Rehabilitation strategies for optimisation of functional recovery after major joint replacement
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- Rehabilitation strategies for optimisation of functional recovery after major joint replacement
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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.
Original language | English |
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Article number | 44 |
Journal | Journal of Experimental Orthopaedics |
Volume | 5 |
Issue number | 1 |
Number of pages | 4 |
ISSN | 2197-1153 |
DOIs | |
Publication status | Published - 2018 |
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