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The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty

Introduction: Physiotherapy is an important part of rehabilitation following total knee arthroplasty (TKA). However, the significant impact of pre-operative physiotherapy on the functional outcomes of arthroplasty surgery is still debatable. This study evaluated the effect of pre-operative physiot...

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Main Authors: Ismail, Mohd Shukry, Sharifudin, Mohd Ariff, Ahmad Shokri, Amran
Format: Conference or Workshop Item
Language:English
English
Published: 2013
Subjects:
RD701 Orthopedics
Online Access:http://irep.iium.edu.my/32604/1/Kelantan_Research_Day_2013_-_Rehab_TKA_%28Poster%29.pdf
http://irep.iium.edu.my/32604/14/Kelantan_Research_Day_2013_%28PP-13%29.pdf
http://irep.iium.edu.my/32604/
http://jknkelantan.moh.gov..my/v3/
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spelling my.iium.irep.326042013-11-08T03:55:42Z http://irep.iium.edu.my/32604/ The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty Ismail, Mohd Shukry Sharifudin, Mohd Ariff Ahmad Shokri, Amran RD701 Orthopedics Introduction: Physiotherapy is an important part of rehabilitation following total knee arthroplasty (TKA). However, the significant impact of pre-operative physiotherapy on the functional outcomes of arthroplasty surgery is still debatable. This study evaluated the effect of pre-operative physiotherapy on the early functional outcome of primary TKA. Methodology: A randomized, controlled trial was performed involving 50 patients with primary knee osteoarthritis who underwent unilateral primary TKA at a single tertiary centre. The physiotherapy group (n=24) performed physical therapy exercises for six weeks immediately prior to surgery. Twenty-six patients (n=26) in the non-physiotherapy group performed no pre-operative physiotherapy exercise. Post-operatively, all patients went through similar physiotherapy regime in the rehabilitation period. Assessment was done at three intervals; pre-operation, six weeks and three months post-operatively. The primary outcome measurement tool was the algo-functional Knee Injury and Osteoarthritis Outcome Score (KOOS). The difference of post-operative range of motion (ROM) of the operated knee was evaluated for both groups of patient. Results: Both groups showed significant difference for all KOOS subscales (p-value <0.001). The mean score difference at six weeks and three months was not significant in Sports and Recreational Activities subscale for both groups (p-value >0.05). The time-group interaction analysis showed significant difference only for Symptoms and Daily Living Activities between groups (p-value <0.05). There was no significant difference with regards to time in Pain, Sport and Recreational Activities and Quality of life between groups (p-value >0.05). The ROM difference was significant within both treatment groups (p-value <0.001). The pre-operative and three months ROM showed no significant difference in both treatment groups (p-value >0.05). Time-group analysis also showed no significant difference of ROM between the two groups (p-value 0.928). Conclusion: A six-week pre-operative physiotherapy has no significant impact on the short-term functional outcomes and ROM of the knee following primary TKA. 2013-10-30 Conference or Workshop Item REM application/pdf en http://irep.iium.edu.my/32604/1/Kelantan_Research_Day_2013_-_Rehab_TKA_%28Poster%29.pdf application/pdf en http://irep.iium.edu.my/32604/14/Kelantan_Research_Day_2013_%28PP-13%29.pdf Ismail, Mohd Shukry and Sharifudin, Mohd Ariff and Ahmad Shokri, Amran (2013) The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty. In: Kelantan Research Day, 30 Oct 2013, Rural Transformation Centre (RTC), Terminal Agribisnes Negara (TEMAN), Kota Bharu. http://jknkelantan.moh.gov..my/v3/
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
topic RD701 Orthopedics
spellingShingle RD701 Orthopedics
Ismail, Mohd Shukry
Sharifudin, Mohd Ariff
Ahmad Shokri, Amran
The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty
description Introduction: Physiotherapy is an important part of rehabilitation following total knee arthroplasty (TKA). However, the significant impact of pre-operative physiotherapy on the functional outcomes of arthroplasty surgery is still debatable. This study evaluated the effect of pre-operative physiotherapy on the early functional outcome of primary TKA. Methodology: A randomized, controlled trial was performed involving 50 patients with primary knee osteoarthritis who underwent unilateral primary TKA at a single tertiary centre. The physiotherapy group (n=24) performed physical therapy exercises for six weeks immediately prior to surgery. Twenty-six patients (n=26) in the non-physiotherapy group performed no pre-operative physiotherapy exercise. Post-operatively, all patients went through similar physiotherapy regime in the rehabilitation period. Assessment was done at three intervals; pre-operation, six weeks and three months post-operatively. The primary outcome measurement tool was the algo-functional Knee Injury and Osteoarthritis Outcome Score (KOOS). The difference of post-operative range of motion (ROM) of the operated knee was evaluated for both groups of patient. Results: Both groups showed significant difference for all KOOS subscales (p-value <0.001). The mean score difference at six weeks and three months was not significant in Sports and Recreational Activities subscale for both groups (p-value >0.05). The time-group interaction analysis showed significant difference only for Symptoms and Daily Living Activities between groups (p-value <0.05). There was no significant difference with regards to time in Pain, Sport and Recreational Activities and Quality of life between groups (p-value >0.05). The ROM difference was significant within both treatment groups (p-value <0.001). The pre-operative and three months ROM showed no significant difference in both treatment groups (p-value >0.05). Time-group analysis also showed no significant difference of ROM between the two groups (p-value 0.928). Conclusion: A six-week pre-operative physiotherapy has no significant impact on the short-term functional outcomes and ROM of the knee following primary TKA.
format Conference or Workshop Item
author Ismail, Mohd Shukry
Sharifudin, Mohd Ariff
Ahmad Shokri, Amran
author_facet Ismail, Mohd Shukry
Sharifudin, Mohd Ariff
Ahmad Shokri, Amran
author_sort Ismail, Mohd Shukry
title The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty
title_short The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty
title_full The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty
title_fullStr The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty
title_full_unstemmed The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty
title_sort effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty
publishDate 2013
url http://irep.iium.edu.my/32604/1/Kelantan_Research_Day_2013_-_Rehab_TKA_%28Poster%29.pdf
http://irep.iium.edu.my/32604/14/Kelantan_Research_Day_2013_%28PP-13%29.pdf
http://irep.iium.edu.my/32604/
http://jknkelantan.moh.gov..my/v3/
_version_ 1643610257128161280
score 13.211869

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