AAOS2019: Comparing immediate versus delayed postoperative physical therapy following TKA .
Delaying Physical Therapy Prolongs Total Knee Arthroplasty Recovery
110 patients scheduled for a primary unilateral total knee arthroplasty (TKA) were randomized to receive an immediate or delayed physiotherapy protocol following surgery. Outcomes of interest included the Knee Injury and Osteoarthritis Outcome Score (KOOS), VR-12 scores, visual analog scale (VAS) pain scores, range of motion, number of therapy visits, the Timed Up and Go (TUG) test, and rate of manipulation. Follow up was performed at 6 weeks and 6 months. Results from the study revealed no significant differences between groups in outcomes, except for VAS pain score at 6 weeks, which was significantly higher in the delayed group.
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