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Effects of low-intensity resistance exercise with blood flow restriction after high tibial osteotomy in middle-aged women

High tibial osteotomy (HTO) is an effective surgical method for treating medial compartment osteoarthritis. However, in most cases after surgery, muscle strength is decreased, and rapid muscle atrophy is observed. Therefore, the purpose of this study is to verify the effects of low-intensity resista...

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Autores principales: Park, Han-Soo, Song, Jun-Seob, Kim, Eun-Kuk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9794348/
https://www.ncbi.nlm.nih.gov/pubmed/36595769
http://dx.doi.org/10.1097/MD.0000000000032294
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author Park, Han-Soo
Song, Jun-Seob
Kim, Eun-Kuk
author_facet Park, Han-Soo
Song, Jun-Seob
Kim, Eun-Kuk
author_sort Park, Han-Soo
collection PubMed
description High tibial osteotomy (HTO) is an effective surgical method for treating medial compartment osteoarthritis. However, in most cases after surgery, muscle strength is decreased, and rapid muscle atrophy is observed. Therefore, the purpose of this study is to verify the effects of low-intensity resistance exercise (LIE) with blood flow restriction (BFR) on the cross-sectional area (CSA) of thigh muscles, knee extensor strength, pain, and knee joint function and investigate proper arterial occlusion pressure (AOP) in middle-aged women who underwent HTO. METHOD: This study was designed as a prospective randomized controlled trial. Forty-two middle-aged women who underwent HTO were randomly divided into three groups and participated in LIE with (40% or 80% AOP applied) or without BFR. The main outcome was the measurement of the CSA of thigh muscles (at 30% and 50% distal length of the femur) before and 12 weeks after treatment. Additionally, knee extension muscle strength, pain, and joint function were evaluated before and 6 and 12 weeks after treatment. RESULTS: CSA of thigh muscles at 30% and 50% distal length of the femur decreased in the AOP 40% and control groups and was the largest in the AOP 80% group 12 weeks after treatment. Knee extension strength increased in all groups and was the highest in the AOP 80% group 6 and 12 weeks after treatment. Pain improved in all groups, with no intergroup differences. Knee joint function improved in all groups and was superior in the 80% AOP group 12 weeks after treatment. CONCLUSION: LIE with BFR at 80% AOP was effective in preventing atrophy of the thigh muscle, increasing muscle strength, and improving function. BFR at 40% AOP had no difference in the results when compared with the group in which BFR was not applied. Therefore, LIE with an AOP of 80% is recommended for patients undergoing HTO.
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spelling pubmed-97943482022-12-29 Effects of low-intensity resistance exercise with blood flow restriction after high tibial osteotomy in middle-aged women Park, Han-Soo Song, Jun-Seob Kim, Eun-Kuk Medicine (Baltimore) 7000 High tibial osteotomy (HTO) is an effective surgical method for treating medial compartment osteoarthritis. However, in most cases after surgery, muscle strength is decreased, and rapid muscle atrophy is observed. Therefore, the purpose of this study is to verify the effects of low-intensity resistance exercise (LIE) with blood flow restriction (BFR) on the cross-sectional area (CSA) of thigh muscles, knee extensor strength, pain, and knee joint function and investigate proper arterial occlusion pressure (AOP) in middle-aged women who underwent HTO. METHOD: This study was designed as a prospective randomized controlled trial. Forty-two middle-aged women who underwent HTO were randomly divided into three groups and participated in LIE with (40% or 80% AOP applied) or without BFR. The main outcome was the measurement of the CSA of thigh muscles (at 30% and 50% distal length of the femur) before and 12 weeks after treatment. Additionally, knee extension muscle strength, pain, and joint function were evaluated before and 6 and 12 weeks after treatment. RESULTS: CSA of thigh muscles at 30% and 50% distal length of the femur decreased in the AOP 40% and control groups and was the largest in the AOP 80% group 12 weeks after treatment. Knee extension strength increased in all groups and was the highest in the AOP 80% group 6 and 12 weeks after treatment. Pain improved in all groups, with no intergroup differences. Knee joint function improved in all groups and was superior in the 80% AOP group 12 weeks after treatment. CONCLUSION: LIE with BFR at 80% AOP was effective in preventing atrophy of the thigh muscle, increasing muscle strength, and improving function. BFR at 40% AOP had no difference in the results when compared with the group in which BFR was not applied. Therefore, LIE with an AOP of 80% is recommended for patients undergoing HTO. Lippincott Williams & Wilkins 2022-12-23 /pmc/articles/PMC9794348/ /pubmed/36595769 http://dx.doi.org/10.1097/MD.0000000000032294 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 7000
Park, Han-Soo
Song, Jun-Seob
Kim, Eun-Kuk
Effects of low-intensity resistance exercise with blood flow restriction after high tibial osteotomy in middle-aged women
title Effects of low-intensity resistance exercise with blood flow restriction after high tibial osteotomy in middle-aged women
title_full Effects of low-intensity resistance exercise with blood flow restriction after high tibial osteotomy in middle-aged women
title_fullStr Effects of low-intensity resistance exercise with blood flow restriction after high tibial osteotomy in middle-aged women
title_full_unstemmed Effects of low-intensity resistance exercise with blood flow restriction after high tibial osteotomy in middle-aged women
title_short Effects of low-intensity resistance exercise with blood flow restriction after high tibial osteotomy in middle-aged women
title_sort effects of low-intensity resistance exercise with blood flow restriction after high tibial osteotomy in middle-aged women
topic 7000
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9794348/
https://www.ncbi.nlm.nih.gov/pubmed/36595769
http://dx.doi.org/10.1097/MD.0000000000032294
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