Document Detail

Benefits of starting rehabilitation within 24 hours of primary total knee arthroplasty: randomized clinical trial.
MedLine Citation:
PMID:  21382863     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare the benefits of initiating rehabilitation treatment within 24 hours versus 48-72 hours after total knee arthroplasty for osteoarthritis.
DESIGN: Experimental study with clinical trial design.
SUBJECTS: Patients undergoing primary total knee arthroplasty for osteoarthritis were randomly assigned to experimental (n = 153) and control (n = 153) groups.
INTERVENTIONS: Rehabilitation was started within 24 hours post surgery in the experimental group and between 48 hours and 72 hours post surgery in the controls.
MAIN MEASURES: Measurement variables included joint range of motion, muscle strength, pain, autonomy, gait and balance.
RESULTS: In comparison with the controls, the experimental group showed significantly shorter hospital stay (by (mean ± standard deviation) 2.09  ±  1.45 days; P < 0.001), fewer rehabilitation sessions until medical discharge (by 4.95  ±  2.34; P < 0.001), lesser pain (by 2.36  ±  2.47 points; P < 0.027), greater joint range of motion in flexion (by 16.29 ± 11.39 degrees; P < 0.012) and extension (by 2.12 ± 3.19; P < 0.035), improved strength in quadriceps (by 0.98 ± 0.54; P < 0.042) and hamstring muscles (by 1.05 ± 0.72; P < 0.041), and higher scores for gait (P < 0.047) and balance (P < 0.045).
CONCLUSION: Initiation of rehabilitation within 24 hours after total knee arthroplasty reduces the mean hospital stay and number of sessions required to achieve autonomy and normal gait and balance.
Nuria Sánchez Labraca; Adelaida Maria Castro-Sánchez; Guillermo A Matarán-Peñarrocha; Manuel Arroyo-Morales; María Del Mar Sánchez-Joya; Carmen Moreno-Lorenzo
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2011-03-07
Journal Detail:
Title:  Clinical rehabilitation     Volume:  25     ISSN:  1477-0873     ISO Abbreviation:  Clin Rehabil     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-10     Completed Date:  2011-09-12     Revised Date:  2012-03-22    
Medline Journal Info:
Nlm Unique ID:  8802181     Medline TA:  Clin Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  557-66     Citation Subset:  IM    
Department of Nursing and Physical Therapy, University of Almeria (UAL), Spain.
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MeSH Terms
Activities of Daily Living
Arthroplasty, Replacement, Knee / rehabilitation*
Exercise Therapy / methods
Length of Stay / trends
Muscle Strength
Osteoarthritis, Knee / surgery
Outcome Assessment (Health Care) / methods
Pain Measurement*
Postural Balance
Range of Motion, Articular / physiology*
Recovery of Function / physiology*
Time Factors
Comment In:
J Bone Joint Surg Am. 2012 Feb 15;94(4):366   [PMID:  22336977 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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