Rehabilitation strategies for optimisation of functional recovery after major joint replacement

Authors: Bandholm, T., Wainwright, T.W. and Kehlet, H.

Journal: Journal of Experimental Orthopaedics

Volume: 5

Issue: 1

eISSN: 2197-1153

DOI: 10.1186/s40634-018-0156-2

Abstract:

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.

https://eprints.bournemouth.ac.uk/31405/

Source: Scopus

Rehabilitation strategies for optimisation of functional recovery after major joint replacement.

Authors: Bandholm, T., Wainwright, T.W. and Kehlet, H.

Journal: J Exp Orthop

Volume: 5

Issue: 1

Pages: 44

ISSN: 2197-1153

DOI: 10.1186/s40634-018-0156-2

Abstract:

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.

https://eprints.bournemouth.ac.uk/31405/

Source: PubMed

Rehabilitation strategies for optimisation of functional recovery after major joint replacement

Authors: Bandholm, T., Wainwright, T. and Kehlet, H.

Journal: Journal of Experimental Orthopaedics

DOI: 10.1186/s40634-018-0156-2

Abstract:

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.

https://eprints.bournemouth.ac.uk/31405/

Source: Manual

Rehabilitation strategies for optimisation of functional recovery after major joint replacement.

Authors: Bandholm, T., Wainwright, T.W. and Kehlet, H.

Journal: Journal of experimental orthopaedics

Volume: 5

Issue: 1

Pages: 44

eISSN: 2197-1153

ISSN: 2197-1153

DOI: 10.1186/s40634-018-0156-2

Abstract:

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.

https://eprints.bournemouth.ac.uk/31405/

Source: Europe PubMed Central

Rehabilitation strategies for optimisation of functional recovery after major joint replacement

Authors: Bandholm, T., Wainwright, T. and Kehlet, H.

Journal: Journal of Experimental Orthopaedics

Volume: 5

ISSN: 2197-1153

Abstract:

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.

https://eprints.bournemouth.ac.uk/31405/

Source: BURO EPrints