Table 2 Individual interventions in IG and CG
| Patient-Nr. | Main problem / restriction (subj./obj.) | Prehabilitation | Total knee arthroplasty |
|---|---|---|---|
| 01 | • Pain while walking or standing | • None. | • Medacta GMK MyKnee, LBS Sphere, Inlay 10 mm fixed bearing medial pivot |
| 02 | • Pain during knee loading | • None. | • Zimmer Persona, Inlay 10 mm fixed bearing PS |
| 03 |
• Reduced knee extension • Pain |
• PNF stretching: hamstrings, quadriceps • Endurance: cycling ergometer • Patient education: pain management, self-mobilization | • Medacta GMK MyKnee, Inlay 10 mm fixed bearing PS |
| 04 | • Pain during and after walking | • None. | • Medacta GMK MyKnee, Inlay 10 mm fixed bearing PS |
| 05 |
• Knee varus • Non-physiological gait pattern Reduced quadriceps innervation |
• PNF stretching: quadriceps • Endurance: cycling ergometer • Patient education: knee mechanics and movement patterns • Electromyostimulation training training: quadriceps • Sensori-motor training: gait training without walking stick, balance exercises, movement pattern | • LINK Gemini SL, PorEx, Inlay 10 mm fixed bearing PS |
| 06 | • Pain |
• PNF stretching: hamstrings, quadriceps • Endurance: cycling ergometer • Patient education: pain management, self-training • Sensori-motor training: balance, gait • Strength training: coordination | • Medacta GMK MyKnee Hinge, Inlay 10 mm fixed bearing Hinge |
| 07 | • Pain when walking up the stairs or more than 500 m | • None. | • Medacta GMK MyKnee, Inlay 14 mm fixed bearing PS |
| 08 | • Pain when walking down the stairs. | • None. | • Medacta GMK MyKnee, Inlay 10 mm fixed bearing PS |
| 09 |
• Impaired gardening • Pain after long walks | • None. | • Medacta GMK MyKnee, Inlay 14 mm fixed bearing PS |
| 10 | • Pain after resting for more than 15 min | • None. | • Medacta GMK MyKnee Revision, Inlay 10 mm fixed bearing SC |
| 11 |
• Pain • Reduced performance at work |
• PNF stretching: hamstrings, quadriceps • Endurance: walking on treadmill, cycling ergometer • Patient education: pain management, self-training, movement patterns • Electromyostimulation training: quadriceps • Sensori-motor training: balance, gait • Strength training: coordination, strength endurance, hypertrophy | • Zimmer Persona, Inlay 10 mm fixed bearing PS |
| 12 |
• Reduced knee flexion • Slight knee pain |
• PNF stretching: quadriceps • Endurance training: cycling ergometer, aqua jogging • Patient education: pain management, self-training /−mobilization • Sensori-motor training: balance, gait | • Medacta GMK MyKnee, Inlay 12 mm fixed bearing PS |
| 13 |
• Reduced knee flexion and extension • Pain • Impaired sport performance |
• PNF stretching: quadriceps and hamstrings • Endurance training: cycling ergometer • Patient education: intensity strength training, self-mobilization • Sensori-motor training: gait, balance, movement pattern • Strength training: coordination, strength endurance, hypertrophy | • Zimmer Persona, Inlay 10 mm fixed bearing PS |
| 14 |
• Knee valgus • Slight pain • Reduced ADL performance |
• PNF stretching: quadriceps, hamstrings • Endurance training: crosstrainer • Patient education: self-management, physiological movement pattern • Proprioceptive training: gait, balance, ADL • Strength training: coordination, strength endurance | • Medacta GMK MyKnee LBS Sphere, Inlay 13 mm fixed bearing medial pivot |
| 15 |
• Weakness • Reduced knee flexion and extension • Slight pain |
• PNF stretching: quadriceps, hamstrings • Endurance training: pedal trainer • Patient education: self-training, self-mobilization • Strength training: coordination, strength endurance | • Medacta GMK MyKnee, Inlay 10 mm fixed bearing PS |
| 16 | • Pain in the morning and after walking down the stairs | • None. | • Zimmer Persona, Inlay 10 mm fixed bearing PS |
| 17 |
• Stiffness • Pain after walking | • None. | • Medacta GMK MyKnee LBS Sphere, Inlay 13 mm fixed bearing medial pivot |
| 18 | • Pain when knee is loaded. | • None. | • Zimmer Persona, Inlay 11 mm fixed bearing PS |
| 19 | • Knee varus, reduced knee flexion, impaired sport performance |
• PNF stretching: quadriceps, hamstrings • Endurance training: cycling ergometer • Patient education: self-training /−mobilization, movement patterns, training intensity • Sensori-motor training: gait, balance • Strength training: coordination, strength endurance, hypertrophy | • Medacta GMK MyKnee LBS Sphere, Inlay 10 mm fixed bearing medial pivot |
| 20 | • Impaired 18-hole golf performance due to pain |
• PNF stretching: quadriceps, hamstrings • Endurance training: cycling ergometer, treadmill walking • Patient education: self-training/−mobilization, movement patterns, training intensity • Sensori-motor training: gait, balance • Strength training: coordination, strength endurance | • Medacta GMK MyKnee Revision, Inlay 10 mm fixed bearing semiconstrained |