The Effect of Exercises of Different Intensity Applied After Total Knee Arthroplasty on Exercise-Induced Hypoalgesia: Randomised Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Knee Osteoarthritis
- Sponsor
- Hacettepe University
- Enrollment
- 38
- Locations
- 1
- Primary Endpoint
- Change of Pressure pain theshold
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The aim of this study was to investigate whether exercise-induced hypoalgesia (EIH) is present following exercise in patient after total knee arthroplasty (TKA) and if so, if it changes with exercise intensity. A repeated measures and single-blinded randomized study were done. Thirty-eight patients 24 hours after TKA were randomly assigned to either low intensity exercises (LIE) group or high intensity exercises (HIE) group. An exercise programs lasted for five days during the hospitalization period. Pain severity was assessed by Visual Analog Scale (VAS) (0-10 mm). Pressure pain thresholds (PPTs) were measured over quadriceps and biceps brachii and muscles immediately before and after exercise.
Detailed Description
Background: The aim of this study was to investigate whether exercise-induced hypoalgesia (EIH) is present following exercise in patient after total knee arthroplasty (TKA) and if so, if it changes with exercise intensity. Methods : A repeated measures and single-blinded randomized study were done. Thirty-eight patients 24 hours after TKA were randomly assigned to either low intensity exercises (LIE) group or high intensity exercises (HIE) group. An exercise programs lasted for five days during the hospitalization period. Pain severity was assessed by Visual Analog Scale (VAS) (0-10 mm). Pressure pain thresholds (PPTs) were measured over quadriceps and biceps brachii and muscles immediately before and after exercise.
Investigators
MERVE KARAPINAR
Assistant Professor
Hacettepe University
Eligibility Criteria
Inclusion Criteria
- •Patients had undergone primary unilateral total knee replacement surgery
- •Patients hospitalized for at least seven days were enrolled in this study.
Exclusion Criteria
- •Medically stable patients who used glucocorticoids or strong analgesic drugs
- •Patients had post-traumatic OA, rheumatoid arthritis (RA), psoriatic arthritis, cognitive, hearing and visual problems Patients were diagnosed chronic pain condition were excluded from the study.
Outcomes
Primary Outcomes
Change of Pressure pain theshold
Time Frame: admission to hospital service to discharge from hospital service, an average 5 days
Pressure pain threshold (PPTs) were assessed using a handheld pressure algo-meter
change of pain severity
Time Frame: admission to hospital service to discharge from hospital service, an average 5 days
. The pain severity evaluated using a visual analogue scale (VAS; scored from 0, no pain, to 100, the worst pain ever).