Physical Therapist Management of Total Knee Arthroplasty

Jette, Diane U.; Hunter, Stephen J.; Burkett, Lynn; Langham, Bud; Logerstedt, David; Piuzzi, Nicolás S.; Poirier, Noreen M; Radach, Linda J L; Ritter, Jennifer; Scalzitti, David A.; Stevens‐Lapsley, Jennifer E.; Tompkins, James; Zeni, Joseph A.

doi:10.1093/ptj/pzaa099

Cited by 123 publications

(106 citation statements)

References 120 publications

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“… 41 , 42 The American Physical Therapy Association identified the need for research to investigate the optimal timing of post-TKR rehabilitation. 43 Our findings suggest that initiating outpatient PT care within 30 days after TKR may be associated with a lower risk of long-term opioid use.…”

Section: Discussionmentioning

confidence: 60%

Association of Physical Therapy Interventions With Long-term Opioid Use After Total Knee Replacement

et al. 2021

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Section: Discussionmentioning

confidence: 60%

Association of Physical Therapy Interventions With Long-term Opioid Use After Total Knee Replacement

et al. 2021

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“…Many treatments exist for OA, and major guidelines have recently been published providing recommendations for their usage (29)(30)(31). Most currently available treatments primarily target symptom management as opposed to disease pathobiology.…”

Section: Oa Treatmentsmentioning

confidence: 99%

“…Most currently available treatments primarily target symptom management as opposed to disease pathobiology. There are currently no therapeutic agents that reverse or halt OA progression, resulting in continued disease progression in millions of patients with OA (30)(31)(32). A summary of the treatments covered in this review can be found in Table 1.…”

Section: Oa Treatmentsmentioning

confidence: 99%

Osteoarthritis Progression: Mitigation and Rehabilitation Strategies

Drummer

McAdam

Seay

et al. 2021

Front. Rehabilit. Sci.

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Osteoarthritis is the most common form of arthritis and is a substantial burden for patients with the disease. Currently, there is no cure for osteoarthritis, but many emerging therapies have been developed to aid in the mitigation of disease progression. When osteoarthritis reaches the end-stage of disease many patients undergo total joint arthroplasty to improve quality of life, yet some experience persistent pain and mobility limitations for extended periods following surgery. This review highlights recent therapeutic advancements in osteoarthritis treatment consisting of pharmacologics, nutraceuticals, biologics, and exercise while emphasizing the current state of post-arthroplasty rehabilitation.

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“…The use of these sensor systems holds the potential to measure knee metrics during activities of daily living as well as to track and guide patients’ home exercise physiotherapy program during recovery. However, accurate measurement of the knee flexion angle by these skin-mounted sensors is essential to achieve the above goals [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Accuracy of Measuring Knee Flexion after TKA through Wearable IMU Sensors

Antunes¹,

Jacob

Meyer

et al. 2021

JFMK

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Wearable sensors have the potential to facilitate remote monitoring for patients recovering from knee replacement surgery. Using IMU sensors attached to the patients’ leg, knee flexion can be monitored while the patients are recovering in their home environment. Ideally, these flexion angle measurements will have an accuracy and repeatability at least on par with current clinical standards. To validate the clinical accuracy of a two-sensor IMU system, knee flexion angles were measured in eight subjects post-TKA and compared with other in-clinic angle measurement techniques. These sensors are aligned to the patients’ anatomy by taking a pose resting their operated leg on a box; an initial goniometer measurement defines the patients’ knee flexion while taking that pose. The repeatability and accuracy of the system was subsequently evaluated by comparing knee flexion angles against goniometer readings and markerless optical motion capture data. The alignment pose was repeatable with a mean absolute error of 1.6 degrees. The sensor accuracy through the range of motion had a mean absolute error of 2.6 degrees. In conclusion, the presented sensor system facilitates a repeatable and accurate measurement of the knee flexion, holding the potential for effective remote monitoring of patients recovering from knee replacement surgery.

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Physical Therapist Management of Total Knee Arthroplasty

Cited by 123 publications

References 120 publications

Association of Physical Therapy Interventions With Long-term Opioid Use After Total Knee Replacement

Association of Physical Therapy Interventions With Long-term Opioid Use After Total Knee Replacement

Osteoarthritis Progression: Mitigation and Rehabilitation Strategies

Accuracy of Measuring Knee Flexion after TKA through Wearable IMU Sensors

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