Inpatient Rehab Offers No Benefit Over Home Exercise Program After Knee Replacement Surgery

shutterstock_427586080A new study finds that inpatient rehabilitation seems to offer no overall benefit when compared with a monitored home-based regimen for patients recovering from standard knee replacement surgery, more formally known as “total knee arthroplasty.”

The results of the study were published online earlier this week in JAMA.

The researchers studied 165 adults (older than 40) undergoing single-knee total knee replacement for osteoarthritis. They divided the two groups: one that received 10 days of inpatient rehabilitation followed by an eight-week monitored home program, and the second group that underwent only the home program.

Both approaches for rehabilitation centered upon exercises that incorporated aerobic, muscle-specific and range-of-motion exercises. The researchers also enrolled an additional 87 patients who declined randomization in the home program as an observation group.

The researchers evaluated the two programs by measuring the distance participants could walk on a six-minute test, 26 weeks after surgery. They ultimately found that there was no significant difference in the distance walked between the 2 groups.   Postoperative pain and “quality of life” were not significantly different between the groups studied.  In addition, the number of complications was greater in the inpatient vs the home group (12 vs. 9).

By Robert Glatter, MD | Forbes

Image Credit: Shutterstock


About Peter Coffaro 440 Articles
A growth-driven and strategic executive, Peter Coffaro commands more than 20 years of progressive management success within the medical device industry. As a District Sales Manager for Stryker Orthopaedics, Peter was responsible for managing and directing a regional sales force to achieve sales and profit goals within the Rocky Mountain region. Previously, he was the Director of Sales & Marketing for Amp Orthopedics. In this role, Peter was responsible for planning, developing, and leading all sales and marketing initiatives. Peter is a former orthopedic distributor in the Pacific Northwest. He has also worked with DePuy Orthopaedics as well as Zimmer, and held positions in sales, sales training, and sales management. Peter has an extensive background in organizational development, business development, sales management, negotiating and P&L management. Peter holds a B.S. degree in Biology from Northern Illinois University.

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