Osteoarthritis

Upper‐Limb High‐Intensity Interval Training or Passive Heat Therapy (Heat) Therapy to Optimize Cardiorespiratory Fitness Prior to Total Hip or Knee Arthroplasty: A Randomized Controlled Trial

Arthritis Care Res (Hoboken)Published Randomised controlled trial

Authors' conclusion

Heat therapy and HIIT improved indices of cardiorespiratory fitness preoperatively in patients who have difficulty performing lower-limb exercise.

Study context

Population
Participants with severe knee or hip OA awaiting joint replacement surgery
Participants
93 participants
Comparison
Upper-limb high-intensity interval training (HIIT) vs passive heat therapy vs home-based exercise before total hip or knee arthroplasty
Primary endpoint
Peak oxygen consumption (V̇O2) on cardiopulmonary exercise testing

Primary result

As reported in the abstract

Peak V̇O2

Difference

+2.5 mL × min-1 × kg-1

95% CI 0.5–4.4P = 0.009

HIIT vs Heat

Difference

+3.2 mL × min-1 × kg-1

95% CI 1.2–5.2P = 0.001

HIIT vs Home

Peak V̇O2 increased across HIIT
16%

Further findings

Anaerobic threshold, change within group

Change (mL × min-1 × kg-1) (CI)P value
Home−0.5 (−1.3 to 0.3)P = 0.248
OutcomeChange (mL × min-1 × kg-1) (CI)P value
Anaerobic threshold, change within groupHIIT vs Home+1.5 (0.7–2.3)P < 0.001
Anaerobic threshold, change within groupHeat vs Home+1.2 (0.4–1.9)P = 0.004

Subjective severity of OA

Unchanged with any intervention
P ≥ 0.250

Original publication

Upper‐Limb High‐Intensity Interval Training or Passive Heat Therapy to Optimize Cardiorespiratory Fitness Prior to Total Hip or Knee Arthroplasty: A Randomized Controlled Trial. Arthritis Care Res (Hoboken). Published 20 December 2023. doi:10.1002/acr.25238

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