Evidence-based medicine supports the use of home physiotherapy following total knee replacement

In a recent randomized clinical trial published in the JAMA, investigators compared the effectiveness of inpatient rehabilitation followed by an eight week clinic/home hybrid physical therapy program versus home-based therapy alone. Mobility at 26 weeks following surgery was equivalent in the two groups and there were no differences with respect to function and quality of life. The authors concluded that after uncomplicated total knee arthroplasty, there is no role for inpatient rehabilitation. As the trend for increasing rates of outpatient arthroplasty continue across North America, the importance of home-based physical therapy will continue to increase and access to such services will be of paramount importance. procedures and may be cost-effective for payers from a societal perspective.


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