Journal of Shandong University (Health Sciences) ›› 2025, Vol. 63 ›› Issue (3): 36-43.doi: 10.6040/j.issn.1671-7554.0.2024.0840

• Clinical Diagnosis and Treatment in Orthopedics • Previous Articles    

Effect of multi-angle isokinetic muscle strength training on the recovery of knee motion and proprioception after knee arthroplasty

ZHANG Peng1, YANG Peng2, ZHAO Jing2, ZHONG Junqiao3, WAN Shaoyong4   

  1. 1. School of Physical Education, China University of Mining and Technology, Xuzhou 221116, Jiangsu, China;
    2. Department of Physical Education, Harbin Institute of Technology, Harbin 150006, Heilongjiang, China;
    3. Department of Orthopedics, Affiliated Hospital of Jinggangshan University, Jian 343000, Jiangxi, China;
    4. School of Physical Education, Jinggangshan University, Jian 343009, Jiangxi, China
  • Published:2025-04-08

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Abstract: Objective To investigate the effect of different angle isokinetic muscle strength training on knee joint motion and proprioception after total knee arthroplasty(TKA). Methods A total of 96 patients who underwent TKA in Affiliated Hospital of Jinggangshan University from January 2021 to June 2022 were selected, aged 37-74 years, with a mean age of 52.72±5.37 years. The patients were divided into group 0°-30°, group 31°-60° and group 61°-90° according to the range of knee flexion during isokinetic training. Muscle strength index, clinical index and proprioceptive index were compared before and after treatment in the three groups. The correlation between knee ROM and proprioception was analysed after isokinetic strength training at different angles. Results After treatment, the muscle strength indexes of the quadriceps femoris and triceps crus were significantly higher in the three groups than those before treatment(P<0.05). After treatment, the muscle strength related indexes of quadriceps femoris in group 31°-60° were significantly higher than those in group 0°-30° and group 31°-60°, while the muscle strength related indexes of triceps crus in group 0°-30° were significantly higher than those in group 31°-60° and group 31°-60°(P<0.05). After treatment, range of motion(ROM), time “ up and go” test(TUGT), visual analogue scale(VAS), Berg balance scale(BBS)score and hospital for special surgery(HSS)score were significantly improved in the three groups(P<0.05). The ROM and HSS scores of group 0°-30° were significantly higher than those in group 31°-60° and group 31°-60°, and the TUGT time of group 31°-60° was significantly lower than that of group 0°-30° and group 31°-60°(P<0.05). The BBS scores of group 0°-30° and group 31°-60° were higher than those of group 31°-60° after treatment(P<0.05). There was no significant difference in VAS score between the three groups after treatment(P>0.05). TDPM and AAR were significantly improved after treatment(P<0.05). After treatment, TDPM(30°, 45°, 60°)and AAR(30°, 45°, 60°)in group 31°-60° were significantly lower than those in group 0°-30° and group 31°-60°(P<0.05). When the training angle of isokinetic muscle strength was 0°-30°, there was a correlation between knee ROM and AAR 30° after treatment(r=-0.50, P=0.03). When the training angle of isokinetic muscle strength was 31°-60°, the knee joint ROM after treatment was correlated with TDPM 30°(r=-0.49, P=0.04), TDPM 45°(r=-0.52, P=0.03), AAR 45°(r=-0.62, P=0.00)and AAR 60°(r=-0.59, P=0.03). Conclusion Isokinetic quadriceps muscle strength training at different angles can effectively promote the rehabilitation of patients after TKA, among which isokinetic quadriceps muscle strength training in the range of 31°-60° can better improve the postoperative proprioception and quadriceps muscle strength of patients. In the range of 0°-30°, quadriceps isometric training has the most significant improvement effect on the muscle strength, ROM and HSS scores of patients calf triceps.

Key words: Isokinetic muscle strength training, Knee replacement, Knee joint motion, Proprioception

CLC Number: 

  • R687.409
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