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October 1, 2012PM&R

Preoperative rehabilitation had no true treatment effect on WOMAC scores, range of motion, and LOS (all effect sizes <0.4 and confidence intervals crossed zero), with the exception of LOS in favor of the treatment group.

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Why the study?

Does preoperative rehabilitation improve patient-based outcomes in persons who have undergone total knee arthroplasty?

Population

Patients undergoing total knee arthroplasty (TKA) (7 studies included)

Comparison

Preoperative rehabilitation vs Alternative or control treatment

Design

Meta-analysis

Authors

CBCarrie S. BakerJMJennifer M. Medina McKeon

Discussion

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Overview

Preoperative rehabilitation should not be routinely recommended before TKA to improve function or ROM; challenges assumptions of broad efficacy and leaves only possible LOS benefit open.

Structured PICO

Does preoperative rehabilitation improve patient-based outcomes in persons who have undergone total knee arthroplasty?

P
Population
Patients undergoing total knee arthroplasty (TKA) (7 studies included)
I
Intervention
Preoperative rehabilitation
C
Comparator
Alternative or control treatment
O
Outcome
Western Ontario and McMaster Osteoarthritis Index (WOMAC) scores, range of motion, and length of stay (LOS)patient reported

Preoperative rehabilitation does not significantly improve postoperative pain, function, or range of motion in patients undergoing total knee arthroplasty, though it may reduce length of stay.

Cite This Study

Baker et al. (2012) studied this question.

synapsesocial.com/papers/6a7dca46629c956ef7ac84c2https://doi.org/10.1016/j.pmrj.2012.06.005
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