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Land-based versus pool-based exercise for people awaiting joint replacement surgery of the hip or knee: results of a randomized controlled trial.
Arch Phys Med Rehabil. 2009 Mar; 90(3):388-94.AP

Abstract

OBJECTIVE

To compare the preoperative effects of multidimensional land-based and pool-based exercise programs for people awaiting joint replacement surgery of the hip or knee.

DESIGN

Randomized, single-blind, before-after trial.

SETTING

Physiotherapy gymnasium and hydrotherapy pool.

PARTICIPANTS

Patients awaiting elective hip or knee joint replacement surgery.

INTERVENTIONS

Land-based (n=40) or pool-based exercise program (n=42). Each 6-week program included an education session, twice-weekly exercise classes, and an occupational therapy home assessment.

MAIN OUTCOME MEASURES

Participants were assessed immediately before and after the 6-week intervention, then 8 weeks later. Primary outcomes were pain and self-reported function (Western Ontario and McMaster Universities Osteoarthritis Index) and patient global assessment. Secondary outcomes were performance-based measures (timed walk and chair stand) and psychosocial status (Medical Outcomes Study 36-Item Short-Form Health Survey mental component score). Pain was also measured before and after each exercise class on a 7-point verbal rating scale.

RESULTS

Although both interventions were effective in reducing pain and improving function, there were no postintervention differences between the groups for the primary and secondary outcomes. However, the pool-based group had less pain immediately after the exercise classes.

CONCLUSIONS

While our multidimensional exercise-based interventions appeared to be effective in reducing disability in those awaiting joint replacement surgery of the hip or knee, there were no large differences in the postintervention effects of the interventions. However, pool-based exercise appeared to have a more favorable effect on pain immediately after the exercise classes.

Authors+Show Affiliations

School of Physiotherapy, La Trobe University, Bendigo, Victoria, Australia. steveg@barwonhealth.org.auNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19254601

Citation

Gill, Stephen D., et al. "Land-based Versus Pool-based Exercise for People Awaiting Joint Replacement Surgery of the Hip or Knee: Results of a Randomized Controlled Trial." Archives of Physical Medicine and Rehabilitation, vol. 90, no. 3, 2009, pp. 388-94.
Gill SD, McBurney H, Schulz DL. Land-based versus pool-based exercise for people awaiting joint replacement surgery of the hip or knee: results of a randomized controlled trial. Arch Phys Med Rehabil. 2009;90(3):388-94.
Gill, S. D., McBurney, H., & Schulz, D. L. (2009). Land-based versus pool-based exercise for people awaiting joint replacement surgery of the hip or knee: results of a randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 90(3), 388-94. https://doi.org/10.1016/j.apmr.2008.09.561
Gill SD, McBurney H, Schulz DL. Land-based Versus Pool-based Exercise for People Awaiting Joint Replacement Surgery of the Hip or Knee: Results of a Randomized Controlled Trial. Arch Phys Med Rehabil. 2009;90(3):388-94. PubMed PMID: 19254601.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Land-based versus pool-based exercise for people awaiting joint replacement surgery of the hip or knee: results of a randomized controlled trial. AU - Gill,Stephen D, AU - McBurney,Helen, AU - Schulz,Debra L, PY - 2008/07/31/received PY - 2008/09/07/accepted PY - 2009/3/4/entrez PY - 2009/3/4/pubmed PY - 2009/3/17/medline SP - 388 EP - 94 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 90 IS - 3 N2 - OBJECTIVE: To compare the preoperative effects of multidimensional land-based and pool-based exercise programs for people awaiting joint replacement surgery of the hip or knee. DESIGN: Randomized, single-blind, before-after trial. SETTING: Physiotherapy gymnasium and hydrotherapy pool. PARTICIPANTS: Patients awaiting elective hip or knee joint replacement surgery. INTERVENTIONS: Land-based (n=40) or pool-based exercise program (n=42). Each 6-week program included an education session, twice-weekly exercise classes, and an occupational therapy home assessment. MAIN OUTCOME MEASURES: Participants were assessed immediately before and after the 6-week intervention, then 8 weeks later. Primary outcomes were pain and self-reported function (Western Ontario and McMaster Universities Osteoarthritis Index) and patient global assessment. Secondary outcomes were performance-based measures (timed walk and chair stand) and psychosocial status (Medical Outcomes Study 36-Item Short-Form Health Survey mental component score). Pain was also measured before and after each exercise class on a 7-point verbal rating scale. RESULTS: Although both interventions were effective in reducing pain and improving function, there were no postintervention differences between the groups for the primary and secondary outcomes. However, the pool-based group had less pain immediately after the exercise classes. CONCLUSIONS: While our multidimensional exercise-based interventions appeared to be effective in reducing disability in those awaiting joint replacement surgery of the hip or knee, there were no large differences in the postintervention effects of the interventions. However, pool-based exercise appeared to have a more favorable effect on pain immediately after the exercise classes. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/19254601/Land_based_versus_pool_based_exercise_for_people_awaiting_joint_replacement_surgery_of_the_hip_or_knee:_results_of_a_randomized_controlled_trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(08)01678-X DB - PRIME DP - Unbound Medicine ER -