Navigation Links
Aquatic therapy soon after total knee arthroplasty improves outcomes
Date:12/20/2011

Philadelphia, PA Despite increased use of total hip arthroplasty (THA) and total knee arthroplasty (TKA), there is a notable lack of consensus about optimal postoperative treatment. Aquatic therapy has been shown to have a beneficial effect, and it is typically begun two weeks after surgery, after the wound has healed. According to a new study published in the Archives of Physical Medicine and Rehabilitation, beginning aquatic therapy just 6 days after TKA may lead to improved results, while delaying its onset an additional week may be more appropriate after a THA.

"This multicenter study demonstrates that the timing of physiotherapy measures, such as aquatic therapy, has clinically relevant effects after TKA," says lead investigator Thoralf R. Liebs, MD, of the Department of Orthopaedic Surgery, University of Schleswig-Holstein Medical Center, Kiel, Germany. "Ours is one of the few studies that demonstrates a clinically important effect on the health-related quality of life after TKA by a factor that can be influenced by the healthcare professional. The intervention is simple to administer, and requires limited extra input from the health care professional."

THA and TKA patients were randomly assigned to receive aquatic therapy beginning either 6 days or 14 days after the procedure. In both groups, therapy lasted 30 minutes, three times a week, up to the fifth postoperative week. Physical function, pain, and stiffness were evaluated 3, 6, 12, and 24 months after the procedure.

After hip arthroplasty, all measurements at every follow-up period were better in the patients who began aquatic therapy after the wound had healed. In contrast, all mean outcomes were better in the group that began therapy 6 days after knee arthroplasty.

"THA has a high rate of patient satisfaction, and patients report an improved quality of life after the procedure. Additional interventions, such as early aquatic therapy, may not lead to much improvement," Dr. Liebs hypothesizes. "After TKA, patients are less satisfied, so the additional intervention has a greater effect. The hydrostatic force of water reduces effusion in the knee joint. Because the knee capsule is closed after TKA, reduced effusion leads to less pain. In THA, the joint capsule is not closed, so the effect of reduced effusion is less."


'/>"/>
Contact: Chris Baumle
c.baumle@elsevier.com
215-239-3731
Elsevier Health Sciences
Source:Eurekalert

Related medicine news :

1. CerMedia Releases MarinePure High Surface Area Media for Aquatic Biofiltration
2. The benefits of cardiac resynchronisation therapy in heart failure
3. Advantages and motivations uncertain behind use of brachytherapy for breast cancer radiotherapy
4. Scientists may be able to double efficacy of radiation therapy
5. First comprehensive DNA study of mast cell leukemia uncovers clues that could improve therapy
6. Global conference on stem cell therapy to be held Jan. 25-27, 2012 in New York City
7. Robotic Therapy May Help Some Stroke Survivors Walk
8. RTOG initiates a phase I trial testing the therapy ganitumab for locally advanced pancreatic cancer
9. Reprogramming brain cells important first step for new Parkinsons therapy
10. Prognostic model developed for MDS related to prior cancer therapy
11. Acupuncture Might Ease Chemotherapy Pain
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/5/2016)... ... February 05, 2016 , ... In sleep, when the defenses of the day ... feature of patients with eating disorders is significant self-criticism, and consequently these patients experience ... are regarded as maladaptive means for coping with this unease, but also leads to ...
(Date:2/5/2016)... ... 05, 2016 , ... California Mobile Kitchens , a ... their latest mobile kitchen model, featuring customizable stainless steel interiors and a new, ... for use anywhere in the U.S. Many of their units can be seen ...
(Date:2/5/2016)... ... ... Calls Blacklist has just been updated by mobile app developer Vlad Lee. ... fixed known bugs within the app. Calls Blacklist allows its users to only have ... of their device’s battery power or memory. It provides a powerful call blocker that ...
(Date:2/5/2016)... ... February 05, 2016 , ... –This week, Atascadero water heater ... having a tankless water heater. To view the report, click here or ... tankless. While each has their pros and cons, the type chosen is almost entirely ...
(Date:2/5/2016)... ... ... is tired of trying to cram belongings into spare space that just isn’t there, a ... but before hastily spending money on a unit, take these tips into consideration. , Self-storage ... is often not told when utilizing these services are some tips on how to use ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... , Feb. 5, 2016  Venice,s newest ... is the first of its kind in the ... tattoos through advanced laser treatment. The physician-owned and ... Suncoast by storm with its revitalizing ... and advanced multi-wavelength Astanza Trinity technology. ...
(Date:2/5/2016)... -- Henry Schein, Inc. (NASDAQ: HSIC ), the world,s largest ... dental, animal health and medical practitioners, announced today that ... majority ownership interest in Dental Cremer S.A., a distributor ... . --> ... dental distribution business of Cremer S.A. With 2015 sales ...
(Date:2/4/2016)... IRVINE, Calif. , Feb. 4, 2016  Edwards ... in patient-focused innovations for structural heart disease and critical ... an accelerated share repurchase (ASR) agreement with Morgan Stanley ... common stock.  This repurchase is part of the Company,s ... of the Company,s common stock.  ...
Breaking Medicine Technology: