Early rehabilitation after total knee replacement surgery: a multicenter, noninferiority, randomized clinical trial comparing a home exercise program with usual outpatient care.
作者： Annie S. Y. Han , Lillias Nairn , Alison R. Harmer , Jack Crosbie , Lyn March
DOI: 10.1002/ACR.22457
关键词:
摘要: Objective To determine, at 6 weeks postsurgery, if a monitored home exercise program (HEP) is not inferior to usual care rehabilitation for patients undergoing primary unilateral total knee replacement (TKR) surgery osteoarthritis. Methods We conducted multicenter, randomized clinical trial. Patients ages 45–75 years were allocated the time of hospital discharge (n = 196) or HEP 194). Outcomes assessed after included Western Ontario and McMaster Universities Osteoarthritis Index pain physical function subscales, range motion, 50-foot walk time. The upper bound 95% confidence interval (95% CI) mean difference favoring was used determine noninferiority. Results At there no significant differences between HEP, respectively, (7.4 7.2; CI [MD] −0.7, 0.9), (22.5 22.4; MD −2.5, 2.6), flexion (96° 97°; −4°, 2°), extension (−7° −6°; −2°, 1°), (12.9 12.9 seconds; −0.8, 0.7 seconds). At weeks, 18 (9%) 11 (6%) did achieve 80° flexion. There treatment allocations in number readmissions. Conclusion The as an early protocol TKR.
core.ac.uk
researchgate.net 
sci-hub.se 参考文章(31)
Tuhina Neogi, Yuqing Zhang, Epidemiology of OA Rheumatic Diseases Clinics of North America. ,vol. 39, pp. 1- ,(2013) , 10.1016/J.RDC.2012.10.004
Neil Artz, Sam Dixon, Vikki Wylde, Andrew Beswick, Ashley Blom, Rachael Gooberman-Hill, Physiotherapy provision following discharge after total hip and total knee replacement: a survey of current practice at high-volume NHS hospitals in England and wales. Musculoskeletal Care. ,vol. 11, pp. 31- 38 ,(2013) , 10.1002/MSC.1027
Nizar N Mahomed, Aileen M Davis, Gillian Hawker, Elizabeth Badley, J Rod Davey, Khalid A Syed, Peter C Coyte, Rajiv Gandhi, James G Wright, Inpatient Compared with Home-Based Rehabilitation Following Primary Unilateral Total Hip or Knee Replacement: A Randomized Controlled Trial Journal of Bone and Joint Surgery, American Volume. ,vol. 90, pp. 1673- 1680 ,(2008) , 10.2106/JBJS.G.01108
Ewa M Roos, Effectiveness and practice variation of rehabilitation after joint replacement. Current Opinion in Rheumatology. ,vol. 15, pp. 160- 162 ,(2003) , 10.1097/00002281-200303000-00014
Justine Naylor, Alison Harmer, Marlene Fransen, Jack Crosbie, Lesley Innes, Status of physiotherapy rehabilitation after total knee replacement in Australia. Physiotherapy Research International. ,vol. 11, pp. 35- 47 ,(2006) , 10.1002/PRI.40
Huseyin S. Yercan, Tahir S. Sugun, Christophe Bussiere, Tarik Ait Si Selmi, Andrew Davies, Philippe Neyret, Stiffness after total knee arthroplasty: Prevalence, management and outcomes Knee. ,vol. 13, pp. 111- 117 ,(2006) , 10.1016/J.KNEE.2005.10.001
J.M. Quintana, A. Escobar, A. Bilbao, I. Arostegui, I. Lafuente, I. Vidaurreta, Responsiveness and clinically important differences for the WOMAC and SF-36 after hip joint replacement. Osteoarthritis and Cartilage. ,vol. 13, pp. 1076- 1083 ,(2005) , 10.1016/J.JOCA.2005.06.012
F. Rannou, E. Coudeyre, P. Ribinik, Y. Macé, S. Poiraudeau, M. Revel, Établir des recommandations dans le domaine de la médecine physique et de réadaptation: la méthode SOFMER Annals of Physical and Rehabilitation Medicine. ,vol. 50, pp. 100- 105 ,(2007) , 10.1016/J.ANNRMP.2007.01.003
F. Rannou, E. Coudeyre, P. Ribinik, Y. Macé, S. Poiraudeau, M. Revel, Establishing recommendations for physical medicine and rehabilitation: the SOFMER methodology. Annals of Physical and Rehabilitation Medicine. ,vol. 50, pp. 106- 110 ,(2007) , 10.1016/J.ANNRMP.2007.01.004
Stephen Gill, Helen McBurney, Reliability of performance-based measures in people awaiting joint replacement surgery of the hip or knee. Physiotherapy Research International. ,vol. 13, pp. 141- 152 ,(2008) , 10.1002/PRI.411