Comparison of High Intensity Strength Training and Muscle Energy Techniques in TKR Patients

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-30

Study Completion Date

2025-06-12

Brief Summary

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Globally, the prevalence of total joint replacement (TKR) procedures has been rising, providing patients with better joint function, decreased pain, and enhanced quality of life. A thorough and successful postoperative rehabilitation program, which attempts to restore optimal function and lower the risk of problems related to the treatment, is necessary for the success of total knee replacement (TKR) procedures. After total knee replacement, postoperative rehabilitation is a crucial stage in the patient's healing process. Normal knee function is frequently hampered by issues like pain management, muscular weakness, joint stiffness, and proprioceptive deficiencies. Therefore, choosing a suitable rehabilitation regimen is crucial.

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Detailed Description

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The main objective of this study is to compare two different rehabilitation strategies: Muscle Energy Techniques with Balance Exercises and High Intensity Strength Training with Balance Exercises. The research aims to maximize postoperative results for patients who have undergone total knee replacement surgery.

The focus on resistance exercises intended to improve muscle strength and power is what defines high intensity strength training, or HIST. Research has indicated that HIST is beneficial in enhancing joint stability, muscle function, and overall functional outcomes across a range of orthopedic groups. Its precise use and effect on patients recovering from TKR surgery, however, need further investigation. In order to increase joint mobility, lessen pain, and improve neuromuscular control, patients who get Muscle Energy Techniques (MET) actively participate in targeted muscle contractions. MET has demonstrated potential in treating muscular imbalances.

Conditions

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Knee Osteoarthritis Arthroplasty, Knee Replacement Resistance Training

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

outcome Assessor will be blind

Study Groups

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High Intensity Strength Training

Group of TKR patients are given high intensity strength training.

Group Type EXPERIMENTAL

High Intensity Strength Training

Intervention Type OTHER

* High-intensity workouts to strengthen the quadriceps and enhance knee function;
* Knee flexion and extension 10 lbs.
* 10RM of hip flexion and extension
* 10RM hip adduction and abduction
* Standing with feet aligned for one minute\*2, standing on one leg's forefoot and the other leg's heel for two minutes\*2, standing on one foot for three seconds\*15, and walking ten meters in a straight line for four minutes
* 4-week program; 3 days/week; Conventional Treatment: Exercises for range of motion, mobility and weight bearing, muscle stretching, static quadriceps exercise, quadriceps exercise, and straight leg raising

Muscle Energy Technique Exercises

patients are given muscle energy technique exercise.

Group Type ACTIVE_COMPARATOR

Muscle Energy Technique

Intervention Type OTHER

The Muscle Energy Technique (MET) to strengthen and flex your quadriceps and hamstrings.

* After maintaining an isometric contraction for ten seconds, a little stretch was maintained for thirty seconds.
* Four contractions every treatment, separated by three seconds of rest. Standing with feet parallel for one minute\*2, standing on one leg's forefoot and the other leg's heel for two seconds\*2, standing on the forefoot for three seconds\*15
* Move in a 10 m by 4 straight line.
* 4-week program; 3 days/week Conventional Treatment: Exercises for range of motion, mobility and weight bearing, muscle stretching, static quadriceps exercise, quadriceps exercise, and straight leg raising

Interventions

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High Intensity Strength Training

* High-intensity workouts to strengthen the quadriceps and enhance knee function;
* Knee flexion and extension 10 lbs.
* 10RM of hip flexion and extension
* 10RM hip adduction and abduction
* Standing with feet aligned for one minute\*2, standing on one leg's forefoot and the other leg's heel for two minutes\*2, standing on one foot for three seconds\*15, and walking ten meters in a straight line for four minutes
* 4-week program; 3 days/week; Conventional Treatment: Exercises for range of motion, mobility and weight bearing, muscle stretching, static quadriceps exercise, quadriceps exercise, and straight leg raising

Intervention Type OTHER

Muscle Energy Technique

The Muscle Energy Technique (MET) to strengthen and flex your quadriceps and hamstrings.

* After maintaining an isometric contraction for ten seconds, a little stretch was maintained for thirty seconds.
* Four contractions every treatment, separated by three seconds of rest. Standing with feet parallel for one minute\*2, standing on one leg's forefoot and the other leg's heel for two seconds\*2, standing on the forefoot for three seconds\*15
* Move in a 10 m by 4 straight line.
* 4-week program; 3 days/week Conventional Treatment: Exercises for range of motion, mobility and weight bearing, muscle stretching, static quadriceps exercise, quadriceps exercise, and straight leg raising

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Individuals between the ages of 45 and 75
* Patients should be within a certain timeframe following surgery (e.g., post op day 0-day) to ensure homogeneity throughout the rehabilitation phase.
* Patients who have had primary total knee replacement
* To take part in the RCT, participants must give informed consent
* they must be able and willing to follow the study protocol's instructions for post-rehabilitation care.

Exclusion Criteria

* Comorbidities: Individuals with significant comorbidities affecting rehabilitation, such as severe cardiovascular disease or neuromuscular disorders, may be excluded.
* Allergies/Contraindications: Patients with allergies or contraindications to specific exercises or techniques used in the study.
* Inadequate Cognitive Function: Participants with cognitive impairments that prevent them from comprehending and adhering to the rehabilitation protocols.
* Other Knee Surgeries: Patients who have had other knee surgeries or have had bilateral knee replacements may be excluded due to variations in recovery and rehabilitation.

Minimum Eligible Age

45 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No