Home Exercise Program vs Formal Physical Therapy After Early Recovery Following TKA
Formal physical therapy may be unnecessary following total knee arthroplasty: A prospective randomized study.
J Orthop . 2024 Dec 12:65:86-90.Two hundred thirty-eight patients with primary TKA who achieved ≥90° flexion at 2 weeks were randomized to home exercise programs (HEP) (n=119) or formal Physical Therapy (PT) (n=119). The primary outcome was knee flexion ROM; secondary outcomes included ED visits/complications and a cost estimate. Outcomes were assessed at 6 weeks and 3 months (patients were followed clinically to one year). Overall, the results showed no between-group differences in ROM at 6 weeks (HEP 109° vs PT 106°, p>0.05) or 3 months (HEP 118° vs PT 121°, p>0.05). These findings suggest HEP is non-inferior for early progressors and may reduce costs (~$900 per patient).
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