Tai Chi Inspired Exercise Early Following Total Knee Arthroplasty: A Case ReportJessica W Smith1, Mark Cipriani Jr2, Robin L Marcus3 and Paul LaStayo1,3*
- *Corresponding Author:
- Paul LaStayo, PT, PhD
Department of Physical Therapy, University of Utah 520 Wakara Way, Salt Lake City, UT 84108, USA
Received Date: October 24, 2014; Accepted Date: January 27, 2014; Published Date: January 31, 2014
Citation: Smith JW, Cipriani M Jr, Marcus RL, LaStayo P (2014) Tai Chi Inspired Exercise Early Following Total Knee Arthroplasty: A Case Report. J Yoga Phys Ther 4: 155. doi: 10.4172/2157-7595.1000155
Copyright: © 2014 Smith JW, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: In total knee arthroplasty (TKA) recipients, losses in quadriceps’ strength in the immediate postoperative period are related to physical function and mobility. Therefore, this period should be a target of rehabilitation to prevent strength losses in the short-term. This case report describes the early post-operative changes in muscle and physical function associated with a Tai Chi inspired rehabilitation program. Case Description: A 62 year-old woman presented with bilateral OA and underwent unilateral TKA surgery in her most symptomatic knee. The subject participated in one pre-operative study visit, and a 6-week, Tai Chi inspired rehabilitation program from 4 to 10 wks post-operatively. Outcome measures, evaluated at 4 wks, 10 wks, and 6 months post-operatively, included maximum voluntary isometric contraction, lower extremity power, quadriceps force control, 6-minute walk test, timed up-and-go test, stair climbing test, gait speed, SF-36 Total Health Status Survey, and the lower extremity functional scale. Outcomes: In the surgical leg, the subject improved in all muscle and physical function measures from the pre-operative to 6-month post-operative study visit. Self-report outcome measures also improved from pre- to postoperative study visits, with the exception of the mental component summary of the SF-36 at 6 months. Discussion: The subject exhibited clinically relevant improvements in muscle and physical function in the surgical leg, suggesting that the Tai Chi inspired rehabilitation program may be an effective and safe addition to range of motion, stretching and gait exercises in the early post-operative period. These results support further exploration of this rehabilitation approach in future trials.