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Volume 10, Issue 23 - February 4, 2009
Exercise key to knee recovery

 

NEWARK, Del., Feb. 2 (UPI) -- U.S. researchers say exercise to strengthen muscles after knee replacement surgery is critical to recovering function.

The randomized controlled trial study, published in Arthritis Care & Research, determined the 200 patients receiving strength training showed much greater improvement in strength and function over the next 12 months -- as measured by tests such as stair climbing and 6-minute walks -- than 41 patients who received conventional rehabilitation and home physical therapy.

"It sounds logical that exercises to strengthen your knee should be a component of your post-operative physical therapy after a total knee replacement, but it's not the convention at all," Dr. Lynn Snyder-Mackler of the University of Delaware said in a statement.

"There are all of these old wives' tales that strength training is a detriment to the patient and that the new knee should be treated delicately. Our study demonstrates that intensive strength exercise as outpatient therapy is critical to begin three to four weeks after surgery."

The trial patients, who were given six weeks of progressive strength training two or three times a week starting four weeks after surgery showed knee function similar to that of a healthy adult of the same age, the study said.

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