Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Total Knee Replacement (TKR) is a common orthopaedic procedure. The role of preoperative physical therapy in TKR outcomes has not been extensively explored. To evaluate the effect of preoperative physical therapy on postoperative outcomes, pain scores, mobility, recovery speed, complications, and patient satisfaction following TKR. A total of 100 patients undergoing TKR were divided into two groups. Group A (n = 50) underwent preoperative physical therapy, and Group B (n = 50) did not. Outcomes were assessed 6 weeks post-operation. At 6 weeks post-operation, Group A exhibited superior knee mobility, with 88% achieving >90-degree knee flexion compared to 68% in Group B. Pain scores, on a visual analog scale, were lower in Group A (Mean: 3.2, range: 1.7-4.7) than Group B (Mean: 4.8, range: 3.1-6.5). Group A patients walked without assistance faster (Mean: 12.5 days, range: 7-20 days) compared to Group B (mean: 19 days, range: 14-30 days). Postoperative complications within three months were fewer in Group A (6%) compared to Group B (14%). Patient satisfaction scores in Group A were higher (Mean: 8.5, SD: 0.9) than in Group B (Mean: 7.3, SD: 1.2). Preoperative physical therapy positively impacts postoperative outcomes in TKR. Patients undergoing therapy demonstrated better knee mobility, reduced pain, quicker ambulation, fewer complications, and greater satisfaction post-surgery. Clinicians should consider preoperative physical therapy as a beneficial preparatory step for TKR patients
How to cite this article:
B.M. Chandra Sekhar, P. Venkatesh and Jarpala Balaji. The Role of Preoperative Physical Therapy in Improving Outcomes after Total Knee Replacement: An Observational Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.8.14.19
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.8.14.19