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    
Abstract/OtherAbstract:
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.
Authors:
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    
Affiliation:
Department of Nursing and Physical Therapy, University of Almeria (UAL), Spain.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Aged
Arthroplasty, Replacement, Knee / rehabilitation*
Exercise Therapy / methods
Female
Gait
Humans
Length of Stay / trends
Male
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
Comments/Corrections
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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