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
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 | |
| −2−101Difference, mL × min-1 × kg-1 (linear scale) |
| Outcome | Change (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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