A Comparative Analysis of High Velocity and Standard Low Velocity Exercise Training on Rehabilitation Outcomes Following Total Knee Arthroplasty
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 38
- 试验地点
- 2
- 主要终点
- Change from Baseline in Six Minute Walk Test (6MWT) at six weeks
研究概览
简要总结
The purpose of this study was to compare the effects of two exercise programs, using low velocity (LV) and high velocity (HV) contractions, on outcomes of individuals who have undergone total knee arthroplasty (TKA). The experimental hypothesis was that individuals performing HV exercise, compared to LV, would exhibit superior outcomes.
详细描述
The most effective type of exercise has not been identified for individuals who undergo total knee arthroplasty (TKA). High velocity (HV) exercise when compared to low velocity (LV) exercise produces greater gains in power and certain functional activities in older adults. The use of HV exercise for patients who undergo TKA has not been investigated.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 60 Years 至 89 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 60- 89 years of age.
- •primary unilateral TKA 10-21 days prior to the outpatient PT evaluation
- •received inpatient rehabilitation at Helen Hayes Hospital
排除标准
- •Any other lower extremity joint or back pain (not inclusive of recent Total knee arthroplasty) rated greater than four out of ten with weight-bearing
- •any other lower extremity joint replacement surgery
- •diagnosis of osteoporosis with history of fractures, uncontrolled hypertension, unstable cardiac or pulmonary problems, neurological disease affecting motor control, uncontrolled diabetes
- •chest pain or shortness of breath on stair-climbing
- •requirement of human assistance to walk in addition to the ambulation device
- •inability to follow instructions to perform testing and/or exercise,
- •participants who stated that they would not be available to complete 12 exercise sessions
- •individual adherence with performance of a home exercise program (HEP) less than five of seven days at the end of the treatment period
结局指标
主要结局
Change from Baseline in Six Minute Walk Test (6MWT) at six weeks
时间窗: 6 weeks
The distance walked in six minutes is measured for the 6MWT. A 150 foot hallway is used for the test. Standardized instructions are read to the participant. The participant is asked to walk as fast as he/she feels comfortable and safe in order to walk far as he/she can during six minutes. Distance is recorded in feet and later is converted to meters.
次要结局
- Gait Abnormality Rating Scale (GARS)(6 weeks)
- Change from Baseline in Visual Analogue Scale (VAS) Pain at six weeks(6 weeks)
- Change from Baseline in Timed Up and Go Test (TUG) at six weeks(6 weeks)
- Gait Velocity(6 weeks)
- Change from Baseline in Short Form-36 (SF-36) at six weeks(6 weeks)
- Change from Baseline in Stair Climb Test at six weeks(6 weeks)
研究者
Marie A. Kardys Kelly
Primary Investigator
Helen Hayes Hospital