Document Detail


Comparison of clinic- and home-based rehabilitation programs after total knee arthroplasty.
MedLine Citation:
PMID:  12771834     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
One hundred sixty patients (mean age, 68 +/- 8 years) having primary total knee arthroplasty were assigned randomly to two rehabilitation programs: (1) clinic-based rehabilitation provided by outpatient physical therapists; or (2) home-based rehabilitation monitored by periodic telephone calls from a physical therapist. Both rehabilitation programs emphasized a common home exercise program. Before surgery, and at 12 and 52 weeks after surgery, no statistically significant differences were observed between the clinic- and the home-based groups on any of the following measures: (1) total score on the Knee Society clinical rating scale; (2) total score on the Western Ontario and McMaster Universities Osteoarthritis Index; (3) total score on the Medical Outcomes Study Short Form; (4) pain scale of the Knee Society clinical rating scale; (5) pain scale of the Western Ontario and McMaster Universities Osteoarthritis Index; (6) functional scale of the Western Ontario and McMaster Universities Osteoarthritis Index; (7) distance walked in 6 minutes; (8) number of stairs ascended and descended in 30 seconds; and (9) knee flexion range of motion, on either the per protocol or the intent-to-treat or the analyses. After primary total knee arthroplasty, patients who completed a home exercise program (home-based rehabilitation) performed similarly to patients who completed regular outpatient clinic sessions in addition to the home exercises (clinic-based rehabilitation). Additional studies need to determine which patients are likely to benefit most from clinic-based rehabilitation programs.
Authors:
John F Kramer; Mark Speechley; Robert Bourne; Cecil Rorabeck; Margaret Vaz
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-28     Completed Date:  2003-06-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  225-34     Citation Subset:  AIM; IM    
Affiliation:
School of Physical Therapy, Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada. jkramer@uwo.ca
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MeSH Terms
Descriptor/Qualifier:
Aged
Ambulatory Care
Arthroplasty, Replacement, Knee / rehabilitation*
Canada
Exercise Therapy* / methods
Health Services Research
Home Care Services, Hospital-Based / utilization*
Humans
Middle Aged
Physical Therapy Department, Hospital / utilization*
Treatment Outcome

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


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