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Improving treatment in patients scheduled for total knee arthroplasty: the role of preoperative low-load blood flow restricted resistance training (PhD Academy Award)
British Journal of Sports Medicine ( IF 11.6 ) Pub Date : 2024-11-27 , DOI: 10.1136/bjsports-2024-109323 Stian Langgård Jørgensen
British Journal of Sports Medicine ( IF 11.6 ) Pub Date : 2024-11-27 , DOI: 10.1136/bjsports-2024-109323 Stian Langgård Jørgensen
In this PhD project, we prospectively included 86 patients with knee osteoarthritis (OA) who were scheduled for a total knee arthroplasty (TKA). The project was divided into two phases: Phase 1, compared the relationship between lower limb sit-to-stand power (STS Power) and maximal isometric knee extensor strength (knee extensor maximal isometric voluntary contraction (MVC)), respectively, with objective measures of physical function and patient-reported outcomes. Phase 2, investigated the effectiveness of preoperative low-load blood flow restricted resistance training (BFR-RT) compared with usual preoperative medical care on postoperative measures of physical function, lower limb strength and patient-reported outcomes obtained 3 and 12 months after TKA. The number of TKA procedures due to knee OA is rising globally, with ~20% of the patients perceiving insufficient postoperative outcomes. Moreover, patients undergoing TKA demonstrate a lower level of physical function 1 year postoperatively compared with healthy peers.1 Interestingly, performing preoperative heavy-load resistance strength training (HL-RT) to improve preoperative lower limb strength in patients with knee and hip OA scheduled for joint replacement surgery has demonstrated to enhance postoperative physical function.2 However, a previous study3 reported that about 25% …
中文翻译:
改善计划接受全膝关节置换术的患者的治疗:术前低负荷血流受限阻力训练的作用(博士学院奖)
在这个博士项目中,我们前瞻性地纳入了 86 名计划进行全膝关节置换术 (TKA) 的膝骨关节炎 (OA) 患者。该项目分为两个阶段:第 1 阶段,分别比较下肢坐立力量 (STS Power) 和最大等长膝伸肌力量 (膝伸肌最大等长自主收缩 (MVC)) 之间的关系,以及身体机能和患者报告结果的客观测量。第 2 阶段,调查了术前低负荷血流限制阻力训练 (BFR-RT) 与常规术前医疗护理相比对 TKA 后 3 个月和 12 个月获得的身体机能、下肢力量和患者报告结果的术后测量的有效性。全球因膝关节 OA 引起的 TKA 手术数量正在增加,~20% 的患者认为术后结果不足。此外,与健康同龄人相比,接受 TKA 的患者在术后 1 年表现出较低的身体机能水平.1 有趣的是,对于计划进行关节置换手术的膝关节和髋关节 OA 患者,进行术前重负荷阻力力量训练 (HL-RT) 以改善术前下肢力量已被证明可以增强术后身体机能.2 然而,之前的一项研究3 报告称,大约 25% ...
更新日期:2024-11-29
中文翻译:
改善计划接受全膝关节置换术的患者的治疗:术前低负荷血流受限阻力训练的作用(博士学院奖)
在这个博士项目中,我们前瞻性地纳入了 86 名计划进行全膝关节置换术 (TKA) 的膝骨关节炎 (OA) 患者。该项目分为两个阶段:第 1 阶段,分别比较下肢坐立力量 (STS Power) 和最大等长膝伸肌力量 (膝伸肌最大等长自主收缩 (MVC)) 之间的关系,以及身体机能和患者报告结果的客观测量。第 2 阶段,调查了术前低负荷血流限制阻力训练 (BFR-RT) 与常规术前医疗护理相比对 TKA 后 3 个月和 12 个月获得的身体机能、下肢力量和患者报告结果的术后测量的有效性。全球因膝关节 OA 引起的 TKA 手术数量正在增加,~20% 的患者认为术后结果不足。此外,与健康同龄人相比,接受 TKA 的患者在术后 1 年表现出较低的身体机能水平.1 有趣的是,对于计划进行关节置换手术的膝关节和髋关节 OA 患者,进行术前重负荷阻力力量训练 (HL-RT) 以改善术前下肢力量已被证明可以增强术后身体机能.2 然而,之前的一项研究3 报告称,大约 25% ...