Alpine skiing with total knee arthroplasty (ASWAP): muscular adaptations
Rieder, Florian; Kösters, Alexander; Wiesinger, Hans-Peter; Dorn, U.; Hofstaedter, T.; Fink, Christian; Müller, Erich; Seynnes, Olivier R.
Journal article, Peer reviewed
Permanent lenke
http://hdl.handle.net/11250/2375631Utgivelsesdato
2015-06-17Metadata
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Originalversjon
Scandinavian Journal of Medicine & Science in Sports. 2015, 25, 26–32 10.1111/sms.12451Sammendrag
This study investigated the effectiveness of recreational skiing as an intervention to improve quadriceps muscle architecture, strength, and antagonistic co-activation in patients with unilateral total knee arthroplasty (TKA). Hence, patients with TKA were assigned to either an intervention group (IG) or control group (CG). The IG completed a 12-week guided skiing program whereas the CG was instructed not to change their daily routines for the same period and was not allowed to ski. Before, after the intervention/after an 8-week retention period m. rectus femoris (RF) cross-sectional area (CSA), m. vastus lateralis muscle thickness, fascicle length, and pennation angle were measured with ultrasonography, while isometric (90° knee angle) knee extension, flexion torque and m. biceps femoris co-activation were assessed on an isokinetic dynamometer in 26 patients. There were significant and stable increases in RF CSA for the operated (10%; P < 0.05) and non-operated leg (12%; P < 0.01) after the training period in the IG whereas no changes were observed for the CG (all P > 0.05). There were no significant effects for other parameters (all P > 0.05). Overall, the skiing intervention was successful in increasing muscle mass in TKA older patients.
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