Considerable variety in usual care rehabilitation after knee arthroplasty : A survey amongst physiotherapists

Suzanne Witjes*, Alexander Hoorntje, Koen L. M. Koenraadt, Pjotr Goossens, Gino M. M. J. Kerkhoffs, Rutger C. I. van Geenen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Knee arthroplasty (KA) is increasingly performed, but rehabilitation and the possibility of returning to sports after KA are understudied areas. A web-based survey amongst physiotherapists was conducted to obtain insight in current rehabilitation methods and their return to sports advice after KA. 82 physiotherapists (62%) completed the survey. Broad agreement existed concerning important goals of rehabilitation, including the improvement of ROM, muscle strength, coordination and gait pattern. However, physiotherapists use a wide variety of treatment strategies to achieve these goals. Return to low-impact sports is mostly recommended, while return to intermediate- and high-impact sports is either advised against or considered impossible. The development of new evidence-based guidelines on physiotherapy after KA could lead to a more uniform approach in the rehabilitation for KA patients. Furthermore, investigating effects of individualization in the rehabilitation may prove valuable in optimising both patient outcomes and cost-effectiveness of this worldwide increasingly performed intervention.
Original languageEnglish
Pages (from-to)269-278
JournalActa Orthopaedica Belgica
Volume84
Issue number3
Publication statusPublished - 1 Sep 2018

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