Worse Preoperative Pain and Higher Activity Levels Predict Patient Choice of Formal Physical Therapy After Primary Anterior Total Hip Arthroplasty

Rao, Brian M; Cieslewicz, Thomas J.; Sochacki, Kyle R.; Kohlrieser, David; Moylan, Daniel; Ellis, Thomas J.

doi:10.1016/j.arth.2021.03.027

Cited by 5 publications

(15 citation statements)

References 13 publications

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“…Six studies evaluated one or both rehabilitation arms exclusively in acute inpatients 33,34 or outpatient patients 18,20–22,24–26,28,35,36 . Three studies compared rehabilitation programs delivered in outpatient and home settings versus home alone 17,19,30–32 . One study evaluated a rehabilitation program initiated in a fitness center followed by home exercise compared with home exercises alone 27 and another compared inpatient versus no inpatient care but did not report the specifics of the type of setting for each arm (acute vs. some other inpatient facility) 29 …”

Section: Resultsmentioning

confidence: 99%

“…Twelve studies reported on body structure and function outcomes (symptoms, pain, range of motion, muscle strength, energy and vigor, and emotional functioning) 17–20,22–25,27–32 . Of the nine studies 18,20,22–25,27,28,30–32 that reported data on symptoms (various scales including the Western Ontario and McMaster Universities Osteoarthritis Index and Hip Disability and Osteoarthritis Outcome Score), seven 18,20,22,23,25,27,30–32 observed no differences between groups at follow-up ranging from 6 mos to 5 yrs after THA.…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen studies reported on activity and participation outcomes (physical function and ADL, transfers, mobility, and timed up and go test) 17–25,27,28,30–36 …”

Section: Resultsmentioning

confidence: 99%

“…18,[20][21][22][24][25][26]28,35,36 Three studies compared rehabilitation programs delivered in outpatient and home settings versus home alone. 17,19,[30][31][32] One study evaluated a rehabilitation program initiated in a fitness center followed by home exercise compared with home exercises alone 27 and another compared inpatient versus no inpatient care but did not report the specifics of the type of setting for each arm (acute vs. some other inpatient facility). 29 Specific codes for intervention (and control arm, where present) goals and exercises, use of progression (and assessment of appropriateness), and details on personnel, mode of delivery, and setting are detailed in Figures 2 and 3 and Appendix F (Supplemental Digital Content 1, http://links.lww.com/PHM/B642).…”

Section: Resultsmentioning

confidence: 99%

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Rehabilitation for Total Hip Arthroplasty: A Systematic Review

Konnyu

Pinto

Cao

et al. 2022

Am J Phys Med Rehabil

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Thirteen studies reported on activity and participation outcomes (physical function and ADL, transfers, mobility, and timed up and go test) 17–25,27,28,30–36 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Rehabilitation for Total Hip Arthroplasty: A Systematic Review

Konnyu

Pinto

Cao

et al. 2022

Am J Phys Med Rehabil

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“…We found 15 studies (14 RCTs and one NRCS) reported in 20 articles that evaluated the effectiveness of rehabilitation among patients who had undergone THA (summarized in Figure 5). 104,105,[142][143][144][145][146][147][148][149][150][151][152][153][154][155][156][157][158][159] No rehabilitation intervention was evaluated by more than one study. Across studies, rehabilitation interventions were delivered in varying settings (by different modalities), by diverse personnel, at varying intensity, and at various points during the rehabilitation period.…”

Section: Findings Pertaining To Rehabilitation For Total Hip Arthroplastymentioning

confidence: 99%

Prehabilitation and Rehabilitation for Major Joint Replacement

Konnyu¹,

Thoma²,

Bhuma³

et al. 2021

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Objectives. This systematic review evaluates the rehabilitation interventions for patients who have undergone (or will undergo) total knee arthroplasty (TKA) or total hip arthroplasty (THA) for the treatment of osteoarthritis. We addressed four Key Questions (KQs): comparisons of (1) rehabilitation prior (“prehabilitation”) to TKA versus no prehabilitation, (2) comparative effectiveness of different rehabilitation programs after TKA, (3) prehabilitation prior to THA versus no prehabilitation, (4) comparative effectiveness of different rehabilitation programs after THA. Data sources and review methods. We searched Medline®, PsycINFO®, Embase®, the Cochrane Register of Clinical Trials, CINAHL®, Scopus®, and ClinicalTrials.gov from Jan 1, 2005, to May 3, 2021, to identify randomized controlled trials (RCTs) and adequately adjusted nonrandomized comparative studies (NRCSs). We evaluated clinical outcomes selected with input from a range of stakeholders. We assessed the risk of bias and evaluated the strength of evidence (SoE) using standard methods. Meta-analysis was not feasible, and evidence was synthesized and reported descriptively. The PROSPERO protocol registration number is CRD42020199102. Results. We found 78 RCTs and 5 adjusted NRCSs. Risk of bias was moderate to high for most studies. • KQ 1: Compared with no prehabilitation, prehabilitation prior to TKA may increase strength and reduce length of hospital stay (low SoE) but may lead to comparable results in pain, range of motion (ROM), and activities of daily living (ADL) (low SoE). There was no evidence of an increased risk of harms due to prehabilitation (low SoE). • KQ 2: Various rehabilitation interventions after TKA may lead to comparable improvements in pain, ROM, and ADL (low SoE). Rehabilitation in the acute phase (initiated within 2 weeks of surgery) may lead to increased strength (low SoE) but result in similar strength when delivered in the post-acute phase (low SoE). No studies reported evidence of risk of harms due to rehabilitation delivered in the acute period following TKA. Compared with various controls, post-acute rehabilitation may not increase the risk of harms (low SoE). • KQ 3: For all assessed outcomes, there is insufficient (or no) evidence addressing the comparison between prehabilitation and no prehabilitation prior to THA. • KQ 4: Various rehabilitation interventions after THA may lead to comparable improvements in pain, strength, ADL, and quality of life. There is some evidence of no increased risk of harms due to the intervention (low SoE). • There is insufficient evidence regarding which patients may benefit from (p)rehabilitation for all KQs and insufficient evidence regarding comparisons of different providers and different settings of (p)rehabilitation for all KQs. There is insufficient evidence on costs of (p)rehabilitation and no evidence on cost effectiveness for all KQs. Conclusion. Despite the large number of studies found, the evidence regarding various prehabilitation programs and comparisons of rehabilitation programs for TKA and THA is ultimately sparse. This is a result of the diversity of interventions studied and outcomes reported across studies. As a result, the evidence is largely insufficient or of low SoE. New high-quality research is needed, using standardized intervention terminology and core outcome sets, especially to allow network meta-analyses to explore the impact of intervention attributes on patient-reported, performance-based, and healthcare-utilization outcomes.

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Rehabilitation for THA Using the ABMS Approach

McGrory

Jepson²

2022

The Anterior-Based Muscle-Sparing Approach to Total Hip Arthroplasty

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Worse Preoperative Pain and Higher Activity Levels Predict Patient Choice of Formal Physical Therapy After Primary Anterior Total Hip Arthroplasty

Cited by 5 publications

References 13 publications

Rehabilitation for Total Hip Arthroplasty: A Systematic Review

Rehabilitation for Total Hip Arthroplasty: A Systematic Review

Prehabilitation and Rehabilitation for Major Joint Replacement

Rehabilitation for THA Using the ABMS Approach

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