Effectiveness of Modified Quadriceps Femoris Muscle Setting Exercise for the Elderly in Early Rehabilitation after Total Knee Arthroplasty
[Purpose] This study examined the effects of a conventional quadriceps setting exercise (CQS) and a modified quadriceps setting exercise (MQS) on the strength of the quadriceps femoris, hamstring and gluteus maximus muscles, and the walking ability of elderly persons with osteoarthritis (OA) during...
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| Published in | Journal of Physical Therapy Science Vol. 24; no. 1; pp. 27 - 30 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
The Society of Physical Therapy Science
2012
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-5287 2187-5626 |
| DOI | 10.1589/jpts.24.27 |
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| Abstract | [Purpose] This study examined the effects of a conventional quadriceps setting exercise (CQS) and a modified quadriceps setting exercise (MQS) on the strength of the quadriceps femoris, hamstring and gluteus maximus muscles, and the walking ability of elderly persons with osteoarthritis (OA) during their early rehabilitation after total knee arthroplasty (TKA). [Subjects] The subject of this study were 44 elderly women aged 65 or over who were scheduled to undergo TKA on one knee and who voluntarily consented to participate in this experiment after listening to its purpose and method. We divided the subjects into an experimental group (n=22) who performed MQS and a control group (n=22) who performed CQS. [Methods] We measured subjectsÅf muscle strength and conducted the 6-minute walk test (6MWT) before surgery, 2 weeks after surgery, and 4 weeks after surgery. [Results] Changes in the strength of the hamstring and gluteus maximus muscles were significantly different between the two groups. [Conclusion] MQS may enhance the strength of the hamstring as well as gluteus maximus muscles and is considered an appropriate exercise for the elderly in their early rehabilitation after TKA. |
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| AbstractList | 「Abstract.」 [Purpose] This study examined the effects of a conventional quadriceps setting exercise (CQS) and a modified quadriceps setting exercise (MQS) on the strength of the quadriceps femoris, hamstring and gluteus maximus muscles, and the walking ability of elderly persons with osteoarthritis (OA) during their early rehabilitation after total knee arthroplasty (TKA). [Subjects] The subject of this study were 44 elderly women aged 65 or over who were scheduled to undergo TKA on one knee and who voluntarily consented to participate in this experiment after listening to its purpose and method. We divided the subjects into an experimental group (n=22) who performed MQS and a control group (n=22) who performed CQS. [Methods] We measured subjects' muscle strength and conducted the 6-minute walk test (6MWT) before surgery, 2 weeks after surgery, and 4 weeks after surgery. [Results] Changes in the strength of the hamstring and gluteus maximus muscles were significantly different between the two groups. [Conclusion] MQS may enhance the strength of the hamstring as well as gluteus maximus muscles and is considered an appropriate exercise for the elderly in their early rehabilitation after TKA. [Purpose] This study examined the effects of a conventional quadriceps setting exercise (CQS) and a modified quadriceps setting exercise (MQS) on the strength of the quadriceps femoris, hamstring and gluteus maximus muscles, and the walking ability of elderly persons with osteoarthritis (CA) during their early rehabilitation after total knee arthroplasty (TKA). [Subjects] The subject of this study were 44 elderly women aged 65 or over who were scheduled to undergo TKA on one knee and who voluntarily consented to participate in this experiment after listening to its purpose and method. We divided the subjects into an experimental group (n'22) who performed MQS and a control group (n=22) who performed CQS. [Methods] We measured subjects' muscle strength and conducted the 6-minute walk test (6MWT) before surgery, 