outcome Measures

Name	Time	Method