Effects of Lower Extremity Strength Training on Physical Recovery in Patients Underwent Total Knee Replacement

2.50
Hdl Handle:
http://hdl.handle.net/10755/621886
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Effects of Lower Extremity Strength Training on Physical Recovery in Patients Underwent Total Knee Replacement
Author(s):
Lin, Yu-Hua; Lee, Su-Ying; Kao, Chia-Chan
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Yu-Hua Lin, PhD, RN, Professional Experience: RN 15 years in medical surgical nursing, nurse educators 21 years as a clinical preceptor, lecturer, assistant professor, associate professor. current work is a professor in Department of Nursing, I-Shou University, Kaohsiung, Taiwan. Author Summary: I earned my PhD degree from the school of nursing, Kaohsiung Medical University. I had 30 years working experience in the field of nursing. My previous job titles were nurse (care oncology patients), head nurse, supervisor, director of nursing department and professor in a nursing school. Now, I am professor in the school of nursing, I-Shou University in Taiwan R.O.C.
Abstract:

Purpose:

 Patients with knee of osteoarthritis (OA) after surgery had experienced physical function decrease and impact their quality of life. However, they always lack a long-term, home-style, and continuous legs exercise training methods, and rare study to explore the effects on physical recovery and quality of life after exercise training. The purpose of this study was to examine the effects of lower extremity muscle strength training on patients’ physical recovery and quality of live underwent total knee replacement.

Methods:

 The quasi-experimental design was conducted, and using a simple randomize sampling (as patients admission priority order) to collect participants’ data. Eligible sample recruited from a hospital in Tainan. Inclusion criteria were above 20 old, and will be received total knee replacement (TKR). Outcome measurements included the Knee injury and osteoarthritis outcome score (KOOS, including pain, symptoms, active daily life [ADL], sport & recreation, and quality of life five subscales), disease related variables, and personal demographics. Participants were distributed into with a lower extremity muscle strength training and the training started before surgery (experimental group, n=100) or with usual care (control group, n=100). The lower extremity strength training was conducted by a nurse practitioner. We examined outcome indicators before surgery (T1) and follow up at two weeks (T2), one month (T3), two months (T4), and three months (T5) after TKR.

Results:

 The KOOS subscales scores showed that all the two groups’ patients experienced physical function (ADL and sport & recreation) and quality of life decreased at the two weeks after received TKR, but all the subscales scores gradually increased from one month to third months after TKR (p < .001). The generalized estimating equation (GEE) tests showed that both group and time were significantly different, indicated that both group patients experienced physical function and quality of life improvement, however, the exercise group physical function and quality of life was early recovery and better than no exercise group physical function and quality of life after TKR.

Conclusion:

The study confirmed that after lower extremity muscle strength training exercise helps to improve the quality of life and physical function recovery in patients who undergone TKR. This results recommend for the healthcare staff embed this training into pre-surgical nursing care and patients’ discharge plan in care of TKR patient as a continuous daily rehabilitation activity at home.

Keywords:
muscle strength training exercise; quality of life; total knee replacement
Repository Posting Date:
17-Jul-2017
Date of Publication:
17-Jul-2017
Other Identifiers:
INRC17PST128
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleEffects of Lower Extremity Strength Training on Physical Recovery in Patients Underwent Total Knee Replacementen_US
dc.contributor.authorLin, Yu-Huaen
dc.contributor.authorLee, Su-Yingen
dc.contributor.authorKao, Chia-Chanen
dc.contributor.departmentLambda Beta-at-Largeen
dc.author.detailsYu-Hua Lin, PhD, RN, Professional Experience: RN 15 years in medical surgical nursing, nurse educators 21 years as a clinical preceptor, lecturer, assistant professor, associate professor. current work is a professor in Department of Nursing, I-Shou University, Kaohsiung, Taiwan. Author Summary: I earned my PhD degree from the school of nursing, Kaohsiung Medical University. I had 30 years working experience in the field of nursing. My previous job titles were nurse (care oncology patients), head nurse, supervisor, director of nursing department and professor in a nursing school. Now, I am professor in the school of nursing, I-Shou University in Taiwan R.O.C.en
dc.identifier.urihttp://hdl.handle.net/10755/621886-
dc.description.abstract<p><strong>Purpose:</strong></p> <p> Patients with knee of osteoarthritis (OA) after surgery had experienced physical function decrease and impact their quality of life. However, they always lack a long-term, home-style, and continuous legs exercise training methods, and rare study to explore the effects on physical recovery and quality of life after exercise training. The purpose of this study was to examine the effects of lower extremity muscle strength training on patients’ physical recovery and quality of live underwent total knee replacement.</p> <p><strong>Methods:</strong></p> <p> The quasi-experimental design was conducted, and using a simple randomize sampling (as patients admission priority order) to collect participants’ data. Eligible sample recruited from a hospital in Tainan. Inclusion criteria were above 20 old, and will be received total knee replacement (TKR). Outcome measurements included the Knee injury and osteoarthritis outcome score (KOOS, including pain, symptoms, active daily life [ADL], sport & recreation, and quality of life five subscales), disease related variables, and personal demographics. Participants were distributed into with a lower extremity muscle strength training and the training started before surgery (experimental group, n=100) or with usual care (control group, n=100). The lower extremity strength training was conducted by a nurse practitioner. We examined outcome indicators before surgery (T1) and follow up at two weeks (T2), one month (T3), two months (T4), and three months (T5) after TKR.</p> <p><strong>Results:</strong></p> <p> The KOOS subscales scores showed that all the two groups’ patients experienced physical function (ADL and sport & recreation) and quality of life decreased at the two weeks after received TKR, but all the subscales scores gradually increased from one month to third months after TKR (p < .001). The generalized estimating equation (GEE) tests showed that both group and time were significantly different, indicated that both group patients experienced physical function and quality of life improvement, however, the exercise group physical function and quality of life was early recovery and better than no exercise group physical function and quality of life after TKR.</p> <p><strong>Conclusion:</strong></p> <p>The study confirmed that after lower extremity muscle strength training exercise helps to improve the quality of life and physical function recovery in patients who undergone TKR. This results recommend for the healthcare staff embed this training into pre-surgical nursing care and patients’ discharge plan in care of TKR patient as a continuous daily rehabilitation activity at home.</p>en
dc.subjectmuscle strength training exerciseen
dc.subjectquality of lifeen
dc.subjecttotal knee replacementen
dc.date.available2017-07-17T19:39:05Z-
dc.date.issued2017-07-17-
dc.date.accessioned2017-07-17T19:39:05Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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