Preoperative physical therapy in primary total knee arthroplasty

Rodgers, Jeffrey A.; Garvin, Kevin L.; Walker, Craig W.; Morford, Dee; Urban, Josh; Bedard, Joe

doi:10.1016/s0883-5403(98)90007-9

Cited by 107 publications

(117 citation statements)

References 19 publications

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“…Although preoperative education seems useful for patients [19], few studies examine the effect of preoperative physiotherapy on early rehabilitation after THA. Preoperative physiotherapy reportedly improves muscle strength and gait, allowing early return to ambulatory function [18,55,62]. However, limitations of the studies on preoperative physiotherapy include small numbers of patients, variability in outcome measures, and lack of the cost-benefit analysis.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Early Rehabilitation After THA: A Systematic Review

Sharma

Morgan

Cheng

2009

Clin Orthop Relat Res

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A wide variation exists in rehabilitation after total hip arthroplasty (THA) in part due to a paucity of evidence-based literature. We asked whether a minimally invasive surgical approach, a multimodal approach to pain control with revised anesthesia protocols, hip restrictions, or preoperative physiotherapy achieved a faster rehabilitation and improved immediate short-term outcome. We conducted a systematic review of 16 level I and II studies after a strategy-based search of English literature on OVID Medline, PubMed, CINAHL, Cochrane, and EMBASE databases. We defined the endpoint of assessment as independent ambulation and ability to perform activities of daily living. Literature supports the use of a multimodal pain control to improve patient compliance in accelerated rehabilitation. Multimodal pain control with revised anesthesia protocols and accelerated rehabilitation speeds recovery after minimally invasive THA compared to the standard approach THA, but a smaller incision length or minimally invasive approach does not demonstrably improve the short-term outcome. Available studies justify no hip restrictions following an anterolateral approach but none have examined the question for a posterior approach. Preoperative physiotherapy may facilitate faster postoperative functional recovery but multicenter and welldesigned prospective randomized studies with outcome measures are necessary to confirm its efficacy.

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Section: Discussionmentioning

confidence: 99%

Factors Influencing Early Rehabilitation After THA: A Systematic Review

Sharma

Morgan

Cheng

2009

Clin Orthop Relat Res

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“…Previous studies examining preoperative resistance training in patients with knee OA undergoing knee arthroplasty have found limited benefits to postoperative strength, range of motion, selfreport questionnaires, and physical function. 4,15,38 However, the intensity of these programs often did not result in significant changes in strength after the strengthening intervention (ie, prior to the surgery). While Rooks et al 39 did observe significantly increased strength preoperatively after resistance training (20% increased), there were still no significant improvements in outcomes after surgery, when compared to a control group.…”

Section: Discussionmentioning

confidence: 99%

Preoperative Strength Training for Patients Undergoing High Tibial Osteotomy: A Prospective Cohort Study With Historical Controls

Kean¹,

Birmingham²,

Garland³

et al. 2011

J Orthop Sports Phys Ther

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“…The efficacy of preoperative rehabilitation programmes has been clearly related to increased strength of the affected leg, decreased leg strength asymmetry and increased ability in performing functional tasks before TKA. Similarly-and most interestingly-encouraging results have been shown after prehabilitation, in terms of achieving a better quality of life, a faster ROM recovery and shorter time of hospitalisation: also it can improve muscle tropism, which is a positive predictor for postoperative functional recovery [50][51][52][53][54][55][56][57][58][59][60][61]. Neuro muscular electrical stimulation was found to be useful in prehabilitation to expedite a return to normal activities in patients undergoing TKA for knee osteoarthritis.…”

Section: Pre-operative Rehabilitationmentioning

confidence: 99%

“…The therapy produced modest gains in isokinetic flexion strength but no difference in extension strength [59]. A Cochrane review suggested a benefit of pre-operative rehabilitation comprising at least physiotherapy with education and also suggested a multidisciplinary approach for the most fragile patients [22].…”

Section: Low Frequency Low Intensity Magnetic Fieldsmentioning

confidence: 99%

Rehabilitation and Physical Therapy before and after Total Knee Arthroplasty: A Literature Review and Unanswered Questions

Aless¹,

Bistolfi²,

Federico³

et al. 2016

Int J Phys Med Rehabil

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This review focuses on the validity and the effectiveness of rehabilitation techniques and physical therapies before and after total knee arthroplasty (TKA). The intent is to drive surgeons and rehabilitation specialists in the choice of the strategies for the treatment after TKA. The Data sources were MEDLINE, PubMed, CINAHL, EMBASE, and PsychINFO databases using the selected key words. Three authors independently selected studies for review using as criteria English, adults, any clinical population, and intervention for. Among several published studies of rehabilitation after TKA, only a few were based on scientific evidence. Moreover, many studies were heterogeneous and included different outcomes and evaluations. There is consensus that a complete and specific rehabilitation post-operative programme is effective in reducing the length of hospitalisation and the incidence of early complications. However, it is not clear what "complete and specific rehabilitation" may mean: the real efficacy of every specific treatment (continuous passive motion, cryotherapy, magneto therapy, neuro muscular electrical stimulation, whole body vibration, hydrotherapy, pre-operative physiotherapy) is still questionable, and often related to the experience of the authors. In conclusion, patients undergoing physiotherapy obtain a better and faster outcome achievement than non-treated patients; however, evidence-based treatments, protocols and clinical trials are recommended.

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Preoperative physical therapy in primary total knee arthroplasty

Cited by 107 publications

References 19 publications

Factors Influencing Early Rehabilitation After THA: A Systematic Review

Factors Influencing Early Rehabilitation After THA: A Systematic Review

Preoperative Strength Training for Patients Undergoing High Tibial Osteotomy: A Prospective Cohort Study With Historical Controls

Rehabilitation and Physical Therapy before and after Total Knee Arthroplasty: A Literature Review and Unanswered Questions

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