Background: Hospital-based outpatient physiotherapy is the standard of care for subacute rehabilitation after total knee arthroplasty (TKA) in Singapore. This study explores the clinical effectiveness of a standardized rehabilitation model at community-based rehabilitation centers to align the appropriate utilization of tertiary and community rehabilitative resources.
Methods: In this pilot study, patients who had undergone TKA were assigned to either control group (n=30) or to intervention group (n=29). The control group received usual hospital-based outpatient physiotherapy, while the intervention group received rehabilitation at a community-based rehabilitation center based on standardized institution protocol. Primary and secondary outcomes were assessed at baseline and at 3 months post TKA.
Results: Baseline characteristics in both groups were not significantly different. All patients completed the study. At 3 months, there were no significant differences in the Time Up and Go test (<0.853), median 30 s chair rise (=0.347), knee flexion passive range of motion (=0.933), knee extension passive range of motion (=0.409), and presence of knee extension lag (=0.360). There was a lower pain intensity in the intervention group compared with the control group (=0.003).
Conclusions: A community-based post-acute TKA rehabilitative model demonstrated improvements in functional outcomes, and reduced pain intensity in study participants, with these findings being similar to that of standard of care hospital-based outpatient physiotherapy. This model of care warrants further evaluation in larger clinical trials.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654452 | PMC |
http://dx.doi.org/10.1097/ph9.0000000000000047 | DOI Listing |
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