Efficiency of immediate postoperative inpatient physical therapy following total knee arthroplasty: an RCT
2006

Postoperative Physical Therapy After Knee Surgery

Sample size: 43 publication Evidence: low

Author Information

Author(s): 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

Primary Institution: University Hospital Maastricht

Hypothesis

Does the intensity of PT treatment (once versus twice daily) in patients following TKA affect their short-term recovery, measured as range of motion?

Conclusion

This study shows that in our setting twice daily PT sessions do not produce different results as daily PT sessions.

Supporting Evidence

  • Patients in both groups showed similar levels of functional ability and quality of life.
  • Length of stay was similar in both groups.
  • Patients reported high satisfaction with treatment regardless of the number of sessions.

Takeaway

The study found that having physical therapy twice a day after knee surgery doesn't help patients recover any better than having it once a day.

Methodology

A randomized controlled trial compared an exercise regimen of two sessions per day with a similar programme administered once daily.

Potential Biases

Potential bias due to clustering and the inability to fully blind therapists.

Limitations

The study was underpowered to detect smaller differences and relied on cluster randomization, which may introduce bias.

Participant Demographics

Patients undergoing primary total knee arthroplasty, with a mean age of 70 years.

Digital Object Identifier (DOI)

10.1186/1471-2474-7-71

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