The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty

Introduction: Physiotherapy is an important part of rehabilitation following total knee arthroplasty (TKA). However, the significant impact of pre-operative physiotherapy on the functional outcomes of arthroplasty surgery is still debatable. This study evaluated the effect of pre-operative physiot...

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Main Authors:	Ismail, Mohd Shukry, Sharifudin, Mohd Ariff, Ahmad Shokri, Amran
Format:	Conference or Workshop Item
Language:	English English
Published:	2013
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/32604/ http://irep.iium.edu.my/32604/ http://irep.iium.edu.my/32604/1/Kelantan_Research_Day_2013_-_Rehab_TKA_%28Poster%29.pdf http://irep.iium.edu.my/32604/14/Kelantan_Research_Day_2013_%28PP-13%29.pdf

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spelling	iium-326042013-11-08T03:55:42Z http://irep.iium.edu.my/32604/ The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty Ismail, Mohd Shukry Sharifudin, Mohd Ariff Ahmad Shokri, Amran RD701 Orthopedics Introduction: Physiotherapy is an important part of rehabilitation following total knee arthroplasty (TKA). However, the significant impact of pre-operative physiotherapy on the functional outcomes of arthroplasty surgery is still debatable. This study evaluated the effect of pre-operative physiotherapy on the early functional outcome of primary TKA. Methodology: A randomized, controlled trial was performed involving 50 patients with primary knee osteoarthritis who underwent unilateral primary TKA at a single tertiary centre. The physiotherapy group (n=24) performed physical therapy exercises for six weeks immediately prior to surgery. Twenty-six patients (n=26) in the non-physiotherapy group performed no pre-operative physiotherapy exercise. 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 primary outcome measurement tool was the algo-functional Knee Injury and Osteoarthritis Outcome Score (KOOS). The difference of post-operative range of motion (ROM) of the operated knee was evaluated for both groups of patient. Results: 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 ROM difference was significant within both treatment groups (p-value <0.001). The pre-operative and three months ROM 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 ROM of the knee following primary TKA. 2013-10-30 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/32604/1/Kelantan_Research_Day_2013_-_Rehab_TKA_%28Poster%29.pdf application/pdf en http://irep.iium.edu.my/32604/14/Kelantan_Research_Day_2013_%28PP-13%29.pdf Ismail, Mohd Shukry and Sharifudin, Mohd Ariff and Ahmad Shokri, Amran (2013) The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty. In: Kelantan Research Day, 30 Oct 2013, Rural Transformation Centre (RTC), Terminal Agribisnes Negara (TEMAN), Kota Bharu. http://jknkelantan.moh.gov..my/v3/
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
spellingShingle	RD701 Orthopedics Ismail, Mohd Shukry Sharifudin, Mohd Ariff Ahmad Shokri, Amran The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty
description	Introduction: Physiotherapy is an important part of rehabilitation following total knee arthroplasty (TKA). However, the significant impact of pre-operative physiotherapy on the functional outcomes of arthroplasty surgery is still debatable. This study evaluated the effect of pre-operative physiotherapy on the early functional outcome of primary TKA. Methodology: A randomized, controlled trial was performed involving 50 patients with primary knee osteoarthritis who underwent unilateral primary TKA at a single tertiary centre. The physiotherapy group (n=24) performed physical therapy exercises for six weeks immediately prior to surgery. Twenty-six patients (n=26) in the non-physiotherapy group performed no pre-operative physiotherapy exercise. 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 primary outcome measurement tool was the algo-functional Knee Injury and Osteoarthritis Outcome Score (KOOS). The difference of post-operative range of motion (ROM) of the operated knee was evaluated for both groups of patient. Results: 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 ROM difference was significant within both treatment groups (p-value <0.001). The pre-operative and three months ROM 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 ROM of the knee following primary TKA.
format	Conference or Workshop Item
author	Ismail, Mohd Shukry Sharifudin, Mohd Ariff Ahmad Shokri, Amran
author_facet	Ismail, Mohd Shukry Sharifudin, Mohd Ariff Ahmad Shokri, Amran
author_sort	Ismail, Mohd Shukry
title	The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty
title_short	The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty
title_full	The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty
title_fullStr	The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty
title_full_unstemmed	The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty
title_sort	effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty
publishDate	2013
url	http://irep.iium.edu.my/32604/ http://irep.iium.edu.my/32604/ http://irep.iium.edu.my/32604/1/Kelantan_Research_Day_2013_-_Rehab_TKA_%28Poster%29.pdf http://irep.iium.edu.my/32604/14/Kelantan_Research_Day_2013_%28PP-13%29.pdf
first_indexed	2023-09-18T20:47:03Z
last_indexed	2023-09-18T20:47:03Z
_version_	1777409744801103872

The effect of pre-operative physiotherapy on the early functional outcome of primary total knee arthroplasty

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