A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Effects of a home-based, exergaming intervention on physical function and pain after total knee replacement in older adults : a randomised controlled trial (2023)
Janhunen, M., Katajapuu, N., Paloneva, J., Pamilo, K., Oksanen, A., Keemu, H., Karvonen, M., Luimula, M., Korpelainen, R., Jämsä, T., Kautiainen, H., Mäkelä, K., Heinonen, A., & Aartolahti, E. (2023). Effects of a home-based, exergaming intervention on physical function and pain after total knee replacement in older adults : a randomised controlled trial. BMJ Open Sport & Exercise Medicine, 9(1), Article e001416. https://doi.org/10.1136/bmjsem-2022-001416
JYU-tekijät tai -toimittajat
Julkaisun tiedot
Julkaisun kaikki tekijät tai toimittajat: Janhunen, Maarit; Katajapuu, Niina; Paloneva, Juha; Pamilo, Konsta; Oksanen, Airi; Keemu, Hannes; Karvonen, Mikko; Luimula, Mika; Korpelainen, Raija; Jämsä, Timo; et al.
Lehti tai sarja: BMJ Open Sport & Exercise Medicine
eISSN: 2055-7647
Julkaisuvuosi: 2023
Volyymi: 9
Lehden numero: 1
Artikkelinumero: e001416
Kustantaja: BMJ Publishing Group
Julkaisumaa: Britannia
Julkaisun kieli: englanti
DOI: https://doi.org/10.1136/bmjsem-2022-001416
Julkaisun avoin saatavuus: Avoimesti saatavilla
Julkaisukanavan avoin saatavuus: Kokonaan avoin julkaisukanava
Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/86062
Tiivistelmä
Methods: In this non-blinded randomised controlled trial, 52 individuals aged 60–75 years undergoing TKR were randomised into an exergaming (intervention group, IG) or a standard exercising group (control group, CG). Primary outcomes were physical function and pain measured before and after (2 months and 4 months) surgery using the Oxford Knee Score (OKS) and Timed Up and Go (TUG) test. Secondary outcomes included measures of the Visual Analogue Scale, 10m walking, short physical performance battery, isometric knee extension and flexion force, knee range of movement and satisfaction with the operated knee.
Results: Improvement in mobility measured by TUG was greater in the IG (n=21) at 2 (p=0.019) and 4 months (p=0.040) than in the CG (n=25). The TUG improved in the IG by −1.9 s (95% CI, −2.9 to −1.0), while it changed by −0.6 s (95% CI −1.4 to 0.3) in the CG. There were no differences between the groups in the OKS or secondary outcomes over 4 months. 100% of patients in the IG and 74% in the CG were satisfied with the operated knee.
Conclusion: In patients who have undergone TKR, training at home with customised exergames was more effective in mobility and early satisfaction and as effective as standard exercise in pain and other physical functions. In both groups, knee-related function and pain improvement can be considered clinically meaningful.
YSO-asiasanat: polvet; kipu; harjoittelu; kuntoutus; liikkuvuus; suorituskyky; toimintakyky; leikkaushoito
Liittyvät organisaatiot
Liittyvät tutkimusaineistot
OKM-raportointi: Kyllä
Raportointivuosi: 2023
Alustava JUFO-taso: 1
