Effectiveness and practice variation of rehabilitation after joint replacement
- 1 March 2003
- journal article
- review article
- Published by Wolters Kluwer Health in Current Opinion in Rheumatology
- Vol. 15 (2) , 160-162
- https://doi.org/10.1097/00002281-200303000-00014
Abstract
Early mobilization is the gold standard for achieving functional mobility after arthroplasty. The value of additional interventions to improve range of motion during the immediate inpatient period is not proven. Home is the preferred discharge destination and yields similar outcomes compared with inpatient rehabilitation. It is possible to improve outcomes related to physical activity by implementing exercise programs carried out at home or in groups. Knee arthroplasty possibly requires more rehabilitation than hip arthroplasty to achieve optimal outcomes. To enable firm conclusions on the effectiveness of rehabilitation after joint replacement, future studies have to consider methodological issues such as outcomes evaluated and number of patients included to ensure sufficient power.Keywords
This publication has 14 references indexed in Scilit:
- A randomized controlled trial of exercise to improve mobility and function after elective knee arthroplasty. Feasibility, results and methodological difficultiesClinical Rehabilitation, 2002
- Hospital stay and discharge outcomes after knee arthroplasty: Implications for physiotherapy practiceAustralian Journal of Physiotherapy, 2002
- Are bed exercises necessary following hip arthroplasty?Australian Journal of Physiotherapy, 2002
- Comparative responsiveness of measures of pain and function after total hip replacementArthritis & Rheumatism, 2001
- Exercise Combined With Continuous Passive Motion or Slider Board Therapy Compared With Exercise Only: A Randomized Controlled Trial of Patients Following Total Knee ArthroplastyPTJ: Physical Therapy & Rehabilitation Journal, 2001
- Slide and Flex, Tighten, Extend (SAFTE)The Journal of Arthroplasty, 2000
- Management and care of patients undergoing total knee arthroplasty: Variations across different health care settingsArthritis & Rheumatism, 2000
- An Analysis of the Relationship Between the Utilization of Physical Therapy Services and Outcomes of Care for Patients After Total Hip ArthroplastyPTJ: Physical Therapy & Rehabilitation Journal, 2000
- Early Inpatient Rehabilitation After Elective Hip and Knee ArthroplastyJAMA, 1998
- Home program of physical therapy: Effect on disabilities of patients with total hip arthroplastyArchives of Physical Medicine and Rehabilitation, 1996