Document Detail

A specific inpatient aquatic physiotherapy program improves strength after total hip or knee replacement surgery: a randomized controlled trial.
MedLine Citation:
PMID:  19406293     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the effect of inpatient aquatic physiotherapy in addition to usual ward physiotherapy on the recovery of strength, function, and gait speed after total hip or knee replacement surgery. DESIGN: Pragmatic randomized controlled trial with blinded 6-month follow-up. SETTING: Acute-care private hospital. PARTICIPANTS: People (n=65) undergoing primary hip or knee arthroplasty (average age, 69.6+/-8.2y; 30 men). INTERVENTIONS: Participants were randomly assigned to receive supplementary inpatient physiotherapy, beginning on day 4: aquatic physiotherapy, nonspecific water exercise, or additional ward physiotherapy. MAIN OUTCOME MEASURES: Strength, gait speed, and functional ability at day 14. RESULTS: At day 14, hip abductor strength was significantly greater after aquatic physiotherapy intervention than additional ward treatment (P=.001) or water exercise (P=.011). No other outcome measures were significantly different at any time point in the trial, but relative differences favored the aquatic physiotherapy intervention at day 14. No adverse events occurred with early aquatic intervention. CONCLUSIONS: A specific inpatient aquatic physiotherapy program has a positive effect on early recovery of hip strength after joint replacement surgery. Further studies are required to confirm these findings. Our research indicates that aquatic physiotherapy can be safely considered in this early postoperative phase.
Ann E Rahmann; Sandra G Brauer; Jennifer C Nitz
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  90     ISSN:  1532-821X     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-01     Completed Date:  2009-06-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  745-55     Citation Subset:  AIM; IM    
Division of Physiotherapy, School of Health and Rehabilitation Sciences, University of Queensland, St Lucia, Qld, Australia.
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MeSH Terms
Aged, 80 and over
Arthroplasty, Replacement, Hip / methods,  rehabilitation*
Arthroplasty, Replacement, Knee / methods,  rehabilitation*
Follow-Up Studies
Hydrotherapy / methods*
Middle Aged
Muscle Strength / physiology*
Osteoarthritis, Hip / rehabilitation,  surgery
Osteoarthritis, Knee / rehabilitation,  surgery
Physical Therapy Modalities / organization & administration
Postoperative Care
Range of Motion, Articular / physiology
Recovery of Function
Reference Values
Single-Blind Method
Statistics, Nonparametric
Treatment Outcome

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

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