The effect of 8 weeks of hydrotherapy and land based exercises on strength, balance, range of motion and pain reduction in elderly women with history of both knees replacement

Abstract :

Background & Aims: Exercise program after knee replacement surgery improves postoperative pain, length of hospital stay, and health-related quality of life. However, the effectiveness of postoperative interventions has been different with the type of intervention protocols. The main purpose of this study was to investigate the effect of 8 weeks hydrotherapy and land based exercise on strength, balance, range of motion and pain reduction in elderly women with history of both knees replacement.

Methods: In this semi-experimental study, 30 elderly women with history of both knees replacement from Tehran were selected and randomly divided into three groups: land exercise, hydrotherapy exercise and control. The training program consisted of three sessions per week, each session lasting 60 minutes, including flexibility exercise, movement coordination and agility, balance exercise (perception of space, time and reaction speed) and strength exercise for eight weeks on land and water. The subjects were tested for strength, balance, range of motion and pain level before and after the training. To compare the results of the groups, were used one-way analysis of variance and Tukey's post hoc test at the P<0.05.

Results: The results showed that eight weeks of hydrotherapy and land based exercise have significant effect on strength, balance, range of motion and the amount of pain reduction in elderly women with history of both knees replacement (p=0.001), but there was no significant difference between changes in strength, balance, range of motion and pain reduction between the two experimental groups (P<0.05).

Conclusion: According to the results, it is possible to recommend hydrotherapy and land based exercise interventions to improve strength, balance, range of motion and reduce pain in patients with history of both knees replacement.

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