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dc.contributor.authorFoss, Olav
dc.contributor.authorKlaksvik, Jomar
dc.contributor.authorHusby, Vigdis Schnell
dc.date.accessioned2020-05-11T12:11:08Z
dc.date.accessioned2020-05-13T12:32:06Z
dc.date.available2020-05-11T12:11:08Z
dc.date.available2020-05-13T12:32:06Z
dc.date.issued2020-04-17
dc.identifier.citationFoss, Klaksvik, Husby. Pain and load progression following an early maximal strength training program in total hip- and knee arthroplasty patients.. Journal of Orthopaedic Surgery. 2020en
dc.identifier.issn1022-5536
dc.identifier.issn1022-5536
dc.identifier.issn2309-4990
dc.identifier.urihttps://hdl.handle.net/10642/8590
dc.description.abstractAbstract Purpose: Total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients significantly increase muscle strength after maximal strength training (MST) initiated soon after surgery. Owing to severe postoperative pain, knee patients are anticipated to be more limited in performing heavy load exercises than hip patients. The aim of the present study was to describe pain and load progression during early MST in THA and TKA patients. Methods: Explorative study based on secondary analyses from two randomized controlled trials: 26 THA and 16 TKA patients had their training sessions logged. They trained at 85–90% of their maximal capacity in leg press, and abduction/knee-extension of the operated leg (4 x 5 repetitions) for 8–10 weeks, initiated early postoperatively. Results: Knee patients experienced significantly more pain than hip patients during the training sessions (p < 0.03), however, pain before and after training was not different (p > 0.09). All patients significantly increased leg press training load until the last intervention week (p < 0.01). Conclusion: This study demonstrates that TKA patients experience more pain than THA patients during training following a MST program but not more than moderate levels during or after training. Pain before and after training is not different. Both groups significantly increased load progression during the intervention. These findings indicate that both THA and TKA patients might perform MST with extensive load progression early after surgery without compromising pain. The studies were registered at ClinicalTrials.gov.en
dc.language.isoenen
dc.publisherSage Publishingen
dc.relation.ispartofseriesJournal of orthopaedic surgery;
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).en
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.subjectHip arthroplastyen
dc.subjectKnee arthroplastyen
dc.subjectPainsen
dc.subjectRehabilitationen
dc.subjectStrength trainingen
dc.titlePain and load progression following an early maximal strength training program in total hip- and knee arthroplasty patients.en
dc.typeJournal articleen
dc.typePeer revieweden
dc.date.updated2020-05-11T12:11:08Z
dc.description.versionpublishedVersionen
dc.identifier.doihttps://dx.doi.org/10.1177/2309499020916392
dc.identifier.cristin1810308
dc.source.journalJournal of Orthopaedic Surgery


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This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Except where otherwise noted, this item's license is described as This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).