Does preoperative physiotherapy improve outcomes in patients undergoing total knee arthroplasty? A systematic review

Review written by Anthony Teoli info

Key Points

  1. In patients who underwent preoperative rehabilitation, there was a significant improvement in pain, length of hospital stay, and functional performance shortly after total knee arthroplasty (TKA) when compared to patients in the control group.
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BACKGROUND & OBJECTIVE

Preoperative physiotherapy and exercise programs (also termed prehabilitation) have been proposed to potentially enhance recovery times and optimize functional performance after a total knee arthroplasty (TKA) (1). However, the evidence on the efficacy of preoperative physiotherapy on clinical outcomes following TKA is mixed.

Therefore, the authors of this article aimed to systematically review the scientific literature and investigate the effectiveness of preoperative rehabilitation on subjective and objective outcomes after TKA when compared with patients in a control group.

Prehabilitation has been proposed to potentially enhance recovery times and optimize functional performance after a total knee arthroplasty.
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Preoperative rehabilitation in patients undergoing total knee arthroplasty appears to have a positive impact on early postoperative recovery when compared to a control group.

METHODS

  • The authors conducted a systematic review of the available scientific literature according to PRISMA guidelines.
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