Rehabilitation strategies for optimisation of functional recovery after major joint replacement

Journal of Experimental Orthopaedics

卷:5

Thomas W. Wainwright¹  Thomas Bandholm²  Henrik Kehlet³ 

[1] Orthopaedic Research Institute, Bournemouth University, Executive Business Centre;

[2] Physical Medicine & Rehabilitation Research – Copenhagen (PMR-C), Department of Occupational and Physical Therapy, Amager-Hvidovre Hospital, University of Copenhagen;

[3] Rigshospitalet, Copenhagen University, Section of Surgical Pathophysiology 7621;

关键词: Hip arthroplasty;    Knee arthroplasty;    Rehabilitation;    Physical therapy;    Exercise therapy;   

DOI  :  10.1186/s40634-018-0156-2

来源: DOAJ

【 摘 要 】

Abstract Exercise-based interventions applied before and after total hip and knee arthroplasty (THA and TKA, respectively) have been investigated for a number of years, based on the assumption that they will enhance post-operative recovery. Although recent studies suggest that high-volume, pre-operative exercise may enhance post-operative recovery after TKA, studies of post-operative exercise-based interventions, have not found superiority of one exercise regime over another. It seems, however, that post-operative, exercise-based, rehabilitation is superior to no or minimal rehabilitation after THA and TKA. The goal of this commentary is to summarize recent evidence for the efficacy of different peri-operative exercise-based interventions to enhance recovery after THA and TKA, and to propose new strategies to further enhance post-operative recovery. There is a major need to improve functional recovery after THA and TKA. We propose a strategy of “enriched” trials where specific rehabilitation interventions are applied to different patients based on, for example, their expectations for post-operative recovery, willingness to undertake exercise and physical activity, and pre-operative functional performance.

【 授权许可】

Unknown