2 weeks after surgery, and 4 weeks after surgery. [Results] Changes in the strength of the hamstring and gluteus maximus muscles were significantly different between the two groups. [Conclusion] MQS may enhance the strength of the hamstring as well as gluteus maximus muscles and is considered an appropriate exercise for the elderly in their early rehabilitation after TKA. [Purpose] This study examined the effects of a conventional quadriceps setting exercise (CQS) and a modified quadriceps setting exercise (MQS) on the strength of the quadriceps femoris, hamstring and gluteus maximus muscles, and the walking ability of elderly persons with osteoarthritis (OA) during their early rehabilitation after total knee arthroplasty (TKA). [Subjects] The subject of this study were 44 elderly women aged 65 or over who were scheduled to undergo TKA on one knee and who voluntarily consented to participate in this experiment after listening to its purpose and method. We divided the subjects into an experimental group (n=22) who performed MQS and a control group (n=22) who performed CQS. [Methods] We measured subjectsÅf muscle strength and conducted the 6-minute walk test (6MWT) before surgery, 2 weeks after surgery, and 4 weeks after surgery. [Results] Changes in the strength of the hamstring and gluteus maximus muscles were significantly different between the two groups. [Conclusion] MQS may enhance the strength of the hamstring as well as gluteus maximus muscles and is considered an appropriate exercise for the elderly in their early rehabilitation after TKA. [Purpose] This study examined the effects of a conventional quadriceps setting exercise (CQS) and a modified quadriceps setting exercise (MQS) on the strength of the quadriceps femoris, hamstring and gluteus maximus muscles, and the walking ability of elderly persons with osteoarthritis (OA) during their early rehabilitation after total knee arthroplasty (TKA). [Subjects] The subject of this study were 44 elderly women aged 65 or over who were scheduled to undergo TKA on one knee and who voluntarily consented to participate in this experiment after listening to its purpose and method. We divided the subjects into an experimental group (n=22) who performed MQS and a control group (n=22) who performed CQS. [Methods] We measured subjectsAf muscle strength and conducted the 6-minute walk test (6MWT) before surgery, 2 weeks after surgery, and 4 weeks after surgery. [Results] Changes in the strength of the hamstring and gluteus maximus muscles were significantly different between the two groups. [Conclusion] MQS may enhance the strength of the hamstring as well as gluteus maximus muscles and is considered an appropriate exercise for the elderly in their early rehabilitation after TKA. |
| Author | Lee, Hyunok Park, Dujin Kim, Jeonghee |
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| Cites_doi | 10.1097/00003086-199110000-00015 10.1519/JSC.0b013e3181aa36b8 10.7326/0003-4819-138-8-200304150-00006 10.1016/S0039-6109(16)40542-6 10.1016/S0883-5403(03)00191-8 10.1016/S0736-0266(02)00193-6 10.1016/S0966-6362(02)00102-9 10.1093/ptj/63.10.1597 10.1097/01.mco.0000134362.76653.b2 10.1097/00003086-199607000-00023 10.2106/JBJS.D.01992 10.2519/jospt.2007.2541 10.1159/000022011 10.1186/1471-2318-4-6 10.1007/s11999-009-1219-6 10.2519/jospt.2008.2715 10.1097/01.blo.0000150130.03519.fb 10.1093/ptj/73.5.286 |
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| References | 10) Mintken PE, Carpenter KJ, Eckhoff D, et al.: Early neuromuscular electrical stimulation to optimize quadriceps muscle function following total knee arthroplasty: a case report. J Orthop Sports Phys Ther, 2007, 37: 364-371. 4) Silva M, Shepherd EF, Jackson WO, et al.: Knee strength after total knee arthroplasty. J Arthroplasty, 2003, 18: 605-611. 17) Fox TA: Dysplasia of the quadriceps mechanism: hypoplasia of the vastus medialis muscle as related to the hypermobile patella syndrome. Surg Clin North Am, 1975, 55: 199-226. 18) Berman AT, Bosacco SJ, Israelite C: Evaluation of total knee arthroplasty using isokinetic testing. Clin Orthop Relat Res, 1991, 271: 106-113. 7) Mizner RL, Petterson SC, Stevens JE, et al.: Early quadriceps strength loss after total knee arthroplasty. The contributions of muscle atrophy and failure of voluntary muscle activation. J Bone Joint Surg Am, 2005, 87: 1047-1053. 13) Reese NB: Muscle and sensory testing. New York: Elsevier, 2005, pp 536-542. 11) Lyons K, Perry J, Gronley JK, et al.: Timing and relative intensity of hip extensor and abductor muscle action during level and stair ambulation. An EMG study. Phys Ther, 1983, 63: 1597-1605. 12) Arnold CM, Warkentin KD, Chilibeck PD, et al.: The reliability and validity of handheld dynamometry for the measurement of lower-extremity muscle strength in older adults. J Strength Cond Res, 2010, 24: 815-824. 2) Jones CA, Voaklander DC, Johnston DW, et al.: Health related quality of life outcomes after total hip and knee arthroplasties in a community based population. J Rheumatol, 2000, 27: 1745-1752. 5) Volpi E, Nazemi R, Fujita S: Muscle tissue changes with aging. Curr Opin Clin Nutr Metab Care, 2004, 7: 405-410. 16) Karst GM, Jewett PD: Electromyographic analysis of exercises proposed for differential activation of medial and lateral quadriceps femoris muscle components. Phys Ther, 1993, 73: 286-299. 9) Sharma L, Dunlop DD, Cahue S, et al.: Quadriceps strength and osteoarthritis progression in malaligned and lax knees. Ann Intern Med, 2003, 138: 613-619. 20) Stevens-Lapsley JE, Balter JE, Kohrt WM, et al.: Quadriceps and hamstrings muscle dysfunction after total knee arthroplasty. Clin Orthop Relat Res, 2010, 468: 2460-2468. 3) Noble PC, Gordon MJ, Weiss JM, et al.: Does total knee replacement restore normal knee function? Clin Orthop Relat Res, 2005, 431: 157-165. 1) Dickstein R, Heffes Y, Shabtai EI, et al.: Total knee arthroplasty in the elderly: patients’ self-appraisal 6 and 12 months postoperatively. Gerontology, 1998, 44: 204-210. 15) Meier W, Mizner RL, Marcus RL, et al.: Total knee arthroplasty: muscle impairments, functional limitations, and recommended rehabilitation approaches. J Orthop Sports Phys Ther, 2008, 38: 246-256. 14) Bautmans I, Lambert M, Mets T: The six-minute walk test in community dwelling elderly: influence of health status. BMC Geriatr, 2004, 4: 1-9. 19) Jonkers I, Stewart C, Spaepen A: The complementary role of the plantarflexors, hamstrings and gluteus maximus in the control of stance limb stability during gait. Gait Posture, 2003, 17: 264-272. 6) Huang CH, Cheng CK, Lee YT, et al.: Muscle strength after successful total knee replacement: a 6- to 13-year followup. Clin Orthop Relat Res, 1996, 328: 147-154. 8) Nakajima M, Kawamura K, Takeda I: Electromyographic analysis of a modified maneuver for quadriceps femoris muscle setting with co-contraction of the hamstrings. J Orthop Res, 2003, 21: 559-564. 11 12 13 14 15 16 17 18 19 1 2 3 4 5 6 7 8 9 20 10 |
| References_xml | – reference: 7) Mizner RL, Petterson SC, Stevens JE, et al.: Early quadriceps strength loss after total knee arthroplasty. The contributions of muscle atrophy and failure of voluntary muscle activation. J Bone Joint Surg Am, 2005, 87: 1047-1053. – reference: 11) Lyons K, Perry J, Gronley JK, et al.: Timing and relative intensity of hip extensor and abductor muscle action during level and stair ambulation. An EMG study. Phys Ther, 1983, 63: 1597-1605. – reference: 14) Bautmans I, Lambert M, Mets T: The six-minute walk test in community dwelling elderly: influence of health status. BMC Geriatr, 2004, 4: 1-9. – reference: 9) Sharma L, Dunlop DD, Cahue S, et al.: Quadriceps strength and osteoarthritis progression in malaligned and lax knees. Ann Intern Med, 2003, 138: 613-619. – reference: 8) Nakajima M, Kawamura K, Takeda I: Electromyographic analysis of a modified maneuver for quadriceps femoris muscle setting with co-contraction of the hamstrings. J Orthop Res, 2003, 21: 559-564. – reference: 4) Silva M, Shepherd EF, Jackson WO, et al.: Knee strength after total knee arthroplasty. J Arthroplasty, 2003, 18: 605-611. – reference: 12) Arnold CM, Warkentin KD, Chilibeck PD, et al.: The reliability and validity of handheld dynamometry for the measurement of