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Balance Training With a Dynamometric Platform Following Total Knee Replacement: A Randomized Controlled Trial
Sergio Roig-Casasús1,2, José María Blasco1, Laura López-Bueno1,2
1Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Valencia, Spain.
Journal of Geriatric Physical Therapy (2001)
|March 3, 2017
Summary
Balance training with a dynamometric platform significantly improved outcomes for older adults after total knee replacement (TKR). This targeted approach enhanced balance more than standard rehabilitation, aiding recovery.
Area of Science:
- Geriatric rehabilitation
- Biomechanics and motor control
- Orthopedic surgery outcomes
Background:
- Sensorimotor training is effective for balance recovery post-total knee replacement (TKR).
- Older adults undergoing TKR often experience impaired balance.
- Specific balance-targeted training may further enhance recovery.
Purpose of the Study:
- To evaluate the impact of dynamometric platform balance training on older adults post-TKR.
- To compare balance outcomes between a specialized training group and a control group.
Main Methods:
- Randomized controlled trial with 43 participants undergoing TKR.
- Experimental group received standard rehabilitation plus 4-week dynamometric platform balance training.
- Primary outcome: Berg Balance Scale; Secondary outcomes: Timed Up and Go, Functional Reach Test, Romberg tests.
Main Results:
- Significant improvements in Berg Balance Scale (P=.03) and Functional Reach Test (P=.04) for the experimental group.
- No significant differences for Timed Up and Go or Romberg tests.
- High practical significance indicated by Cohen's effect size (d=0.97).
Conclusions:
- Dynamometric platform training significantly enhanced balance in TKR patients compared to standard care.
- Incorporating this technology into rehabilitation protocols may optimize balance recovery after TKR.
- Further research could explore long-term effects and optimal training parameters.
