Pre-operative physiotherapy and short term functional outcome of primary total knee arthroplasty

Pre-operative physiotherapy and short term functional outcome of primary total knee arthroplasty

Background: The significant impact of pre-operative physiotherapy on the functional outcomes of arthroplasty surgery is still a subject under study. This study has been designed to evaluate the effect of pre-operative physiotherapy on the short-term functional outcome of primary total knee arthropla...

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Main Authors: Ismail, Mohd Shukry, Ahmad Shokri, Amran, Sharifudin, Mohd Ariff, Ab Rahman, Shafuzain
Format: Conference or Workshop Item
Language:English
English
Published: 2013
Subjects:
RD701 Orthopedics
RM695 Physical medicine. Physical therapy
Online Access:http://irep.iium.edu.my/30517/
http://irep.iium.edu.my/30517/
http://irep.iium.edu.my/30517/1/MOA_2013_%28POSTER%29_-_01_-_TKA.pdf
http://irep.iium.edu.my/30517/2/MOA_2014_Conference_Book.pdf
id iium-30517
recordtype eprints
spelling iium-305172013-06-25T05:57:48Z http://irep.iium.edu.my/30517/ Pre-operative physiotherapy and short term functional outcome of primary total knee arthroplasty Ismail, Mohd Shukry Ahmad Shokri, Amran Sharifudin, Mohd Ariff Ab Rahman, Shafuzain RD701 Orthopedics RM695 Physical medicine. Physical therapy Background: The significant impact of pre-operative physiotherapy on the functional outcomes of arthroplasty surgery is still a subject under study. This study has been designed to evaluate the effect of pre-operative physiotherapy on the short-term functional outcome of primary total knee arthroplasty. Methods: This randomized controlled trial involved a total of 50 patients with primary knee osteoarthritis who underwent unilateral primary total knee arthroplasty at a single tertiary centre. The physiotherapy group (n = 24) performed physical therapy exercise for six weeks immediately prior to surgery. No pre-operative physiotherapy subjected to the other 26 patients (non-physiotherapy group). Post-operatively, all patients went through similar physiotherapy regime in the rehabilitation period. Assessment was done at three intervals; pre-operation, six weeks and three months post-operatively. The algo-functional Knee Injury and Osteoarthritis Outcome Score (KOOS) was used as the primary outcome measurement tool. The difference of post-operative range of motion was compared between the two groups. Result: Both groups showed significant difference for all KOOS subscales (p-value <0.001). The mean score difference at six weeks and three months was not significant in Sports and Recreational Activities subscale for both groups (p-value >0.05). The time-group interaction analysis showed significant difference only for Symptoms and Daily Living Activities between groups (p-value <0.05). There was no significant difference with regards to time in Pain, Sport and Recreational Activities and Quality of life between groups (p-value >0.05). The range of motion difference was significant within both treatment groups (p-value <0.001). The pre-operative and three months range of motion showed no significant difference in both treatment groups (p-value >0.05). Time-group analysis also showed no significant difference of ROM between the two groups (p-value 0.928). Conclusion: A six week pre-operative physiotherapy has no significant impact on the short-term functional outcomes and range of motion following primary total knee arthroplasty. 2013-06 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/30517/1/MOA_2013_%28POSTER%29_-_01_-_TKA.pdf application/pdf en http://irep.iium.edu.my/30517/2/MOA_2014_Conference_Book.pdf Ismail, Mohd Shukry and Ahmad Shokri, Amran and Sharifudin, Mohd Ariff and Ab Rahman, Shafuzain (2013) Pre-operative physiotherapy and short term functional outcome of primary total knee arthroplasty. In: 43rd Malaysian Orthopaedic Association Meeting/Annual Scientific Meeting, 5 - 8 June 2013, Kuching, Sarawak. http://www.morthoj.org
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
topic RD701 Orthopedics
RM695 Physical medicine. Physical therapy
spellingShingle RD701 Orthopedics
RM695 Physical medicine. Physical therapy
Ismail, Mohd Shukry
Ahmad Shokri, Amran
Sharifudin, Mohd Ariff
Ab Rahman, Shafuzain
Pre-operative physiotherapy and short term functional outcome of primary total knee arthroplasty
description Background: The significant impact of pre-operative physiotherapy on the functional outcomes of arthroplasty surgery is still a subject under study. This study has been designed to evaluate the effect of pre-operative physiotherapy on the short-term functional outcome of primary total knee arthroplasty. Methods: This randomized controlled trial involved a total of 50 patients with primary knee osteoarthritis who underwent unilateral primary total knee arthroplasty at a single tertiary centre. The physiotherapy group (n = 24) performed physical therapy exercise for six weeks immediately prior to surgery. No pre-operative physiotherapy subjected to the other 26 patients (non-physiotherapy group). Post-operatively, all patients went through similar physiotherapy regime in the rehabilitation period. Assessment was done at three intervals; pre-operation, six weeks and three months post-operatively. The algo-functional Knee Injury and Osteoarthritis Outcome Score (KOOS) was used as the primary outcome measurement tool. The difference of post-operative range of motion was compared between the two groups. Result: Both groups showed significant difference for all KOOS subscales (p-value <0.001). The mean score difference at six weeks and three months was not significant in Sports and Recreational Activities subscale for both groups (p-value >0.05). The time-group interaction analysis showed significant difference only for Symptoms and Daily Living Activities between groups (p-value <0.05). There was no significant difference with regards to time in Pain, Sport and Recreational Activities and Quality of life between groups (p-value >0.05). The range of motion difference was significant within both treatment groups (p-value <0.001). The pre-operative and three months range of motion showed no significant difference in both treatment groups (p-value >0.05). Time-group analysis also showed no significant difference of ROM between the two groups (p-value 0.928). Conclusion: A six week pre-operative physiotherapy has no significant impact on the short-term functional outcomes and range of motion following primary total knee arthroplasty.
format Conference or Workshop Item
author Ismail, Mohd Shukry
Ahmad Shokri, Amran
Sharifudin, Mohd Ariff
Ab Rahman, Shafuzain
author_facet Ismail, Mohd Shukry
Ahmad Shokri, Amran
Sharifudin, Mohd Ariff
Ab Rahman, Shafuzain
author_sort Ismail, Mohd Shukry
title Pre-operative physiotherapy and short term functional outcome of primary total knee arthroplasty
title_short Pre-operative physiotherapy and short term functional outcome of primary total knee arthroplasty
title_full Pre-operative physiotherapy and short term functional outcome of primary total knee arthroplasty
title_fullStr Pre-operative physiotherapy and short term functional outcome of primary total knee arthroplasty
title_full_unstemmed Pre-operative physiotherapy and short term functional outcome of primary total knee arthroplasty
title_sort pre-operative physiotherapy and short term functional outcome of primary total knee arthroplasty
publishDate 2013
url http://irep.iium.edu.my/30517/
http://irep.iium.edu.my/30517/
http://irep.iium.edu.my/30517/1/MOA_2013_%28POSTER%29_-_01_-_TKA.pdf
http://irep.iium.edu.my/30517/2/MOA_2014_Conference_Book.pdf
first_indexed 2023-09-18T20:44:41Z
last_indexed 2023-09-18T20:44:41Z
_version_ 1777409595571961856

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