Application Of Functional Exercise Record In Patients After Total Knee Arthroplasty

ObjectTo investigate the functional recovery of knee in patients with total knee arthroplasty(TKA) after the apply of functional exercise record form in functional exercises, so that we can explore a feasible method that can improve the efficiency of clinical functional exercises.MethodsForty patients with KOA underwent TKA from January 2014 to June 2014 were enrolled according to strict inclusion and esclusion criteria, and were divided randomly into two groups, the intervention group and the control group. The intervention group received a customized exercise program in a functional exercise record form, strictly based on the method, time and frequency, recorded everyday from the day of operation to2 weeks after surgery. The control group received the routine postoperative care. All patients were assessed with HSS and ROM 7 days and 14 days after operation, with the timed "up and go" test(TUGT) 14 days.ResultsThe intervention group Twenty patients in the intervention group attended all scheduled exercise sessions with no training injuries. Twenty patients in the control group completed all the tests. There were no significant difference of preoperative demography data including average age, sex proportion, height, weight, operational extremity between two groups(P > 0.05). At 7 days postoperatively, the average HSS between the intervention group and the control group were 62.58±7.78 and 55.45±8.98,respectively( P=0.011, P < 0.05), the average ROM were 91.89±9.60 and 82.65±9.58(P=0.004, P < 0.01). At 14 days postoperatively, the average HSS between the intervention group and the control group were 71.56±6.23 and 64.68±5.94(P=0.001 P < 0.01), the average ROM were 102.43±8.58 and 93.68±9.72(P=0.005 P < 0.01), the average time of the timed "up and go" test(TUGT) were 27.25±2.16 and 32.35±3.35s(P=0.000 P <0.01). demonstrated greater HSS and significantly greater ROM at 7 days postoperatively.At 14 days postoperatively, all the results of tests in intervention group were significantly improved than the control group.ConclusionThe study indicates that the functional exercise record form after TKA can make patients do functional exercise according to the customized exercise programs and improve the recovery of knee function. The postoperative customized exercise programs are well tolerated in elderly patients with KOA and can be a comparatively useful method that improve the clinical efficacy of functional exercises.