TY - JOUR
T1 - Insight Into the Effect of Hospital-Based Prehabilitation on Postoperative Outcomes in Patients With Total Knee Arthroplasty
T2 - A Retrospective Comparative Study
AU - Li, Rui
AU - Hu, Baohong
AU - Liu, Zongchao
AU - Xu, Shuai
AU - Li, Jianping
AU - Ma, Siliang
AU - Wang, Zhe
AU - Liu, Jingxia
N1 - Funding Information:
In recent years, randomized clinical trials (RCTs) have supported the proposition that prehabilitation programs would lead to prominent improvements in outcomes of TKA, including knee flexion improvement and pain reduction among patients with OA [9,10]. However, no associations between prehabilitation and functional recovery or quality of life have been found [11-14]. In the preoperative period, prehabilitation is associated with better mental health, walking ability, and muscle strength [15]. In most studies, the prehabilitation duration was 4 to 6 weeks and led to positive clinical outcomes such as increased muscle strength. These clinical benefits were more prominent in long-duration high-intensity prehabilitation programs than in the relatively short-duration low-intensity ones [18,19].
Publisher Copyright:
© 2021 The Authors
PY - 2021/8
Y1 - 2021/8
N2 - Background: Osteoarthritis (OA) has become one of the most prevalent joint diseases worldwide, leading to a growing burden of pain and disability as populations age. Although there is consistent evidence to support postoperative rehabilitation and high-intensity prehabilitation for total knee arthroplasty (TKA), the clinical outcomes of hospital-based prehabilitation remain unclear. We aimed to evaluate the effect of a hospital-based prehabilitation program on knee score (KS), function score (FS), and length of stay (LOS) among patients with knee OA after TKA. Methods: A retrospective comparative study was conducted at Renmin Hospital of Wuhan University among patients with primary knee OA. Seventy-two postopearative patients who did not undergo the prehabilitation program were included as the control group, while 68 postoperative patients who underwent the prehabilitation program were assigned to the intervention group. All patients went through the same care after TKA. The KS, FS, and pain levels were measured 5 days before surgery, immediately preceding surgery, immediately after the surgery, and at 1 week and 1 month postoperatively. LOS for each patient was recorded. Results: The new prehabilitation training program significantly improved the KS over time in the intervention group. However, no significant between-group difference was identified in the change of FS. The prehabilitation program also provided shorter LOS. Conclusions: The hospital-based prehabilitation program leads to improved recovery, as indicated by higher KS postoperatively, which may result in improved clinical outcomes of TKA.
AB - Background: Osteoarthritis (OA) has become one of the most prevalent joint diseases worldwide, leading to a growing burden of pain and disability as populations age. Although there is consistent evidence to support postoperative rehabilitation and high-intensity prehabilitation for total knee arthroplasty (TKA), the clinical outcomes of hospital-based prehabilitation remain unclear. We aimed to evaluate the effect of a hospital-based prehabilitation program on knee score (KS), function score (FS), and length of stay (LOS) among patients with knee OA after TKA. Methods: A retrospective comparative study was conducted at Renmin Hospital of Wuhan University among patients with primary knee OA. Seventy-two postopearative patients who did not undergo the prehabilitation program were included as the control group, while 68 postoperative patients who underwent the prehabilitation program were assigned to the intervention group. All patients went through the same care after TKA. The KS, FS, and pain levels were measured 5 days before surgery, immediately preceding surgery, immediately after the surgery, and at 1 week and 1 month postoperatively. LOS for each patient was recorded. Results: The new prehabilitation training program significantly improved the KS over time in the intervention group. However, no significant between-group difference was identified in the change of FS. The prehabilitation program also provided shorter LOS. Conclusions: The hospital-based prehabilitation program leads to improved recovery, as indicated by higher KS postoperatively, which may result in improved clinical outcomes of TKA.
KW - Function score
KW - Knee osteoarthritis
KW - Knee score
KW - Length of stay
KW - Prehabilitation
KW - Total knee arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=85111066662&partnerID=8YFLogxK
U2 - 10.1016/j.artd.2021.05.014
DO - 10.1016/j.artd.2021.05.014
M3 - Article
AN - SCOPUS:85111066662
SN - 2352-3441
VL - 10
SP - 93
EP - 98
JO - Arthroplasty Today
JF - Arthroplasty Today
ER -