Original Article  Open Access
J Korean Acad Nurs. 2015 Dec;45(6):823-833. Korean.
Published online Dec 31, 2015.  https://doi.org/10.4040/jkan.2015.45.6.823
© 2015 Korean Society of Nursing Science
Effects of a Thera-Band Exercise Program on Pain, Knee Flexion ROM, and Psychological Parameters Following Total Knee Arthroplasty
Ji Yeong Yun,1 and Jong Kyung Lee2
1Department of Nursing, Graduate School, Dankook University, Cheonan, Korea.
2Department of Nursing, Dankook University, Cheonan, Korea.

Address reprint requests to: Lee, Jong Kyung. Department of Nursing, Dankook University, 119 Dandae-ro, Dongnam-gu, Cheonan 31116, Korea. Tel: +82-41-550-3883, Fax: +82-41-550-3888, Email: kyunglee@dankook.ac.kr
Received April 30, 2015; Revised May 12, 2015; Accepted August 05, 2015.

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.


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Abstract

Purpose

The purpose of the study was to investigate the effects of the Thera-Band exercise program following total knee arthroplasty.

Methods

The research design for this study was a nonequivalent control group non-synchronized design. Participants were 30 patients for the experimental group and 30 patients for the control group. The experimental group participated in the Thera- Band exercise program in addition to conventional CPM (continuous passive motion) exercise. The control group received conventional CPM exercise only. Outcome measures were pain, knee flexion range of motion, CRP, and psychological parameters (self-efficacy and fear of falling). Data were analyzed using χ2-test, Fisher's exact test, t-test, and repeated measure ANOVA with SPSS/PC version 21.0.

Results

There were significant improvement in self-efficacy, and decreases in pain, and fear of falling in the experimental group compared to the control group. However, no significant differences were found between the two groups for CRP and knee flexion ROM.

Conclusion

The Thera-Band exercise program gave an additional benefit over the conventional CPM exercise for patients following total knee arthroplasty, and is recommended for use as an effective nursing intervention for patients after total knee arthroplasty.
Keywords:
Exercise; Range of motion; Self-efficacy; Arthroplasty; Knee joint

Tables


 Table 1
Thera-Band Exercise Program
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Table 2
Homogeneity Test of General Characteristics between the Two Groups (N=60)
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Table 3
Homogeneity Test of Dependent Variables between the Two Groups (N=60)
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Table 4
Differences in Dependent Variables between Experimental and Control Groups (N=60)
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Table 5
Change in Knee Flexion ROM ( ° ) over Time between the Two Groups (N=60)
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Notes

*This manuscript is an addition based on the first author's master's thesis from Dankook University.

CONFLICTS OF INTEREST:The authors declared no conflict of interest.

