Web-Based, Self-Directed Physical Therapy After Total Knee Arthroplasty Is Safe and Effective for Most, but Not All, Patients

Recently, self-directed physical therapy (SDPT) programs have gained popularity following total knee arthroplasty (TKA). This study evaluated the safety and efficacy of the routine use of an SDPT program in a nonselect patient population. This is a single-surgeon, retrospective study of 296 consecut...

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Bibliographic Details
Published in:The Journal of arthroplasty 2019-07, Vol.34 (7), p.S178-S182
Main Authors: Klement, Mitchell R., Rondon, Alexander J., McEntee, Richard M., Greenky, Max R., Austin, Matthew S.
Format: Article
Language:English
Subjects:
arthroplasty
knee
outcomes
outpatient physical therapy
self-directed physical therapy
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Summary:Recently, self-directed physical therapy (SDPT) programs have gained popularity following total knee arthroplasty (TKA). This study evaluated the safety and efficacy of the routine use of an SDPT program in a nonselect patient population. This is a single-surgeon, retrospective study of 296 consecutive patients from August 2016 to October 2017 discharged home after primary, unilateral TKA and enrolled in a web-based SDPT program. Patients were seen 2 weeks after surgery and outpatient physical therapy (OPPT) was prescribed if flexion was less than 90°, upon patient request, or inability to use the web-based platform. Overall, 195 of 296 (65.9%) patients did not require OPPT (SDPT-only) while 101 of 296 were prescribed OPPT (34.1%, SDPT + OPPT). In SDPT + OPPT, 66.3% were for flexion
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2018.11.040