Document Detail

Comparison of clinic- and home-based rehabilitation programs after total knee arthroplasty.
MedLine Citation:
PMID:  12771834     Owner:  NLM     Status:  MEDLINE    
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.
John F Kramer; Mark Speechley; Robert Bourne; Cecil Rorabeck; Margaret Vaz
Related Documents :
10148014 - A review of the functional electrical stimulation equipment market.
3602104 - New rehabilitation concepts in management of radical neck dissection syndrome. a clinic...
8831404 - Effects of cardiac rehabilitation and exercise training programs in patients > or = 75 ...
16935064 - Changes in motoneuron excitability in hemiplegic subjects after passive exercise when u...
12088804 - Relationship between clinical endpoints for induction of anesthesia and bispectral inde...
21811864 - The effect of exercise on pqct parameters of bone structure and strength in postmenopau...
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    
School of Physical Therapy, Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Ambulatory Care
Arthroplasty, Replacement, Knee / rehabilitation*
Exercise Therapy* / methods
Health Services Research
Home Care Services, Hospital-Based / utilization*
Middle Aged
Physical Therapy Department, Hospital / utilization*
Treatment Outcome

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

Previous Document:  Alcohol-induced adipogenesis in bone and marrow: a possible mechanism for osteonecrosis.
Next Document:  Kinematics of three variations of the Freeman-Samuelson total knee prosthesis.