Is there a role for rehabilitation streaming following total knee arthroplasty? Preliminary insights from a randomized controlled trial.
DOI:
https://doi.org/10.2340/16501977-1919Keywords:
arthroplasty, rehabilitation, physical therapy, ambulation.Abstract
OBJECTIVE: To determine whether total knee arthroplasty recipients demonstrating comparatively poor mobility at entry to rehabilitation and who received supervised therapy, had better rehabilitation outcomes than those who received less supervision. DESIGN: Retrospective analysis of randomized trial data. PATIENTS: Total knee arthroplasty participants randomized to supervised (n = 159) or home-based therapy (n = 74). METHODS: Participants were dichotomized based on mean target 6-min walk test (6MWT) pre-therapy (second post-surgical week). Absolute and change in 6MWT and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain and Function subscales amongst low performers in the supervised (n = 89) and unsupervised (n = 36) groups were compared, as were high performers in the supervised (n = 70) and unsupervised (n = 38) groups. RESULTS: Low performers in the unsupervised compared with the supervised group demonstrated significantly poorer 6MWT scores (absolute δ = 8.5%, p = 0.003Downloads
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