lower-extremity muscle strength in older adults. J Strength Cond Res, 2010, 24: 815-824. – reference: 17) Fox TA: Dysplasia of the quadriceps mechanism: hypoplasia of the vastus medialis muscle as related to the hypermobile patella syndrome. Surg Clin North Am, 1975, 55: 199-226. – reference: 1) Dickstein R, Heffes Y, Shabtai EI, et al.: Total knee arthroplasty in the elderly: patients’ self-appraisal 6 and 12 months postoperatively. Gerontology, 1998, 44: 204-210. – reference: 2) Jones CA, Voaklander DC, Johnston DW, et al.: Health related quality of life outcomes after total hip and knee arthroplasties in a community based population. J Rheumatol, 2000, 27: 1745-1752. – reference: 3) Noble PC, Gordon MJ, Weiss JM, et al.: Does total knee replacement restore normal knee function? Clin Orthop Relat Res, 2005, 431: 157-165. – reference: 10) Mintken PE, Carpenter KJ, Eckhoff D, et al.: Early neuromuscular electrical stimulation to optimize quadriceps muscle function following total knee arthroplasty: a case report. J Orthop Sports Phys Ther, 2007, 37: 364-371. – reference: 20) Stevens-Lapsley JE, Balter JE, Kohrt WM, et al.: Quadriceps and hamstrings muscle dysfunction after total knee arthroplasty. Clin Orthop Relat Res, 2010, 468: 2460-2468. – reference: 13) Reese NB: Muscle and sensory testing. New York: Elsevier, 2005, pp 536-542. – reference: 16) Karst GM, Jewett PD: Electromyographic analysis of exercises proposed for differential activation of medial and lateral quadriceps femoris muscle components. Phys Ther, 1993, 73: 286-299. – reference: 19) Jonkers I, Stewart C, Spaepen A: The complementary role of the plantarflexors, hamstrings and gluteus maximus in the control of stance limb stability during gait. Gait Posture, 2003, 17: 264-272. – reference: 6) Huang CH, Cheng CK, Lee YT, et al.: Muscle strength after successful total knee replacement: a 6- to 13-year followup. Clin Orthop Relat Res, 1996, 328: 147-154. – reference: 5) Volpi E, Nazemi R, Fujita S: Muscle tissue changes with aging. Curr Opin Clin Nutr Metab Care, 2004, 7: 405-410. – reference: 18) Berman AT, Bosacco SJ, Israelite C: Evaluation of total knee arthroplasty using isokinetic testing. Clin Orthop Relat Res, 1991, 271: 106-113. – reference: 15) Meier W, Mizner RL, Marcus RL, et al.: Total knee arthroplasty: muscle impairments, functional limitations, and recommended rehabilitation approaches. J Orthop Sports Phys Ther, 2008, 38: 246-256. – ident: 2 – ident: 18 doi: 10.1097/00003086-199110000-00015 – ident: 12 doi: 10.1519/JSC.0b013e3181aa36b8 – ident: 9 doi: 10.7326/0003-4819-138-8-200304150-00006 – ident: 17 doi: 10.1016/S0039-6109(16)40542-6 – ident: 4 doi: 10.1016/S0883-5403(03)00191-8 – ident: 8 doi: 10.1016/S0736-0266(02)00193-6 – ident: 19 doi: 10.1016/S0966-6362(02)00102-9 – ident: 13 – ident: 11 doi: 10.1093/ptj/63.10.1597 – ident: 5 doi: 10.1097/01.mco.0000134362.76653.b2 – ident: 6 doi: 10.1097/00003086-199607000-00023 – ident: 7 doi: 10.2106/JBJS.D.01992 – ident: 10 doi: 10.2519/jospt.2007.2541 – ident: 1 doi: 10.1159/000022011 – ident: 14 doi: 10.1186/1471-2318-4-6 – ident: 20 doi: 10.1007/s11999-009-1219-6 – ident: 15 doi: 10.2519/jospt.2008.2715 – ident: 3 doi: 10.1097/01.blo.0000150130.03519.fb – ident: 16 doi: 10.1093/ptj/73.5.286 |
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| Snippet | [Purpose] This study examined the effects of a conventional quadriceps setting exercise (CQS) and a modified quadriceps setting exercise (MQS) on the strength... 「Abstract.」 [Purpose] This study examined the effects of a conventional quadriceps setting exercise (CQS) and a modified quadriceps setting exercise (MQS) on... |
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| SubjectTerms | Exercise (programs) Gerontology Knees Measurement Modified quadriceps setting exercise Muscle strength Muscles (exercise effects) Rehabilitation Strength Surgery Total knee arthroplasty Women |
| Title | Effectiveness of Modified Quadriceps Femoris Muscle Setting Exercise for the Elderly in Early Rehabilitation after Total Knee Arthroplasty |
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