A 1-Week Comprehensive Foam Rolling Intervention Program Can Improve Knee Pain but Not Muscle Function and Range of Motion in Patients with Total Knee Arthroplasty

Masanobu Yokochi (), Masatoshi Nakamura (), Ayaka Iwata, Ryota Kaneko, Shiho Watanabe, Andreas Konrad and Noboru Yamada
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Masanobu Yokochi: Department of Rehabilitation, Takeda General Hospital, 3-27 Yamagamachi, Aizuwakamatsu 965-8585, Fukushima, Japan
Masatoshi Nakamura: Faculty of Rehabilitation Sciences, Nishi Kyushu University, 4490-9 Ozaki, Kanzaki 842-8585, Saga, Japan
Ayaka Iwata: Department of Rehabilitation, Takeda General Hospital, 3-27 Yamagamachi, Aizuwakamatsu 965-8585, Fukushima, Japan
Ryota Kaneko: Department of Rehabilitation, Takeda General Hospital, 3-27 Yamagamachi, Aizuwakamatsu 965-8585, Fukushima, Japan
Shiho Watanabe: Department of Rehabilitation, Takeda General Hospital, 3-27 Yamagamachi, Aizuwakamatsu 965-8585, Fukushima, Japan
Andreas Konrad: Institute of Human Movement Science, Sport and Health, Graz University, Mozartgasse 14, 8010 Graz, Austria
Noboru Yamada: Department of Orthopaedic Surgery, Takeda General Hospital, 3-27 Yamagamachi, Aizuwakamatsu 965-8585, Fukushima, Japan

IJERPH, 2023, vol. 20, issue 4, 1-9

Abstract: We investigate the effect of a 1-week comprehensive foam rolling (FR) intervention program on knee pain, range of motion (ROM), and muscle function in patients with TKA.Thirty patients with TKA were randomly allocated to FR (n = 15) or control (n = 15) groups. The control group received only regular physical therapy. Patients in the FR group performed the FR intervention in addition to their regular physical therapy twice daily from postoperative weeks two to three (60 s × 3 repetitions × 2 times/day × 6 days: total = 2160 s). Pain score, knee flexion and extension ROM, muscle strength, walking function, and balance function were measured before and after the FR intervention. From the second to third postoperative weeks, there were significant improvements in all variables, and the reduction in pain score at stretching was significantly greater in the FR group (−26.0 ± 1.4; p < 0.05) than in the control group (−12.5 ± 1.9). However, there was no significant difference in changes in the other variables except for the pain score at stretching between FR and control groups. A 1-week comprehensive FR intervention program in patients with TKA could reduce pain scores at stretching without a synergistic effect on physical function, i.e., walking speed, balance function, and muscle strength of the knee extensors muscles.

Keywords: isometric contraction torque; walking speed; flexibility; foam rolling; knee arthroplasty; pain (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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