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

Vasileiadis, Dimitrios; Drosos, Georgios I.; Charitoudis, Georgios; Dontas, Ismene; Vlamis, John

doi:10.1002/msc.1616

Cited by 6 publications

(4 citation statements)

References 65 publications

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“…Both groups experienced a similar degree of functional decline after surgery, but the prehabilitation group had higher functional levels and a faster and easier return to functional independence [26]. Additionally, preoperative prehabilitation allows patients to better understand the importance of rehabilitation training and adapt in advance, effectively enhancing patient compliance with postoperative rehabilitation training [27].…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcomes and Prehabilitation Strategies of Patients Treated with Cement-Screw Technique for Tibial Defects in Total Knee Arthroplasty

Zheng,

Tang,

Wang

et al. 2023

JBM

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Objective: To investigate the clinical efficacy of the cement-screw technique in repairing tibial plateau bone defects in total knee arthroplasty (TKA) recipients and summarize the preoperative prehabilitation strategies for such surgeries. Methods: A total of 33 TKA recipients (45 knees) in our department underwent repair of unilateral or bilateral tibial defects using the cement-screw technique. The subjects were divided into two groups based on the differences in preoperative interventions. The control group received routine preoperative health education according to the consensus, while the observation group received instructive and standardized prehabilitation exercises for four weeks in addition to the routine education. Scale scores, intraoperative parameters, and postoperative recovery indicators were recorded at different time pointsand subjected to statistical analysis for intra-group and inter-group differences. All subjects underwent long-term follow-up for at least 24 months. Results: Within each group at different time points, there were statistically significant differences in VAS, ROM, and HSS scores (p < 0.001). At various time points, there were statistically significant differences in VAS, ROM, and HSS scores between the two groups (p < 0.001). The observation group showed a significantly shorter time for quadriceps femoris strength recovery and discontinuation of assistive devices compared to the control group (p < 0.05). During the follow-up period (24 -30 months), no serious complications were observed. Conclusions: Cement-screw technique How to cite this paper: Zheng, W.K.,

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Section: Discussionmentioning

confidence: 99%

Clinical Outcomes and Prehabilitation Strategies of Patients Treated with Cement-Screw Technique for Tibial Defects in Total Knee Arthroplasty

Zheng,

Tang,

Wang

et al. 2023

JBM

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“…on improving muscle strength and flexibility, instead of improving aerobic capacity (Vasileiadis et al, 2022). D'Lima et al (1996 assigned patients to aerobic training which was tolerated well, but the effectiveness of the training was not assessed preoperatively.…”

Section: Discussionmentioning

confidence: 99%

Submaximal cardiopulmonary exercise testing to assess preoperative aerobic capacity in patients with knee osteoarthritis scheduled for total knee arthroplasty: a feasibility study

Kornuijt

Bongers

Marcellis

et al. 2022

Physiotherapy Theory and Practice

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“…Total knee replacement is recognized as a common and effective treatment, significantly enhancing patients' quality of life by reducing pain and improving functional mobility and independence (10)(11)(12)(13). However, it is important to acknowledge that surgical outcomes can vary, influenced by factors such as the patient's overall health status, activity level, and adherence to post-operative rehabilitation protocols (14)(15)(16). Assessments of the quality of life in individuals with knee osteoarthritis often utilize specific health surveys and questionnaires, focusing on pain levels, physical function, mental well-being, and social interaction.…”

Section: Introductionmentioning

confidence: 99%

Health Related Quality of Life after Total Knee Replacement in Osteoarthritis Patients

Tabassum,

Amin,

Makki

et al. 2023

JHRR

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Background: Total knee replacement is a widely recognized and successful surgical intervention for patients suffering from knee osteoarthritis, aiming to alleviate pain and improve function and quality of life. This procedure has been increasingly recommended due to its high success rate in enhancing patient satisfaction and functional capacity. Objective: The primary goal of this study was to assess the health-related quality of life (HRQoL) in patients after undergoing total knee replacement for osteoarthritis. Method: This cross-sectional study involved 80 patients (47 females and 33 males) who had undergone knee arthroplasty. Data collection was facilitated using the SF-12 and WOMAC questionnaires at Horizon and General Hospital. Subsequent data analysis was performed using SPSS. Results: The study's results highlighted a mean total score of 35.7 (SD = 6.32335), with scores ranging from a minimum of 23.00 to a maximum of 54.00. These scores represent a moderate variance in patient outcomes. The self-reported general health status revealed that 39.0% of patients rated their health as 'Good', followed by 26.8% as 'Very Good', and 18.3% as 'Fair'. In terms of physical activity limitations, 18.3% of patients reported being 'Limited a Lot' in moderate physical activities, while 40.2% reported limitations in work or other activities. Conclusion: The study concluded that total knee replacement significantly improves health-related quality of life in patients with osteoarthritis, as indicated by the wide range of scores. Most patients reported positive outcomes, with a majority indicating good or very good general health status post-surgery.

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

Abstract: Objective: To systematically review the scientific literature and to investigate the effectiveness of preoperative rehabilitation on subjective and objective outcomes after total knee arthroplasty (TKA) when compared with patients in a control group.

Cited by 6 publications

References 65 publications

Clinical Outcomes and Prehabilitation Strategies of Patients Treated with Cement-Screw Technique for Tibial Defects in Total Knee Arthroplasty

Clinical Outcomes and Prehabilitation Strategies of Patients Treated with Cement-Screw Technique for Tibial Defects in Total Knee Arthroplasty

Submaximal cardiopulmonary exercise testing to assess preoperative aerobic capacity in patients with knee osteoarthritis scheduled for total knee arthroplasty: a feasibility study

Health Related Quality of Life after Total Knee Replacement in Osteoarthritis Patients

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