Effectiveness of Later-Stage Exercise Programs vs Usual Medical Care on Physical Function and Activity After Total Knee Replacement: A Randomized Clinical Trial.

ABSTRACT:

Importance

Several functional limitations persist after total knee replacement (TKR). Intensive exercise programs could resolve these limitations but are not well tolerated by many patients until a later stage (>2 months) after surgery. Evidence for exercise at a later stage after TKR is limited.

Objectives

To compare the effectiveness of later-stage exercise programs after TKR and to explore heterogeneity of treatment effects.

Design, setting, and participants

Three-arm single-blind randomized clinical trial (January 7, 2015, to November 9, 2017) using an intent-to-treat approach with follow-ups at 3 months and 6 months. The setting was Allegheny County, Pennsylvania (an outpatient physical therapy clinic and 4 community centers). Participants had primary TKR perform

SUBMITTER: Piva SR 

PROVIDER: S-EPMC6484600 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature