THE EFFECTS OF EARLY PROGRESSIVE CLOSED KINETIC CHAIN EXERCISES IN COMPARISON WITH STANDARD EXERCISE PROGRAM AFTER BILATERAL TOTAL KNEE ARTHROPLASTY - RANDOMIZED CONTROLLED STUDY BİLATERAL TOTAL DİZ PROTEZİ SONRASI ERKEN İLERLEYİCİ KAPALI KİNETİK ZİNCİR EGZERSİZLERİNİN STANDART EGZERSİZ PROGRAMINA GÖRE ETKİLERİ - RANDOMİZE KONTROLLÜ ÇALIşMA


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Can E. K., Tomruk M., GELECEK N.

Turkish Journal of Physiotherapy and Rehabilitation, vol.34, no.1, pp.102-114, 2023 (ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 34 Issue: 1
  • Publication Date: 2023
  • Doi Number: 10.21653/tjpr.1056788
  • Journal Name: Turkish Journal of Physiotherapy and Rehabilitation
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Page Numbers: pp.102-114
  • Keywords: Closed Kinetic Chain Exercise, Knee Arthroplasty, Post-Acute Rehabilitation
  • Dokuz Eylül University Affiliated: Yes

Abstract

Purpose: This study was conducted to determine the short-term effects of a progressive closed kinetic chain exercise (CKCE) program on pain severity, edema, range of motion and functional status in patients with bilateral total knee arthroplasty (TKA) compared to standard exercise program given in open kinetic position. Methods: 36 patients (72 knees) with a mean age of 65.22 ± 6.81 years and bilateral TKA were included in the study. The patients were divided into the CKCE group (CKCE, n=16) and the control group (CG, n=16) consisting of standard exercises. The same physiotherapy program was applied to all patients in the first postoperative week. In 2nd post-operative week, the patients were divided into two groups and started exercise training appropriate for their groups. Pain, edema, range of motion measurements of the patients were evaluated at the beginning and at post-operative 4th and 7th weeks in the programs applied 3 days a week and for 6 weeks in total. The functional status assessment was performed only in the last measurement. Results: There were statistically significant improvements in pain, edema and knee range of motions at the end of the 6 weeks in both groups (p<0.05). In the 4th week measurements, the change in pain was more distinctive in CG (p<0.05), but the changes from baseline in all other measured parameters were similar in both groups (p>0.05). Conclusion: The study reveals that the progressive CKCE program in the early post-acute period seems effective for bilateral TKA patients and can be embedded in the postoperative exercise programs. However, more than the CKCE program is needed to have an additional advantage over the standard exercise program in the short term.