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Efficiency of immediate postoperative inpatient physical therapy following total knee arthroplasty: an RCT

BACKGROUND: The main goal of physical therapy treatment (PT) in the clinical stage following total knee arthroplasty (TKA) is to prepare patients for discharge from the hospital as soon as possible after their operation. Although aggressive rehabilitation is believed to be important, evidence of eff...

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Autores principales: Lenssen, Anton F, Crijns, Yvonne HF, Waltjé, Eddie MH, van Steyn, Mike JA, Geesink, Ruud JT, van den Brandt, Piet A, de Bie, Rob A
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1579215/
https://www.ncbi.nlm.nih.gov/pubmed/16942627
http://dx.doi.org/10.1186/1471-2474-7-71
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author Lenssen, Anton F
Crijns, Yvonne HF
Waltjé, Eddie MH
van Steyn, Mike JA
Geesink, Ruud JT
van den Brandt, Piet A
de Bie, Rob A
author_facet Lenssen, Anton F
Crijns, Yvonne HF
Waltjé, Eddie MH
van Steyn, Mike JA
Geesink, Ruud JT
van den Brandt, Piet A
de Bie, Rob A
author_sort Lenssen, Anton F
collection PubMed
description BACKGROUND: The main goal of physical therapy treatment (PT) in the clinical stage following total knee arthroplasty (TKA) is to prepare patients for discharge from the hospital as soon as possible after their operation. Although aggressive rehabilitation is believed to be important, evidence of effects of different exercise programmes following TKA is limited. This led to the question whether the intensity of PT (once versus twice daily) following TKA affects short-term recovery, measured as range of motion. METHODS: A randomised controlled trial compared an exercise regimen of two sessions per day with a similar programme administered once daily. Primary outcome measure was ROM. RESULTS: At the time of hospital discharge, there was no difference between the experimental and control groups in range of motion. CONCLUSION: This study shows that in our setting twice daily PT sessions do not produce different results as daily PT sessions. It may be questioned whether multiple daily therapy sessions are needed as an in-hospital PT regimen in OA total knee patients.
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spelling pubmed-15792152006-09-28 Efficiency of immediate postoperative inpatient physical therapy following total knee arthroplasty: an RCT Lenssen, Anton F Crijns, Yvonne HF Waltjé, Eddie MH van Steyn, Mike JA Geesink, Ruud JT van den Brandt, Piet A de Bie, Rob A BMC Musculoskelet Disord Research Article BACKGROUND: The main goal of physical therapy treatment (PT) in the clinical stage following total knee arthroplasty (TKA) is to prepare patients for discharge from the hospital as soon as possible after their operation. Although aggressive rehabilitation is believed to be important, evidence of effects of different exercise programmes following TKA is limited. This led to the question whether the intensity of PT (once versus twice daily) following TKA affects short-term recovery, measured as range of motion. METHODS: A randomised controlled trial compared an exercise regimen of two sessions per day with a similar programme administered once daily. Primary outcome measure was ROM. RESULTS: At the time of hospital discharge, there was no difference between the experimental and control groups in range of motion. CONCLUSION: This study shows that in our setting twice daily PT sessions do not produce different results as daily PT sessions. It may be questioned whether multiple daily therapy sessions are needed as an in-hospital PT regimen in OA total knee patients. BioMed Central 2006-08-31 /pmc/articles/PMC1579215/ /pubmed/16942627 http://dx.doi.org/10.1186/1471-2474-7-71 Text en Copyright © 2006 Lenssen et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Lenssen, Anton F
Crijns, Yvonne HF
Waltjé, Eddie MH
van Steyn, Mike JA
Geesink, Ruud JT
van den Brandt, Piet A
de Bie, Rob A
Efficiency of immediate postoperative inpatient physical therapy following total knee arthroplasty: an RCT
title Efficiency of immediate postoperative inpatient physical therapy following total knee arthroplasty: an RCT
title_full Efficiency of immediate postoperative inpatient physical therapy following total knee arthroplasty: an RCT
title_fullStr Efficiency of immediate postoperative inpatient physical therapy following total knee arthroplasty: an RCT
title_full_unstemmed Efficiency of immediate postoperative inpatient physical therapy following total knee arthroplasty: an RCT
title_short Efficiency of immediate postoperative inpatient physical therapy following total knee arthroplasty: an RCT
title_sort efficiency of immediate postoperative inpatient physical therapy following total knee arthroplasty: an rct
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1579215/
https://www.ncbi.nlm.nih.gov/pubmed/16942627
http://dx.doi.org/10.1186/1471-2474-7-71
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