Poster Sessions - 2018 Research Day

Event Title

Impact of Closed Chain Exercises for a Middle Aged Female with Post-Operative Knee Pain and Instability: A Retrospective Case Report

Location

Hall of Governors

Start Date

4-6-2018 4:00 PM

End Date

4-6-2018 5:30 PM

Abstract

Background and purpose: Total Knee Arthroplasty (TKA) is the most frequently performed joint replacement surgery in North America. There is limited information on the preferred type of exercise to be performed in the later stages of rehabilitation following TKA in order to promote pain relief and muscular strength. The purpose of this case study was to describe the outcomes of closed chain exercises (CCE) post TKA as it relates to pain relief and muscular strength.

Case description: A 58 year old female reported right knee pain and instability. The onset occurred immediately following her right TKA seven years prior and has occurred intermittently since that time. Her plan of care for physical therapy (PT) was to be seen 2x per week for six weeks. The interventions were focused on strengthening weak musculature and improving poor motor control of her right knee and hip muscless, emphasizing eccentric limb control during closed chain lower extremity exercises.

Outcomes: Following 10 sessions of PT, she demonstrated improvements in pain reduction, overall function, and objective measurements in muscle strength, dynamic muscle testing, lower extremity functional scale, and single leg stance time.

Discussion: A rehabilitation program that focused on CCE emphasizing eccentric control appeared beneficial in pain reduction and improved function in a middle aged female. Further research would be beneficial to address the longitudinal benefits of CCE.

Identify Grant

Research was supported by GSU Office of Student Life

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Apr 6th, 4:00 PM Apr 6th, 5:30 PM

Impact of Closed Chain Exercises for a Middle Aged Female with Post-Operative Knee Pain and Instability: A Retrospective Case Report

Hall of Governors

Background and purpose: Total Knee Arthroplasty (TKA) is the most frequently performed joint replacement surgery in North America. There is limited information on the preferred type of exercise to be performed in the later stages of rehabilitation following TKA in order to promote pain relief and muscular strength. The purpose of this case study was to describe the outcomes of closed chain exercises (CCE) post TKA as it relates to pain relief and muscular strength.

Case description: A 58 year old female reported right knee pain and instability. The onset occurred immediately following her right TKA seven years prior and has occurred intermittently since that time. Her plan of care for physical therapy (PT) was to be seen 2x per week for six weeks. The interventions were focused on strengthening weak musculature and improving poor motor control of her right knee and hip muscless, emphasizing eccentric limb control during closed chain lower extremity exercises.

Outcomes: Following 10 sessions of PT, she demonstrated improvements in pain reduction, overall function, and objective measurements in muscle strength, dynamic muscle testing, lower extremity functional scale, and single leg stance time.

Discussion: A rehabilitation program that focused on CCE emphasizing eccentric control appeared beneficial in pain reduction and improved function in a middle aged female. Further research would be beneficial to address the longitudinal benefits of CCE.