Preoperative physiotherapy and short-term functional outcomes of primary total knee arthroplasty

Preoperative physiotherapy and short-term functional outcomes of primary total knee arthroplasty

Physiotherapy is an important part of rehabilitation following arthroplasty, but the impact of preoperative physiotherapy on functional outcomes is still being studied. This randomised controlled trial evaluated the effect of preoperative physiotherapy on the short-term functional outcomes of primar...

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Main Authors: Ismail, Mohd Shukry, Sharifudin, Mohd Ariff, Ahmad Shokri, Amran, Ab Rahman, Shaifuzain
Format: Article
Language:English
Published: Singapore Medical Association 2016
Subjects:
RD701 Orthopedics
RM695 Physical medicine. Physical therapy
Online Access:http://irep.iium.edu.my/50099/
http://irep.iium.edu.my/50099/
http://irep.iium.edu.my/50099/
http://irep.iium.edu.my/50099/1/Pre-TKA_Physio_-_SMJ_2016.pdf
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recordtype eprints
spelling iium-500992016-07-15T02:55:42Z http://irep.iium.edu.my/50099/ Preoperative physiotherapy and short-term functional outcomes of primary total knee arthroplasty Ismail, Mohd Shukry Sharifudin, Mohd Ariff Ahmad Shokri, Amran Ab Rahman, Shaifuzain RD701 Orthopedics RM695 Physical medicine. Physical therapy Physiotherapy is an important part of rehabilitation following arthroplasty, but the impact of preoperative physiotherapy on functional outcomes is still being studied. This randomised controlled trial evaluated the effect of preoperative physiotherapy on the short-term functional outcomes of primary total knee arthroplasty (TKA). 50 patients with primary knee osteoarthritis who underwent unilateral primary TKA were randomised into two groups: the physiotherapy group (n = 24), whose patients performed physical exercises for six weeks immediately prior to surgery, and the nonphysiotherapy group (n = 26). All patients went through a similar physiotherapy regime in the postoperative rehabilitation period. Functional outcome assessment using the algofunctional Knee Injury and Osteoarthritis Outcome Score (KOOS) scale and range of motion (ROM) evaluation was performed preoperatively, and postoperatively at six weeks and three months. Both groups showed a signi cant difference in all algofunctional KOOS subscales (p < 0.001). The mean score difference at six weeks and three months was not signi cant in the sports and recreational activities subscale for both groups (p > 0.05). Signi cant differences were observed in the time-versus-treatment analysis between groups for the symptoms (p = 0.003) and activities of daily living (p = 0.025) subscales. No signi cant difference in ROM was found when comparing preoperative measurements and those at three months following surgery, as well as in time-versus- treatment analysis (p = 0.928). Six-week preoperative physiotherapy showed no signi cant impact on short-term functional outcomes (KOOS subscales) and ROM of the knee following primary TKA. Singapore Medical Association 2016-03 Article PeerReviewed application/pdf en http://irep.iium.edu.my/50099/1/Pre-TKA_Physio_-_SMJ_2016.pdf Ismail, Mohd Shukry and Sharifudin, Mohd Ariff and Ahmad Shokri, Amran and Ab Rahman, Shaifuzain (2016) Preoperative physiotherapy and short-term functional outcomes of primary total knee arthroplasty. Singapore Medical Journal, 57 (3). pp. 138-143. ISSN 0037-5675 https://www.sma.org.sg/publications/smjcurrentissue.aspx 10.11622/smedj.2016055
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RD701 Orthopedics
RM695 Physical medicine. Physical therapy
spellingShingle RD701 Orthopedics
RM695 Physical medicine. Physical therapy
Ismail, Mohd Shukry
Sharifudin, Mohd Ariff
Ahmad Shokri, Amran
Ab Rahman, Shaifuzain
Preoperative physiotherapy and short-term functional outcomes of primary total knee arthroplasty
description Physiotherapy is an important part of rehabilitation following arthroplasty, but the impact of preoperative physiotherapy on functional outcomes is still being studied. This randomised controlled trial evaluated the effect of preoperative physiotherapy on the short-term functional outcomes of primary total knee arthroplasty (TKA). 50 patients with primary knee osteoarthritis who underwent unilateral primary TKA were randomised into two groups: the physiotherapy group (n = 24), whose patients performed physical exercises for six weeks immediately prior to surgery, and the nonphysiotherapy group (n = 26). All patients went through a similar physiotherapy regime in the postoperative rehabilitation period. Functional outcome assessment using the algofunctional Knee Injury and Osteoarthritis Outcome Score (KOOS) scale and range of motion (ROM) evaluation was performed preoperatively, and postoperatively at six weeks and three months. Both groups showed a signi cant difference in all algofunctional KOOS subscales (p < 0.001). The mean score difference at six weeks and three months was not signi cant in the sports and recreational activities subscale for both groups (p > 0.05). Signi cant differences were observed in the time-versus-treatment analysis between groups for the symptoms (p = 0.003) and activities of daily living (p = 0.025) subscales. No signi cant difference in ROM was found when comparing preoperative measurements and those at three months following surgery, as well as in time-versus- treatment analysis (p = 0.928). Six-week preoperative physiotherapy showed no signi cant impact on short-term functional outcomes (KOOS subscales) and ROM of the knee following primary TKA.
format Article
author Ismail, Mohd Shukry
Sharifudin, Mohd Ariff
Ahmad Shokri, Amran
Ab Rahman, Shaifuzain
author_facet Ismail, Mohd Shukry
Sharifudin, Mohd Ariff
Ahmad Shokri, Amran
Ab Rahman, Shaifuzain
author_sort Ismail, Mohd Shukry
title Preoperative physiotherapy and short-term functional outcomes of primary total knee arthroplasty
title_short Preoperative physiotherapy and short-term functional outcomes of primary total knee arthroplasty
title_full Preoperative physiotherapy and short-term functional outcomes of primary total knee arthroplasty
title_fullStr Preoperative physiotherapy and short-term functional outcomes of primary total knee arthroplasty
title_full_unstemmed Preoperative physiotherapy and short-term functional outcomes of primary total knee arthroplasty
title_sort preoperative physiotherapy and short-term functional outcomes of primary total knee arthroplasty
publisher Singapore Medical Association
publishDate 2016
url http://irep.iium.edu.my/50099/
http://irep.iium.edu.my/50099/
http://irep.iium.edu.my/50099/
http://irep.iium.edu.my/50099/1/Pre-TKA_Physio_-_SMJ_2016.pdf
first_indexed 2023-09-18T21:10:47Z
last_indexed 2023-09-18T21:10:47Z
_version_ 1777411238476644352

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