Navigation Links
Rehabilitation within a day of knee replacement pays off
Date:3/6/2011

Starting rehabilitation sooner following knee arthroplasty surgery could pay dividends - for both patients and hospitals. Commencing physical therapy within 24 hours of surgery can improve pain, range of joint motion and muscle strength as well as cut hospital stays, according to new research in the journal Clinical Rehabilitation, published by SAGE.

Mindful of the trend towards discharging patients from hospital more rapidly after surgery in recent years, physical therapy and public health researchers from Almeria, Malaga and Granada in Spain set out to investigate whether an early start to physical therapy would improve recovery from knee arthroplasty surgery. They compared patients who began treatment within 24 hours of surgery with those who began 48-72 hours after their operation in a random, controlled clinical trial. Each group comprised over 150 patients aged 50-75.

The post-operative treatment began with a series of leg exercises, breathing exercises, and tips on posture. By the second day walking short distances with walking aids was added, and in subsequent days this was built up towards adapting to daily life activities, such as beginning to climb stairs on day four.

On average, those beginning treatment earlier stayed in hospital two days less than the control group and had five fewer rehabilitation sessions before they were discharged. An early start also lead to less pain, a greater range of joint motion both in leg flexion and extension, improved muscle strength and higher scores in tests for gait and balance.

Health systems are currently subjected to strong economic pressures, and a cutting the length of hospital stays has become a priority. Other benefits of early mobilization after this surgery are fewer complications such as deep vein thrombosis, pulmonary embolism, chest infection, and urinary retention. With hospital-acquired infections such as MRSA also a serious concern, a shorter hospital stay might also lower the risk to patients of contracting this type of secondary infection.

"Orthopaedics, especially knee replacement surgery, is one area that may lend itself to accelerated discharge," says author Adelaida M Castro Snchez, from the University of Almeria. "We therefore postulated that early rehabilitation after total knee arthroplasty could accelerate the capacity of patients for daily life activities, and reduce their hospital stay."

Osteoarthritis is estimated to affect around three quarters of over 65s in developed countries, and when it affects the knees it can be intensely painful, affecting the gait and leading to deformity. As a result, replacing the knee joint with a surgical implant has now become a routine, but major, surgical procedure.


'/>"/>

Contact: Jayne Fairley
jayne.fairley@sagepub.co.uk
44-207-324-8719
SAGE Publications
Source:Eurekalert

Related biology news :

1. Sports rehabilitation and injury prevention
2. Rhythm of life: Music shows potential in stroke rehabilitation
3. Surface tension drives segregation within cell mixtures
4. Gender biases in leadership selection during competitions within and between groups
5. TECNALIA leads five projects within the VII Framework Program
6. New tool isolates RNA within specific cells
7. Nanocrystals reveal activity within cells
8. New LLNL detection technology identifies bacteria, viruses, other organisms within 24 hours
9. Biodiesel from sewage sludge within pennies a gallon of being competitive
10. Agricultures next revolution -- perennial grain -- within sight
11. Despite countless changes, original HIV infection lurks within
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/16/2016)... NEW YORK , May 16, 2016   ... authentication solutions, today announced the opening of an IoT ... to strengthen and expand the development of embedded ... provides an unprecedented level of convenience and security with ... to authenticate one,s identity aside from DNA. EyeLock,s platform ...
(Date:5/9/2016)... 2016 Elevay is currently known ... freedom for high net worth professionals seeking travel for ... connected world, there is still no substitute for a ... sealing your deal with a firm handshake. This is ... advantage of citizenship via investment programs like those offered ...
(Date:4/28/2016)... FRANCISCO and BANGALORE, India , ... of EdgeVerve Systems, a product subsidiary of Infosys (NYSE: ... provider, today announced a global partnership that will ... way to use mobile banking and payment services. ... is a key innovation area for financial services, but it ...
Breaking Biology News(10 mins):
(Date:6/24/2016)... 24, 2016  Regular discussions on a range of subjects ... the two entities said Poloz. Speaking at a ... , he pointed to the country,s inflation target, which ... "In certain areas ... have common economic goals, why not sit down and address ...
(Date:6/23/2016)... , ... June 23, 2016 , ... ... release of its second eBook, “Clinical Trials Patient Recruitment and Retention Tips.” Partnering ... retention in this eBook by providing practical tips, tools, and strategies for clinical ...
(Date:6/23/2016)... Md. , June 23, 2016 A person ... from the crime scene to track the criminal down. ... the U.S. Food and Drug Administration (FDA) uses DNA evidence ... Sound far-fetched? It,s not. The FDA ... sequencing to support investigations of foodborne illnesses. Put as simply ...
(Date:6/23/2016)... NEW YORK , June, 23, 2016  The ... students to envision new ways to harness living systems ... of Modern Art (MoMA) in New York ... more than 130 participating students, showcased projects at MoMA,s ... included Paola Antonelli , MoMA,s senior curator of ...
Breaking Biology Technology: