The results of a recent study shows that in osteoarthritis patients, an exercise program allows for faster recovery after joint replacement.
Researchers from Harvard Medical School (Boston, New England Baptist Hospital, Beth Israel Deaconess Medical Center) studied 108 men and women with severe osteoarthritis of the hip or knee replacement surgery at the Boston New England Baptist Hospital planned. The patients were usually in theirLate 50s to late 60s.
The researchers divide the patients randomly into two groups.
Patients in one group followed a six-week training program before their operation.
The other group was not asked to exercise before the surgery.
The exercise training group performed three times a week for six weeks and were carefully monitored to ensure, his appropriately with the exercise of their physical condition.
For the first three weeks patients worked in the exercise group, in aPool, the reasoning is that the natural buoyancy of the water water workouts easy on the joints. The patients were standing in chest-deep water, the exercise of all its joints.
Exercised in the last three weeks and patients in a gym on recumbent stationary bike or elliptical machine. These special pieces of equipment have little impact.
The patients also have weight training and stretches for flexibility during the last three weeks of the program.
A physiotherapist supervised theWorkouts, which lasted 30-60 minutes and were at a community fitness facility instead.
Before the study, patients rated their ability, normal tasks and activities. They also took tests balance, agility, strength and leg. These tests were repeated just before surgery, and beyond.
Users having hip surgery improves function and pain scores before surgery.
The patients in the group exercise, both hip and knee replacement patients, elevated legThickness of an average of 18% to 20% (leg press scores) before surgery. Post-surgery, the exercise group reduced the likelihood directly to a rehabilitation facility, instead they are sent home by 73%. Similarly, 76% of the exercisers were able to walk 50 meters on the third day after surgery, compared with 61% of non-exercisers. The researchers also found that patients who reported is exercised, mentally well prepared for their rehabilitation. This was partly because they no longerFear of movement and they understand first hand experience how important it was.
Sixty percent of the exercisers were able to go home immediately, compared to 44% of non-exercisers showed that study.
Exercisers Who Got total hip replacement showed a significant advantage in the pre-surgery function - based on their own assessment of their ability to cope with routine activities - in comparison to the non-exercisers.
There are times, however, no functional benefit inExercisers, who had replaced her knee.
The reasons are not clear to the researchers found, although they said the difference was related to the joint position. One can exercise longer be needed to help knee function was a hypothesis that continues to the researchers.
The conclusions were that "an appropriate program of water and land-based exercise involving cardiovascular, strength training and flexibility activities can be a safe, tolerable,and effective approach to improve muscle strength in middle-aged and older adults with severe osteoarthritis of the hip and knee. "
Author's note: It is important that an exercise program developed by your doctor, the orthopedic surgeon or another representative of the surgical team OK'd, and by a physiotherapist.
(Rooks DS, et al. Effect of preoperative exercise on measures of functional status in men and women who had hip and knee arthroplasty.Arthritis Care & Research. 2006, 55 (5): 700-708).
This article was adapted from a press release from the Arthritis Foundation.
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