A 21-Day Individual Rehabilitation Exercise Training Program Changes Irisin, Chemerin, and BDNF Levels in Patients after Hip or Knee Replacement Surgery

Abstract

Osteoarthritis (OA) is the most frequent worldwide cause of adult population disabilities. The study evaluated the effects of a 21-day individual rehabilitation exercise training program focused on improving patients' functional capacity. The study analyzed the changes in irisin, chemerin, and BDNF serum levels in 36 OA patients subjected to an individually-adjusted rehabilitation program 90 days after surgical hip or knee replacement. The changes in irisin, chemerin, and BDNF serum levels were measured using enzyme-linked immunosorbent assay (ELISA) kits. A 21-day individual rehabilitation exercise training program significantly increased irisin and BDNF, and decreased chemerin serum levels. The presented study indicates that individually-adjusted exercise training is an important modulator influencing serum levels of anti- and pro-inflammatory factors, leading to positive clinical outcomes in osteoarthritis therapy. Selected factors are considered potential markers of various pathophysiological conditions. The presented study brings new details to the discussion.

Keywords: brain-derived neurotrophic factor (BDNF); chemerin; hip or knee replacement surgery; individual rehabilitation exercise training; irisin; osteoarthritis.

Figure 1

Irisin concentration [µg/mL] in the serum of patients after hip or knee replacement surgery enrolled in a 21-day individual rehabilitation exercise training program.

Figure 2

Chemerin concentration [ng/mL] in the serum of patients after hip or knee replacement surgery enrolled to a 21-day individual rehabilitation exercise training program.

Figure 3

Brain-derived neurotrophic factor (BDNF) concentration [ng/mL] in the serum of patients after hip or knee replacement surgery enrolled to a 21-day individual rehabilitation exercise training program.