High-intensity progressive rehabilitation versus routine rehabilitation after total knee arthroplasty: a randomized controlled trial

Review written by Dr Mariana Wingood info

Key Points

  1. The number of total knee arthroplasties being performed as an outpatient procedure are increasing.
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BACKGROUND & OBJECTIVE

The number of total knee arthroplasties (TKAs) performed on an outpatient basis continues to increase. In 2016, approximately 15% of all total joint arthroplasty was performed in the outpatient setting and this is expected to exceed 51% by 2026 (1). The odds of any complications after a TKA are 28% lower among patients who have outpatient TKAs compared to those who have the procedure completed in an inpatient setting (1). Thus, it is essential that outpatient physical therapists are aware of evidence-based early interventions, including high-intensity progressive rehabilitation training.

The objective of this study was to compare the effectiveness of high-intensity progressive rehabilitation training with routine training in the early treatment of patients undergoing TKAs.

In 2016, approximately 15% of all total joint arthroplasty was performed in the outpatient setting and this is expected to exceed 51% by 2026.
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The intervention group in this study who completed a 30-minute walking program and 20-30 sets of squats three times per day by post-op day five had no complications, lower pain scores and better functional outcomes than the control group.

METHODS

Participants: 78 patients who underwent a TKA.

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