2009, Number 2
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Rev Mex Med Fis Rehab 2009; 21 (2)
Pilot Study of two rehabilitation programs after knee arthroplasty
Medina GN, Pedraz PT, Limón RR, García MMD, Tornero JD, Sunyer CM, González MR
Language: Spanish
References: 29
Page: 42-48
PDF size: 46.80 Kb.
ABSTRACT
Introduction: Knee arthroplasty is one of the surgery techniques more used nowadays. The rehabilitation after the operation is fundamental for it success, nevertheless the huge assistance pressure of the spanish rehabilitation departments delay the beginning of the treatments. For that reason we have decided to compare two treatment programs: individual and group with the hypothesis that the group treatment is more effective.
Material and methods: We have made an intervention study with 53 patients operated in our hospital (arthroplasty knee because of osteoarthritis): after the surgery, 16 patients received individual rehabilitation treatment and 37 patients group therapy. The patients have been evaluated between the 2-5 weeks after the surgery and 2 months after the first evaluation. The variables analyzed were: gender, age, weight, size, scale of osteoarthritis, pain, joint balance, muscle testing, quadriceps muscle atrophy, Lequesne index and a measure of «success» that we have defined.
Outcomes and conclusions: After the statistical analysis we can state that in spite of the better success with the individual treatment we can’t answer to the hypothesis because of the insufficient sample size of our study.
REFERENCES
Trujillo E, Rodríguez LC, Rojas P, Sanpedro J, Carmona L y grupo de trabajo Epifiser 2000. Rev Esp Reum 2000; 27: 181.
Jordan KM, Arden NK, Doherty M, Bannwarth B, Bijlsma JWJ, Dieppe P, Gunther K, Hauselmann H, Herrero-Beaumont G, Kaklamanis P, Lohmander S, Leeb B, Lequesne M, Mazieres B, Martin-Mola E, Pavelka K, Pendleton A, Punzi L, Serni U, Swoboda B, Verbruggen G, Zimmerman-Gorska I, Dougados M. EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Ann Rheum Dis 2003; 62(12): 1145-55.
Castiella-Muruzábal S, López-Vázquez MA, No-Sánchez J, García-Fraga I, Suárez-Guijarro J, Bañales-Mendoza YT. Artroplastia de rodilla. Rehabilitación (Madr). 2007; 41(6): 290-308.
Lavernia CJ, Guzmán JF, Gachupin-García A. Cost effectiveness and quality of life in knee arthroplasty. Clin Orthop 1997; 345: 134-9.
Lizaur A, Miralles F, Elias R. La calidad de vida tras las artroplastias totales de cadera y rodilla. Rev Ortop Traumatol 2002; 1: 31-35.
Lyengar KP, Nadkarni JB, Ivanovic N, Mahale A. Targeted early rehabilitation at home after total hip and knee joint replacement: Does it work? Disabil Rehabil 2007; 29(6): 495-502.
Brunenberg DE, van Steyn MJ, Sluimer JC, Bekebrede LL, Bulstra SK, Joore MA. Joint recovery programme versus usual care: an economic evaluation of a clinical pathway for joint replacement surgery. Med Care 2005; 43(10): 1018-26.
Boutron I, Rannou F, Jardinaud-Lopez M, Meric G, Revel M, Poiraudeau S. Disability and quality of life of patients with knee or hip osteoarthritis in the primary care setting and factors associated with general practitioners’ indication for prosthetic replacement within 1 year. Osteoarthritis Cartilage 2008; 16(9): 1024-31. Epub 2008 Feb 13.
Gossec L, Hawker G, Davis AM, Maillefert JF, Lohmander LS, Altman R, Cibere J, Conaghan PG, Hochberg MC, Jordan JM, Katz JN, March L, Mahomed N, Pavelka K, Roos EM, Suarez-Almazor ME, Zanoli G, Dougados M. OMERACT/OARSI initiative to define states of severity and indication for joint replacement in hip and knee osteoarthritis. J Rheumatol 2007; 34(6): 1432-5.
Vignon E, Valat JP, Rossignol M, Avouac B, Rozenberg S, Thoumie P, Avouac J, Nordin M, Hilliquin P. Osteoarthritis of the knee and hip and activity: a systematic international review and synthesis (OASIS). Joint Bone Spine 2006; 73(4): 442-55. Epub 2006 May 6.
