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KCE reports vol. 40 APPENDICES Physiotherapy 85
Comparison of clinic-and home based
rehabilitation programs after total knee
arthroplasty
(80)
A randomized controlled trial of exercise
to improve mobility and function after
elective knee arthroplasty. Feasibility,
results and methodological difficulties
(98)
Costs and effectiveness of pre-and postoperative
home physiotherapy for total
knee replacement : randomized controlled
trial
(99)
Home continuous passive motion machine
versus professional physical therapy
following total knee replacement (100)
RCT
RCT
RCT
RCT (160 patients) evaluating clinic-based
rehabilitation versus home-based rehabilitation.
Interventions: clinic-based rehabilitation provided by
outpatient physical therapists versus home-based
rehabilitation monitored by periodic telephone calls
from a physical therapist.
Outcome variables: total score on the Knee Society
clinical rating scale, total score on the Western
Ontario and McMaster Universities Osteoarthritis
Index, total score on the Medical Outcomes Study
Short Form, score on the pain scale of the Knee
Society clinical rating scale, score on the pain scale
of the Western Ontario and McMaster Universities
Osteoarthritis Index, score on the functional scale
of the Western Ontario and McMaster Universities
Osteoarthritis Index, distance walked in 6 minutes,
number of stairs ascended and descended in 30
seconds, and knee flexion range of motion.
RCT (47 patients) comparing the results of a homebased
traditional exercise group to a home based
functional exercise group.
Interventions: Home-based traditional exercise
group or home-based functional exercise group
following discharge from hospital.
Outcome variables: goniometry, a knee-specific pain
score, leg extensor power and a walking test.
RCT (160 patients) comparing the effectiveness of
pre- and post-operative home-physiotherapy to
hospital outpatient physiotherapy.
Interventions: physiotherapy delivered at home or
in an outpatient physiotherapy facility in a teaching
hospital.
Outcome variables: health-related quality of life
(HRQoL), measured by the Western Ontario
McMaster Osteoarthritis index (WOMAC) and the
Short Form 36 health survey (SF-36) pre-operatively
and at 12 weeks post-TKR operation; patient
satisfaction; and NHS resource use.
RCT RCT (103 total knee arthroplasties in 80 patients)
studying the costs of self-continuous passive motion
at home program versus traditional physical therapy
delivered by a physiotherapist.
Pedro 6/10
Cochrane II form:
Well-conducted RCT (9 first answers
to the Cochrane form are positive).
Recommendations seem applicable to
Belgian situation. However, the
results of this study need to be
replicated on a larger patients sample
before definitive conclusions can be
drawn.
Cochrane II form:
Negative or no answer possible for 3
out of the 9 first questions of the
form. Conclusions and
recommendations of this study must
be implemented with caution.
Cochrane II form:
Negative or no answer possible for 4
out of the 9 first questions of the
form. Critical appraisal not pursued