Article

OBJECTIVE: To assess the effects of early self-managed focal sensorimotor
training compared to functional exercise training after total knee replacement on
functional mobility and sensorimotor function.
DESIGN: A single-blind controlled
clinical trial. SETTING: University Hospital of Rion, Greece. SUBJECTS: A total
of 52 participants following total knee replacement. OUTCOME MEASURES: The
primary outcome was the Timed Up and Go Test and the secondary outcomes were
balance, joint position error, the Knee Outcome Survey Activities of Daily Living
Scale, and pain. Patients were assessed on three separate occasions (presurgery,
8 weeks post surgery, and 14 weeks post surgery). INTERVENTION: Participants were
randomized to either focal sensorimotor exercise training (experimental group) or
functional exercise training (control group). Both groups received a 12-week
home-based programme prescribed for 3-5 sessions/week (35-45 minutes). RESULTS:
Consistently greater improvements ( F2,98 = 4.3 to 24.8; P < 0.05) in group mean
scores favour the experimental group compared to the control group: Timed Up and
Go (7.8 +/- 2.9 seconds vs. 4.6 +/- 2.6 seconds); balance (2.1 +/- 0.9 degrees
vs. 0.7 +/- 1.2 degrees ); joint position error (13.8 +/- 7.3 degrees vs. 6.2 +/-
9.1 degrees ); Knee Outcome Survey Activities of Daily Living Scale (44.2 +/-
11.3 vs. 26.1 +/- 11.4); and pain (5.9 +/- 1.3 cm vs. 4.6 +/- 1.1 cm). Patterns
of improvement for the experimental group over time were represented by a
relative effect size range of 1.3-6.5. CONCLUSIONS: Overall, the magnitude of
improvements in functional mobility and sensorimotor function endorses using
focal sensorimotor training as an effective mode of rehabilitation following knee replacement.

Langue : ANGLAIS