Hayes CW, Jamadar DA, Welch GW, Jannausch ML, Lachance LL, Capul DC, Sowers MR. Osteoarthritis of the knee: comparison of MR imaging findings with radiographic severity measurements and pain in middle-aged women. Radiology 2005; 237(3): 998-1007. Epub 2005 Oct 26.
Agnesi F, Amrami KK, Frigo CA, Kaufman KR. Comparison of cartilage thickness with radiologic grade of knee osteoarthritis. Skeletal Radiol 2008; 37(7): 639-43. Epub 2008 May 7.
Daniels I, Worthingham’s H. (1972) Muscle testing. 3rd edition. London: WB Saunders.
Lequesne M. Indices of severity and disease activity for osteoarthritis. Semin Arthritis Rheum 1991; 20 (6 Suppl 2): 48-54.
Lequesne MG. The algofunctional indices for hip and knee osteoarthritis. J Rheumatol 1997; 24(4): 779-81.
Lequesne MG, Mery C, Samson M, Gerard P. Indexes of severity for osteoarthritis of the hip and knee. Validation-value in comparison with other assessment tests. Scand J Rheumatol 1987; (Suppl 65): 85-9.
Mahomed NN, Davis AM, Hawker G, Badley E, Davey JR, Syed KA et al. Inpatient compared with home-based rehabilitation following primary unilateral total hip or knee replacement: a randomized controlled trial. J Bone Joint Surg Am 2008; 90(8): 1673-80.
Mahomed NN, Koo Seen Lin MJ, Levesque J, Lan S, Bogoch ER. Determinants and outcomes of inpatient versus home based rehabilitation following elective hip and knee replacement. J Rheumatol 2000; 27(7): 1753-8.
Kramer JF, Speechley M, Bourne R, Rorabeck C, Vaz M. Comparison of clinic- and home-based rehabilitation programs after total knee arthroplasty. Clin Orthop Relat Res 2003; (410): 225-234.
Macario A, Horne M, Goodman S, Vitez T, Dexter F, Heinen R, Brown B. The effect of a perioperative clinical pathway for knee replacement surgery on hospital costs. Anesth Analg 1998; 86(5): 978-84.
Lenssen AF, Crijns YH, Waltjé EM, van Steyn MJ, Geesink RJ, van den Brandt PA, de Bie RA. Efficiency of immediate postoperative inpatient physical therapy following total knee arthroplasty: an RCT. BMC Musculoskelet Disord 2006; 7: 71.
Mozo MAP, Moreno PJA, Plazas AN, Manjón-Cabeza SJM, Ruiz MD, Cátedra VEV. Comparación de dos programas de rehabilitación tras artroplastia total de rodilla. Trauma Fund MAPFRE 2008; 19: 218-224.
Rajan RA, Pack Y, Jackson, H, Gillies C, Asirvatham R. No need for outpatient physiotherapy following total knee arthroplasty: a randomized trial of 120 patients. Acta-Orthop-Scand 2004; 75(1): 71-73.
Genêt F, Mascard E, Coudeyre E, Revel M, Rannou F. The benefits of ambulatory physiotherapy after total knee replacement. Clinical practice recommendations. Ann Readapt Med Phys 2007; 50(9): 793-801, 783-92. Epub 2007 Oct 11.
Frost H, Lamb SE, Robertson S. A randomized controlled trial of exercise to improve mobility and function after elective knee arthroplasty. Feasibility, results and methodological difficulties. Clin-Rehabil 2002; 16(2): 200-9.
Milne S, Brosseau L, Robinson V, Noel MJ, Davis J, Drouin H, Wells G, Tugwell P. Continuous passive motion following total knee arthroplasty. Cochrane Database Syst Rev 2003; (2): CD004260.
Lenssen AF, Crijns YH, Waltjé EM, Roox GM, van Steyn MJ, Geesink RJ, van den Brandt PA, de Bie RA. Effectiveness of prolonged use of continuous passive motion (CPM) as an adjunct to physiotherapy following total knee arthroplasty: design of a randomized controlled trial. BMC Musculoskelet Disord 2006; 7: 15.
Denis M, Moffet H, Caron F, Ouellet D, Paquet J, Nolet L. Effectiveness of continuous passive motion and conventional physical therapy after total knee arthroplasty: a randomized clinical trial. Phys-Ther 2006; 86(2): 174-85.
Minns-Lowe CJ, Barker KL, Dewey M, Sackley CM. Effectiveness of physiotherapy exercise after knee arthroplasty for osteoarthritis: systematic review and meta-analysis of randomised controlled trials. BMJ 2007; 335(7624): 812.