Knee osteoarthritis (OA) is common in older adults, affecting about 4.3 million in the United States. Knee OA sometimes leads to joint replacement surgery in advanced stages of the disease – nearly a half-million total knee replacements are performed annually in the US. Researchers at the University of Louisville wanted to evaluate the efficacy of a pre-operative exercise program (“prehabilitation”) for patients undergoing total knee arthroplasty (TKA) surgery.  54 older adults with knee OA were randomized into a control group (usual care) or an exercise group completing exercise 3 times per week (1 supervised session, and 2 at home). Patients used Thera-Band® Resistance Bands supplied by Thera-Band Academy.

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The study, published in Archives of Physical Medicine and Rehabilitation, found that prehab participants significantly increased their leg strength and mobility after surgery, while the control group did not. At 3 months after surgery, the prehab group improved performance on all 4 functional tasks, in contrast to the control group who improved in only 2 out of the 4. Lead investigator, Robert Topp PhD RN, noted, “This Thera-Band exercise program definitely supports the theory of prehabilitation in total knee patients.”  Dr. Topp published a similar summary article in the ICAA publication, Functional U. A pre-operative strengthening program with Thera-Band Resistance Bands can help improve function after total knee surgery compared to no pre-op training.

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