References
1.
National Health Insurance Service. Main surgery statistical yearbook for 2013 [Internet]. Seoul: Author; 2014 [cited 2014 December 31].
Available from: www.nhis.or.kr/menu/boardRetriveMenuSet.xx?menuId=F3326.
2.
Bade MJ, Kohrt WM, Stevens-Lapsley JE. Outcomes before and after total knee arthroplasty compared to healthy adults. J Orthop Sports Phys Ther 2010;40(9):559–567. [doi: 10.2519/jospt.2010.3317]
3.
Noble PC, Gordon MJ, Weiss JM, Reddix RN, Conditt MA, Mathis KB. Does total knee replacement restore normal knee function? Clin Orthop Relat Res 2005;431:157–165. [doi: 10.1097/01.blo.0000150130.03519.fb]
4.
The Korean Orthopaedic Association. Rehabilitation after total knee arthroplasty [Internet]. Seoul: Author; 2015 [cited 2015 March 10].
Available from: http://www.koa.or.kr/info/index_10_7.php.
5.
Vancouver Coastal Health. Exercise guide for knee replacement surgery. Vancouver, CA: Author; 2005.
6.
Jeon SJ, Choi KS, Ko SK. The effect of rehabilitation training on knee muscular strength and function recovery after total knee arthroplasty. Korea Sports Res 2005;16(4):441–448.
7.
Maniar RN, Baviskar JV, Singhi T, Rathi SS. To use or not to use continuous passive motion post-total knee arthroplasty presenting functional assessment results in early recovery. J Arthroplasty 2012;27(2):193–200. e1. [doi: 10.1016/j.arth.2011.04.009]
8.
Herbold JA, Bonistall K, Blackburn M, Agolli J, Gaston S, Gross C, et al. Randomized controlled trial of the effectiveness of continuous passive motion after total knee replacement. Arch Phys Med Rehabil 2014;95(7):1240–1245. [doi: 10.1016/j.apmr.2014.03.012]
9.
Chung MS, Kwak HS. Effects of a muscle strengthening exercise program after total knee arthroplasty. J Korean Acad Soc Nurs Educ 2008;14(1):20–29.
10.
Ford ES. Does exercise reduce inflammation? Physical activity and C-reactive protein among U.S. adults. Epidemiology 2002;13(5):561–568. [doi: 10.1097/01.ede.0000023965.92535.c0]
11.
Kim KT, Cho JH. The effect of elastic band and aerobic exercise on fitness, blood lipids, and vascular inflammatory markers in elderly women. Off J Korean Acad Kinesiol 2013;15(2):129–138.
12.
Kim YJ, Yoon MN, Han SS. Effects of Thera-Band(R) resistance training including isometric exercise in total knee replacement patients. Korean J Health Promot 2011;11(2):82–90.
13.
Page P, Ellenbecker TS. In: The scientific and clinical application of elastic resistance. Champaign, IL: Human Kinetics; 2003.
14.
Yun HD. In: The effects of isometric exercise and isotonic exercise using elastic band on strength, range of motion, standing balance for the patient with chronic knee arthritis [master's thesis]. Yongin:: Dankook University; 2006.
15.
Chang TF, Liou TH, Chen CH, Huang YC, Chang KH. Effects of elastic-band exercise on lower-extremity function among female patients with osteoarthritis of the knee. Disabil Rehabil 2012;34(20):1727–1735. [doi: 10.3109/09638288.2012.660598]
16.
Kim HG, Nam HK. The effect of thera band exercise on muscle flexibility, balance ability, muscle strength in elderly women. J Korean Acad Community Health Nurs 2011;22(4):451–457. [doi: 10.12799/jkachn.2011.22.4.451]
17.
Kwon MS. Effects of a fall prevention program on physical fitness and psychological functions in community dwelling elders. J Korean Acad Nurs 2011;41(2):165–174. [doi: 10.4040/jkan.2011.41.2.165]
18.
LeMaitre JP, Harris S, Fox KA, Denvir M. Change in circulating cytokines after 2 forms of exercise training in chronic stable heart failure. Am Heart J 2004;147(1):100–105.
19.
Oh HA, Kim JI. The relationship among the health promoting behavior, pain, self-esteem, family support and self-efficacy in patients with chronic arthritis. J Muscle Joint Health 2004;11(1):50–60.
20.
Tideiksaar R. In: Falling in old age: Prevention and management. 2nd ed. Ronkonkoma, NY: Springer Publishing Company; 1997.
21.
Choi JH, Moon JS, Sohng KY. The effects of Tai Chi exercise on physiologic, psychological functions, and falls among fall-prone elderly. J Rheumatol Health 2003;10(1):62–76.
22.
Han SS, Her JJ, Kim YJ. Effects of muscle strengthening exercises using a thera band on lower limb function of hemiplegic stroke patients. J Korean Acad Nurs 2007;37(6):844–854.
23.
Bruun-Olsen V, Heiberg KE, Mengshoel AM. Continuous passive motion as an adjunct to active exercises in early rehabilitation following total knee arthroplasty: A randomized controlled trial. Disabil Rehabil 2009;31(4):277–283. [doi: 10.1080/09638280801931204]
24.
Kim SK, Lee SW, Kim JH. Effects of rehabilitation exercise program on back pain and inflammatory markers in workers with occupational low back pain. Korean J Health Promot 2010;10(3):131–138.
25.
Lee JW. The effect of aerobic exercise and type of band exercise on inflammatory markers of elderly women patients with metabolic syndrome. Korean J Sports Sci 2011;20(4):1041–1053.
26.
Lee HY. Effects of a rehabilitation nursing program on muscle strength, flexibility, self efficacy and health related quality of life in disabilities. J Korean Acad Nurs 2006;36(3):484–492.
27.
Yoo MS, Chae SM, Kim YS. The effects of an exercise program on joint angles, blood pressure, and self-efficacy in elderly community-dwelling adults. J Korean Acad Soc Home Care Nurs 2008;15(1):29–36.
28.
Lee MS. Effects of a health diary program on fall-related outcomes in low-income elderly women with osteoarthritis. J Agric Med Community Health 2011;36(3):167–178. [doi: 10.5393/JAMCH.2011.36.3.167]
29.
Song R, Eom A, Lee EO, Lam P, Bae SC. Effects of tai chi combined with self-help program on arthritic symptoms and fear of falling in women with osteoarthritis. J Muscle Joint Health 2009;16(1):46–54.