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May 1, 1996Clinical Orthopaedics and Related Research

The Effect of Preoperative Exercise on Total Knee Replacement Outcomes

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Why the study?

Does preoperative exercise improve postoperative outcomes in patients undergoing primary total knee replacement?

Population

30 patients undergoing primary total knee replacement

Comparison

Preoperative physical therapy program or… vs Routine procedure of no preoperative physical…

Design

RCT, Randomly assigned to 1 of 3 groups

Authors

DDDarryl D. DʼLimaScripps HealthCCClifford W. ColwellScripps ClinicBMBeverly A. MorrisScripps Health

Discussion

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Implication

Preoperative exercise should not be routine before total knee replacement; this RCT confirms no postoperative benefit versus no therapy.

Structured PICO

Does preoperative exercise improve postoperative outcomes in patients undergoing primary total knee replacement?

P
Population
30 patients undergoing primary total knee replacement
I
Intervention
Preoperative physical therapy program (strengthening and range of motion) or cardiovascular conditioning program (ergometry, aquatic, aerobic)
C
Comparator
Routine procedure of no preoperative physical therapy
O
Outcome
Postoperative outcomes measured by Hospital for Special Surgery Knee Rating, Arthritis Impact Measurement Scale, and Quality of Well Being instrumentpatient reported

Preoperative physical therapy or cardiovascular conditioning does not provide additional postoperative improvement for patients undergoing total knee replacement.

Cite This Study

DʼLima et al. (1996) studied this question.

synapsesocial.com/papers/6a70d6d3e5469ee92be1834ehttps://doi.org/10.1097/00003086-199605000-00020
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Physiotherapy after coronary artery surgery: are breathing exercises necessary?1989 · 125 citations
  2. 2Effect of preoperative physiotherapy in unicompartmental prosthetic knee replacement1993 · 64 citations
  3. 3Measuring health status in arthritis1980 · 1,183 citations
  4. 4Chest Physiotherapy Fails to Prevent Postoperative Atelectasis in Children After Cardiac Surgery1982 · 49 citations