Hydrotherapy after total knee arthroplasty. A follow-up study

Abstract The study evaluated the subjective functional outcome following total knee arthroplasty (TKA) in participants who underwent hydrotherapy (HT) six months after discharge from a rehabilitation unit. A total of 70 subjects, 12 of which were lost at follow-up, were randomly assigned to either a...

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Bibliographic Details
Published in:Archives of gerontology and geriatrics 2010-07, Vol.51 (1), p.59-63
Main Authors: Giaquinto, S, Ciotola, E, Dall’Armi, V, Margutti, F
Format: Article
Language:English
Subjects:
Admissions
Aged
Arthroplasty
Arthroplasty, Replacement, Knee - methods
Female
Follow-Up Studies
Functional impairment
Humans
Hydrotherapy
Hydrotherapy - methods
Internal Medicine
Knee replacement
Knees
Male
Osteoarthritis
Osteoarthritis, Knee - epidemiology
Osteoarthritis, Knee - surgery
Pain - diagnosis
Pain - etiology
Postoperative Care
Prospective Studies
Severity of Illness Index
Statistical analysis
Statistics, Nonparametric
Surveys and Questionnaires
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Items that cite this one
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Summary:Abstract The study evaluated the subjective functional outcome following total knee arthroplasty (TKA) in participants who underwent hydrotherapy (HT) six months after discharge from a rehabilitation unit. A total of 70 subjects, 12 of which were lost at follow-up, were randomly assigned to either a conventional gym treatment ( N = 30) or HT ( N = 28). A prospective design was performed. Participants were interviewed with Western-Ontario McMasters Universities Osteoarthritis Index (WOMAC™) at admission, at discharge and six months later. Kruskal–Wallis and Wilcoxon tests were applied for statistical analysis. Both groups improved. The WOMAC™ subscales, namely pain, stiffness and function, were all positively affected. Statistical analysis indicates that scores on all subscales were significantly lower for the HT group. The benefits gained by the time of discharge were still found after six months. HT is recommended after TKA in a geriatric population.
ISSN:0167-4943
1872-6976
DOI:10.1016/j.archger.2009.07.007