+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Tai chi chuan exercises improve functional outcomes and quality of life in patients with primary total knee arthroplasty due to knee osteoarthritis



Tai chi chuan exercises improve functional outcomes and quality of life in patients with primary total knee arthroplasty due to knee osteoarthritis



Complementary Therapies in Clinical Practice 35: 121-125



Postoperative rehabilitation plays an indispensable role for a successful total knee arthroplasty (TKA) and the optimal exercises programs are not known. A single-centre, single-blind, randomised controlled trial was designed to explore whether tai chi chuan (TCC) exercises can improve the functional outcomes and the quality of life (QOL) in patients with primary TKA due to knee osteoarthritis (OA). One hundred seven participants with primary TKA for end-stage knee OA were enrolled from January 2014 to January 2017. Patients were treated for 12 weeks either with TCC exercises (intervention) or traditional physical exercises (control). Outcomes including western ontario and mcMaster universities arthritis index (WOMAC), 6-min walk test (6 MWT), knee range of motion (ROM), and short form (36) health survey (SF-36) were assessed. The adverse events related to TCC exercises or TKA were recorded. Before the intervention, the two groups were comparable after examining the general descriptions of patients. Compared with the control group (CG), the TCC group (TG) had significantly better scores in the WOMAC physical function score, 6 MWT, SF-36 physical component score (PCS), and the mental component score (MCS) (P < 0.05) after the 12-week intervention. Nevertheless, there were no significant differences in WOMAC pain score and knee ROM. There were no adverse events related to the TCC exercise program. In the CG, three patients reported one fall each, but those falls did not lead to a further problem. The TCC exercises improve the physical function and the QOL in patients with primary TKA without additional risks.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 066707629

Download citation: RISBibTeXText

PMID: 31003647

DOI: 10.1016/j.ctcp.2019.02.003


Related references

Self-reported knee instability associated with pain, activity limitations, and poorer quality of life before and 1 year after total knee arthroplasty in patients with knee osteoarthritis. Journal of Orthopaedic Research 36(10): 2671-2678, 2018

Accelerometer-Based and Computer-Assisted Navigation in Total Knee Arthroplasty: A Reduction in Mechanical Axis Outliers Does Not Lead to Improvement in Functional Outcomes or Quality of Life When Compared to Conventional Total Knee Arthroplasty. Journal of Arthroplasty 33(2): 379-385, 2018

Improvement in health-related quality of life after unilateral total knee arthroplasty in patients with bilateral knee osteoarthritis. Journal of Orthopaedic Surgery 24(3): 294-297, 2016

Correlations Between Functional Knee Outcomes and Health-Related Quality of Life After Total Knee Arthroplasty in an Asian Population. Journal of Arthroplasty 31(5): 989-993, 2016

Do Pilates-based exercises following total knee arthroplasty improve postural control and quality of life?. PhysioTherapy Theory and Practice 33(4): 289-295, 2017

Comparison of clinical outcomes between total knee arthroplasty and unicompartmental knee arthroplasty for osteoarthritis of the knee: a retrospective analysis of preoperative and postoperative results. Journal of Orthopaedic Surgery and Research 10: 168, 2015

Comparison of survival and cost-effectiveness between unicondylar arthroplasty and total knee arthroplasty in patients with primary osteoarthritis: a follow-up study of 50,493 knee replacements from the Finnish Arthroplasty Register. Acta Orthopaedica 79(4): 499-507, 2008

Aseptic Revision Knee Arthroplasty With Total Stabilizer Prostheses Achieves Similar Functional Outcomes to Primary Total Knee Arthroplasty at 2 Years: A Longitudinal Cohort Study. Journal of Arthroplasty 32(4): 1234-1240.E1, 2017

Clinical outcomes and patient satisfaction following revision of failed unicompartmental knee arthroplasty to total knee arthroplasty are as good as a primary total knee arthroplasty. Knee 26(4): 847-852, 2019

Unicompartmental Knee Arthroplasty Achieves Greater Flexion With No Difference in Functional Outcome, Quality of Life, and Satisfaction vs Total Knee Arthroplasty in Patients Younger Than 55 Years. A Propensity Score-Matched Cohort Analysis. Journal of Arthroplasty 33(2): 355-361, 2018

Association between preoperative anaemia and blood transfusion with long-term functional and quality of life outcomes amongst patients undergoing primary total knee arthroplasty in Singapore: a single-centre retrospective study. Quality of Life Research 28(1): 85-98, 2019

The use of focal knee joint cryotherapy to improve functional outcomes after total knee arthroplasty: review article. Pm and R 6(8): 729-738, 2014

Quality of life after bilateral total knee arthroplasty determined by a 3-year longitudinal evaluation using the Japanese knee osteoarthritis measure. Journal of Orthopaedic Science 20(1): 137-142, 2015

Recovery of knee function after total knee arthroplasty: different outcomes in patients with osteoarthritis and rheumatoid arthritis. Zeitschrift für Rheumatologie 73(6): 559-564, 2014

Knee extension disturbance of knee osteoarthritis effect the short-term clinical outcomes after total knee arthroplasty. PhysioTherapy 101: E518-E519, 2015