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Prehabilitation exercise for total knee replacement helps patients with severe end-stage arthritis
Feb 22nd
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“Prehabilitation” refers to exercise performed before surgery that helps reduce functional decline after surgery. The theory is that a higher level of function pre-operatively will provide a higher level of function post-operatively, thus shortening the rehabilitation process. Prehabilitation exercise has been shown effective at preventing functional decline in frail elderly individuals (Gill et al. 2002).
For the past 4 years , Dr. Robert Topp and his colleagues at the University of Louisville have been researching the effects of a “prehab” program for patients scheduled for total knee replacement surgery. Their exercise program features progressive Thera-Band resistance exercises performed over a period of 4 to 8 weeks before surgery. Last year, I featured Dr. Topp’s prehabilitation program in the Academy Blog after his publication in Archives of Physical Medicine and Rehabilitation.
Most recently, Dr. Topp’s colleague, Dr. Ann Swank was the lead author on a paper in the February 2011 issue of Journal of Strength and Conditioning Research. The article described the pre-operative outcomes of 71 patients with severe knee arthritis who had pain that didn’t respond to medication. The patients were randomly assigned to either a More >
Neck pain in office workers relieved with 2 minutes of Thera-Band exercise!
Feb 7th
Neck pain combined with shoulder pain is a common problem among desk workers, particularly those using a desktop computer. One study noted a 50% incidence of neck/shoulder pain over a 1-year period. Lars Andersen PhD and his colleagues in Copenhagen, Denmark, completed a randomized controlled trial of 198 office workers with neck/shoulder pain and tenderness to palpation. The researchers wanted to develop an “exercise program as simple and feasible as possible.”
They chose Thera-Band® elastic tubing with handles for an exercise routine using only 1 exercise for either 2 or 12 minutes. The subjects were randomly assigned to either a non-exercising control group, a 2-minute exercise group, or a 12-minute exercise group. The exercise groups performed a lateral raise exercise in the scapular plane to 90 degrees of abduction with elastic tubing. The exercises were performed 5 days per week (10 minutes and 60 minutes per week in the 2- and 12-minute groups, respectively) for 10 weeks. Female subjects started with Red Thera-Band resistance tubing, while the male subjects started with Green tubing. Both groups gradually increased their repetitions and resistance to Blue Thera-Band resistance tubing. The 2-minute group performed the exercise for one set to failure, while the 12-minute group performed 5 to 6 More >
Thera-Band exercise protocol for chronic neck pain improves quality of life
Dec 15th
Dr. Jari Ylinen of Finland has published several studies using Thera-Band resistance bands for chronic neck pain, including articles in the Journal of the American Medical Association. Females with chronic neck pain have shown significant decreases in pain and significant increases in neck strength up to 2 years after his program. The exercises include dynamic-isometric cervical flexion, extension, and sidebending against black Thera-Band resistance bands. Patients also perform upper body dumbbell exercises. The program is initially performed for 12 days in a rehabilitation clinic, then at home for one year. Download the Thera-Band Chronic Neck Pain exercise protocol here.
In his most recent publication documenting the outcomes of his program, Dr. Ylinen and his colleagues investigated the effects of high-intensity Thera-Band resistance exercises on health-related quality of life in patients with chronic neck pain after one year of exercise. 180 female office workers with neck pain were randomly assigned to a strengthening exercise group, endurance training group, or control group. The strength training group performed the exercise described above, while the endurance group performed a 20-repetition head-lifting task and dumbbell exercises. Both groups also performed squats, back extension, sit-ups, and stretching.
After one year, both the Thera-Band exercise and endurance exercise groups significantly More >
