Will BTS training become a new locomotive prophylaxis? Examination by randomized controlled trial of post-TKA rehabilitation

Abstract

Considering that inadequate excursion of the metatarsophalangeal (MTP) joints of the toes might account for the poor body balancing capability in the elderly, we introduced, into rehabilitation for post-total knee arthroplasty (TKA) patients at this institution, a procedure which comprises dorsiflexion exercises of the toes using a method called Body Trunk Switch (BTS), in an attempt to potentially effect stabilization of the trunk. The results of the trial showed a significant reduction in the duration of hospitalization and significant prevention of worsening of the performance in the Functional Reach Test (FRT) and quadriceps muscle strength in the BTS training group. The present results seem to indicate that BTS training may serve as a new prophylaxis for locomotive syndrome.