Matches in SemOpenAlex for { <https://semopenalex.org/work/W1902482217> ?p ?o ?g. }
Showing items 1 to 80 of
80
with 100 items per page.
- W1902482217 abstract "Background and Purpose: Physical therapy treatment following Total knee Arthroplasty (TKA) consists of a combination of strengthening and range of motion exercises. The exercise technique, church pew exercise (CPE), has been proposed to enhance quadriceps facilitation and improve function. This is a technique that has the patient standing and rocking forward/back. The backward motion is arrested by engagement of the upper calf against a solid object, creating a sudden flexion torque at the knee and a sudden extension torque at the hip. The combination of CPE with standard physical therapy is claimed to provide better quadriceps control and faster walking post TKA. In this case study, a 51-year-old female with decreased knee active and passive range of motion (ROM), decreased lower extremity (LE) muscle strength, and limited ambulation post left knee TKA, received conventional physical therapy treatment plus CPE. Methods: The patient received 11 physical therapy home sessions. The first 8 sessions were used to strengthen her knee and increase active and passive ROM. The CPE intervention was performed 3 weeks post-surgery, during the last 3 physical therapy sessions. At these three sessions the patient performed the Timed Up and Go (TUG) before and after CPE. Outcomes: At initial evaluation, 4 days post left knee TKA, this patient’s left knee active ROM was only 15 to 76 degrees, and manual muscle testing at her hip and knee indicated strengths of 2- (hip flexors), 3- (hamstrings and quadriceps), and 3+ (hip abductors), all out of 5, and her times on two trials of the TUG were 30.31 and 30.65 sec, indicating impaired functional ability. At all CPE sessions (3 weeks post-surgery) the patient demonstrated increased gait speeds (i.e. shorter times) on the TUG after the CPE (pre CPE mean = 13.2 sec; post CPE mean = 11.2), increased stance time on her affected lower extremity, and increased step length on her contra-lateral lower extremity. The patient reported increased knee stability. Clinical Relevance: Rationale for CPE is based on neurological facilitation of quadriceps and other lower extremity muscles. However, to engage in this exercise the patient must have the ability to balance and to control the hip and knee joints. This patient required several weeks of strengthening and active and passive ROM exercises before she could perform the CPE. Once able to perform the CPE, she demonstrated improvements in her walking ability, and she expressed greater confidence. Conclusion: Provided a minimal level of strength and active and passive ROM has been attained, CPE may be a valuable short-term supplement to current strengthening regimens addressing quadriceps functional deficits following TKA. Other conditions that involve gait problems related to quadriceps insufficiency might also benefit. The long-term efficacy of CPE remains to be determined." @default.
- W1902482217 created "2016-06-24" @default.
- W1902482217 creator A5050285745 @default.
- W1902482217 creator A5061364949 @default.
- W1902482217 date "2015-01-01" @default.
- W1902482217 modified "2023-09-27" @default.
- W1902482217 title "Church Pew Exercise Integrated With Conventional Physical Therapy Following Total Knee Arthroplasty (TKA): Case Report" @default.
- W1902482217 cites W1515537098 @default.
- W1902482217 cites W1568448898 @default.
- W1902482217 cites W1799409186 @default.
- W1902482217 cites W1892612723 @default.
- W1902482217 cites W1970462947 @default.
- W1902482217 cites W1986140805 @default.
- W1902482217 cites W1992386041 @default.
- W1902482217 cites W2011126100 @default.
- W1902482217 cites W201184455 @default.
- W1902482217 cites W2018066353 @default.
- W1902482217 cites W2019885652 @default.
- W1902482217 cites W2043245831 @default.
- W1902482217 cites W2049973986 @default.
- W1902482217 cites W2050325669 @default.
- W1902482217 cites W2082378171 @default.
- W1902482217 cites W2087974397 @default.
- W1902482217 cites W2090600245 @default.
- W1902482217 cites W2135282871 @default.
- W1902482217 cites W2137030705 @default.
- W1902482217 cites W2143142225 @default.
- W1902482217 cites W2264906427 @default.
- W1902482217 cites W2319578846 @default.
- W1902482217 cites W2906506587 @default.
- W1902482217 doi "https://doi.org/10.46743/1540-580x/2015.1543" @default.
- W1902482217 hasPublicationYear "2015" @default.
- W1902482217 type Work @default.
- W1902482217 sameAs 1902482217 @default.
- W1902482217 citedByCount "0" @default.
- W1902482217 crossrefType "journal-article" @default.
- W1902482217 hasAuthorship W1902482217A5050285745 @default.
- W1902482217 hasAuthorship W1902482217A5061364949 @default.
- W1902482217 hasBestOaLocation W19024822171 @default.
- W1902482217 hasConcept C141071460 @default.
- W1902482217 hasConcept C1862650 @default.
- W1902482217 hasConcept C2778336525 @default.
- W1902482217 hasConcept C2984429377 @default.
- W1902482217 hasConcept C3017871827 @default.
- W1902482217 hasConcept C71924100 @default.
- W1902482217 hasConcept C99508421 @default.
- W1902482217 hasConceptScore W1902482217C141071460 @default.
- W1902482217 hasConceptScore W1902482217C1862650 @default.
- W1902482217 hasConceptScore W1902482217C2778336525 @default.
- W1902482217 hasConceptScore W1902482217C2984429377 @default.
- W1902482217 hasConceptScore W1902482217C3017871827 @default.
- W1902482217 hasConceptScore W1902482217C71924100 @default.
- W1902482217 hasConceptScore W1902482217C99508421 @default.
- W1902482217 hasLocation W19024822171 @default.
- W1902482217 hasOpenAccess W1902482217 @default.
- W1902482217 hasPrimaryLocation W19024822171 @default.
- W1902482217 hasRelatedWork W169635199 @default.
- W1902482217 hasRelatedWork W1996245405 @default.
- W1902482217 hasRelatedWork W2056212126 @default.
- W1902482217 hasRelatedWork W2084225430 @default.
- W1902482217 hasRelatedWork W2091662723 @default.
- W1902482217 hasRelatedWork W2155205131 @default.
- W1902482217 hasRelatedWork W2157849647 @default.
- W1902482217 hasRelatedWork W2164220329 @default.
- W1902482217 hasRelatedWork W2166710207 @default.
- W1902482217 hasRelatedWork W2414624985 @default.
- W1902482217 hasRelatedWork W2460968553 @default.
- W1902482217 hasRelatedWork W2605555259 @default.
- W1902482217 hasRelatedWork W2888573912 @default.
- W1902482217 hasRelatedWork W2927640907 @default.
- W1902482217 hasRelatedWork W2939084340 @default.
- W1902482217 hasRelatedWork W3027790423 @default.
- W1902482217 hasRelatedWork W3119052089 @default.
- W1902482217 hasRelatedWork W3204556359 @default.
- W1902482217 hasRelatedWork W1854256735 @default.
- W1902482217 hasRelatedWork W2993497065 @default.
- W1902482217 isParatext "false" @default.
- W1902482217 isRetracted "false" @default.
- W1902482217 magId "1902482217" @default.
- W1902482217 workType "article" @default.