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dc.rights.licenseCreative Commons Attribution 4.0 International License
dc.contributor.authorMoutzouri, Mariaen
dc.contributor.authorCoutts, Fionaen
dc.contributor.authorGliatis, Johnen
dc.contributor.authorBillis, Evdokiaen
dc.contributor.authorTsepis, Eliasen
dc.contributor.authorGleeson, Nigelen
dc.date.accessioned2019-08-01T10:12:03Z
dc.date.available2019-08-01T10:12:03Z
dc.date.issued2019-05-17
dc.identifier.citationMoutzouri, M., Coutts, F., Gliatis, J., Billis, E., Tsepis, E. & Gleeson, N. (2019) Early initiation of home-based sensori-motor training improves muscle strength, activation and size in patients after knee replacement: A secondary analysis of a controlled clinical trial. BMC Musculoskeletal Disorders, 20.en
dc.identifier.isbn1471-2474en
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/9878
dc.identifier.urihttps://doi.org/10.1186/s12891-019-2575-3
dc.description.abstractBackground There is accumulating evidence for the advantages of rehabilitation involving sensori-motor training (SMT) following total knee replacement (TKR). However, the best way in which to deliver SMT remains elusive because of potential interference effects amongst concurrent exercise stimuli for optimal neuromuscular and morphological adaptations. The aim of this study was to use additional outcomes (i.e. muscle strength, activation and size) from a published parent study to compare the effects of early-initiated home-based rehabilitative SMT with functional exercise training (usual care) in patients undergoing TKR.en
dc.description.abstractMethods A controlled clinical trial was conducted at the Orthopedic University Hospital of Rion, Greece involving allocation concealment to patients. Fifty-two patients electing to undergo TKR were randomised to either early-initiated SMT [experimental] or functional exercise training [control] in a home-based environment. Groups were prescribed equivalent duration of exercise during 12-weeks, 3–5 sessions of ~ 40 min per week of home-based programmes. Muscle strength and activation (peak force [PF]; peak amplitude [Peak Amp.] and root mean square of integrated electromyography [RMS iEMG]), muscular size (including rectus femoris muscle cross-sectional area [CSARF]), and knee ROM were assessed on three separate occasions (pre-surgery [0 weeks]; 8 weeks post-surgery; 14 weeks post-surgery).
dc.description.abstractResults Patients undertaking SMT rehabilitation showed significantly greater improvements over the 14 weeks compared to control in outcomes including quadriceps PF (25.1 ± 18.5 N vs 12.4 ± 20.8 N); iPeak Amp. (188 ± 109.5% vs 25 ± 105.8%); CSARF (252.0 ± 101.0 mm2 vs 156.7 ± 76.2 mm2), respectively (p < 0.005); Knee ROM did not offer clinically relevant changes (p: ns) between groups over time. At 14 weeks post-surgery, the SMT group’s and control group’s performances differed by relative effect sizes (Cohen’s d) ranging between 0.64 and 1.06.
dc.description.abstractConclusion A prescribed equivalent time spent in SMT compared to usual practice, delivered within a home-based environment, elicited superior restoration of muscle strength, activation and size in patients following TKR.
dc.description.urihttps://doi.org/10.1186/s12891-019-2575-3en
dc.language.isoenen
dc.publisherSpringer Natureen
dc.relation.ispartofBMC Musculoskeletal Disordersvolumeen
dc.rights© The Author(s). 2019
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectExerciseen
dc.subjectSensori-motor Trainingen
dc.subjectNeuromuscular Capacityen
dc.subjectArthroplastyen
dc.subjectKnee Replacementen
dc.titleEarly initiation of home-based sensori-motor training improves muscle strength, activation and size in patients after knee replacement: A secondary analysis of a controlled clinical trialen
dc.typeArticleen
dcterms.accessRightspublic
dcterms.dateAccepted2019-04-15
dc.description.volume20en
dc.description.ispublishedpub
rioxxterms.typeJournal Article/Reviewen
rioxxterms.publicationdate2019-05-17
refterms.dateFCD2019-08-01
refterms.depositExceptionpublishedGoldOAen
refterms.accessExceptionNAen
refterms.technicalExceptionNAen
refterms.panelUnspecifieden
qmu.authorCoutts, Fionaen
qmu.authorGleeson, Nigelen
qmu.authorMoutzouri, Maria
qmu.centreCentre for Health, Activity and Rehabilitation Researchen
dc.description.statuspub
refterms.versionVoRen
refterms.dateDeposit2019-08-01


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