Efficacy and safety of a self-developed home-based enhanced knee flexion exercise program compared with standard supervised physiotherapy to improve mobility and quality of life after total knee arthroplasty: a randomized control study
Abstract Background This randomized controlled study compared standard supervised physiotherapy (SPT) with a self-developed, home-based, enhanced knee flexion exercise program involving a low stool (KFEH) in patients who underwent total knee arthroplasty (TKA). Methods Patients were recruited from J...
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doaj-a99c08e96e014082a78003957e3b19082021-06-20T11:27:41ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2021-06-011611810.1186/s13018-021-02516-0Efficacy and safety of a self-developed home-based enhanced knee flexion exercise program compared with standard supervised physiotherapy to improve mobility and quality of life after total knee arthroplasty: a randomized control studyTianyang Xu0Dong Yang1Kaiyuan Liu2Qiuming Gao3Hengli Lu4Yue Qiao5Chunyan Zhu6Guodong Li7Department of Orthopedics, Shanghai Tenth People’s Hospital, Tongji University School of MedicineDepartment of Orthopedics, Shanghai Tenth People’s Hospital, Tongji University School of MedicineDepartment of Orthopedics, Shanghai Tenth People’s Hospital, Tongji University School of MedicineDepartment of Orthopedics, Shanghai Tenth People’s Hospital, Tongji University School of MedicineDepartment of Orthopedics, Shanghai Tenth People’s Hospital, Tongji University School of MedicineDepartment of Orthopedics, Shanghai Tenth People’s Hospital, Tongji University School of MedicineTongji University School of MedicineDepartment of Orthopedics, Shanghai Tenth People’s Hospital, Tongji University School of MedicineAbstract Background This randomized controlled study compared standard supervised physiotherapy (SPT) with a self-developed, home-based, enhanced knee flexion exercise program involving a low stool (KFEH) in patients who underwent total knee arthroplasty (TKA). Methods Patients were recruited from July 2014 to December 2015 and randomly assigned to one of two groups: KFEH (n = 60) and SPT (n = 59). Outcomes (joint function) were evaluated according to the Knee Society Score (KSS), visual analog scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, and range of motion (ROM) assessment at selected time points (preoperatively; 1 week; 1, 3, and 6 months; and 1 year after surgery). Results Pain and functional improvement were observed in both groups. Non-inferiority of KFEH was evident 12 months postoperatively; however, patients in the KFEH group exhibited better ROM at 1 month (P < 0.01). Absolute WOMAC and KSS scores were slightly better in the KFEH group, although the difference was not statistically significant. There was no difference in VAS scores and complication rates between the two groups. Additionally, the home program would save patient time and decrease the economic burden associated with in-hospital SPT. Conclusion Considering rehabilitation and economic efficiency as well as the COVID pandemic, a home-based enhanced knee flexion exercise program for TKA rehabilitation is recommended.https://doi.org/10.1186/s13018-021-02516-0Home exercise programSupervised physiotherapyTKARehabilitation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tianyang Xu Dong Yang Kaiyuan Liu Qiuming Gao Hengli Lu Yue Qiao Chunyan Zhu Guodong Li |
spellingShingle |
Tianyang Xu Dong Yang Kaiyuan Liu Qiuming Gao Hengli Lu Yue Qiao Chunyan Zhu Guodong Li Efficacy and safety of a self-developed home-based enhanced knee flexion exercise program compared with standard supervised physiotherapy to improve mobility and quality of life after total knee arthroplasty: a randomized control study Journal of Orthopaedic Surgery and Research Home exercise program Supervised physiotherapy TKA Rehabilitation |
author_facet |
Tianyang Xu Dong Yang Kaiyuan Liu Qiuming Gao Hengli Lu Yue Qiao Chunyan Zhu Guodong Li |
author_sort |
Tianyang Xu |
title |
Efficacy and safety of a self-developed home-based enhanced knee flexion exercise program compared with standard supervised physiotherapy to improve mobility and quality of life after total knee arthroplasty: a randomized control study |
title_short |
Efficacy and safety of a self-developed home-based enhanced knee flexion exercise program compared with standard supervised physiotherapy to improve mobility and quality of life after total knee arthroplasty: a randomized control study |
title_full |
Efficacy and safety of a self-developed home-based enhanced knee flexion exercise program compared with standard supervised physiotherapy to improve mobility and quality of life after total knee arthroplasty: a randomized control study |
title_fullStr |
Efficacy and safety of a self-developed home-based enhanced knee flexion exercise program compared with standard supervised physiotherapy to improve mobility and quality of life after total knee arthroplasty: a randomized control study |
title_full_unstemmed |
Efficacy and safety of a self-developed home-based enhanced knee flexion exercise program compared with standard supervised physiotherapy to improve mobility and quality of life after total knee arthroplasty: a randomized control study |
title_sort |
efficacy and safety of a self-developed home-based enhanced knee flexion exercise program compared with standard supervised physiotherapy to improve mobility and quality of life after total knee arthroplasty: a randomized control study |
publisher |
BMC |
series |
Journal of Orthopaedic Surgery and Research |
issn |
1749-799X |
publishDate |
2021-06-01 |
description |
Abstract Background This randomized controlled study compared standard supervised physiotherapy (SPT) with a self-developed, home-based, enhanced knee flexion exercise program involving a low stool (KFEH) in patients who underwent total knee arthroplasty (TKA). Methods Patients were recruited from July 2014 to December 2015 and randomly assigned to one of two groups: KFEH (n = 60) and SPT (n = 59). Outcomes (joint function) were evaluated according to the Knee Society Score (KSS), visual analog scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, and range of motion (ROM) assessment at selected time points (preoperatively; 1 week; 1, 3, and 6 months; and 1 year after surgery). Results Pain and functional improvement were observed in both groups. Non-inferiority of KFEH was evident 12 months postoperatively; however, patients in the KFEH group exhibited better ROM at 1 month (P < 0.01). Absolute WOMAC and KSS scores were slightly better in the KFEH group, although the difference was not statistically significant. There was no difference in VAS scores and complication rates between the two groups. Additionally, the home program would save patient time and decrease the economic burden associated with in-hospital SPT. Conclusion Considering rehabilitation and economic efficiency as well as the COVID pandemic, a home-based enhanced knee flexion exercise program for TKA rehabilitation is recommended. |
topic |
Home exercise program Supervised physiotherapy TKA Rehabilitation |
url |
https://doi.org/10.1186/s13018-021-02516-0 |
work_keys_str_mv |
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