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High-intensity progressive rehabilitation versus routine rehabilitation after total knee arthroplasty

Brief summary, from the abstract

In this randomized trial of patients having total knee arthroplasty, a high-intensity progressive rehabilitation program led to better knee function, less pain, and faster recovery than routine rehabilitation.

  • 78 patients were randomized to high-intensity progressive training or routine rehabilitation.
  • The high-intensity group had significantly higher HSS knee scores at 2 weeks, 3 months, and 12 months (P < .001), with lower pain at 24 hours, 3 days, and 2 weeks (P < .001).
  • They also stood and walked sooner, reported higher satisfaction and quality of life at 3 months (P < .001), and had shorter hospital stays.
  • Evidence is from a single, relatively small single-center trial, so results need confirmation in larger studies.
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