Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Short-Term Effect of Peer Volunteers in Providing Inpatient Rehabilitative Exercises for Patients After Total Knee Arthroplasty (2021) |
Auteurs : | Eng Chuan Neoh ; Matthew Rong Jie Tay ; Jaclyn Tan ; Joshua Tan ; Ying Tong Lim ; Acharyya Sanchalika ; Ling Fong Chong ; Kelvin Guoping Tan |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 7, 2021) |
Article en page(s) : | p. 1361-1367 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.03.004 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Amplitude articulaire ; Arthroplastie prothétique de genou ; Bénévoles ; Gonarthrose ; Kinésithérapie (spécialité) ; Médecine physique et de réadaptation ; Réadaptation ; Traitement par les exercices physiques |
Résumé : |
Objective
To investigate the short-term outcomes at discharge of patients who receive additional postoperative rehabilitative exercises by peer volunteers after total knee arthroplasty (TKA). Design Retrospective cohort study. Setting Tertiary teaching hospital. Participants A total of 476 adult patients who had undergone a primary elective unilateral TKA (N=467). Interventions An intervention group received a standardized postoperative rehabilitative exercise protocol taught and supervised by peer volunteers in additional to standard physiotherapy (n=309) compared with a control group receiving standard physiotherapy alone (n=167). Main Outcome Measures Discharge outcomes were the pain score using the Numeric Rating Scale pain score, passive knee flexion and extension range of motion (ROM), length of hospitalization, ability to perform an unassisted straight leg raise of the operated leg, ambulation distance, ability in independent walking, walking aids required, discharge destination, and adverse events. Results On multivariate analysis, patients in the intervention group had an increased discharge passive knee flexion ROM of 7.89 degrees (95% confidence interval, 5.47-10.33; P<.001 there were no significant differences for the other outcome measures between intervention and control group.> Conclusions A rehabilitative exercise program by peer volunteers is feasible and safe after TKA in addition to standard physiotherapy and is associated with improved knee flexion ROM on discharge. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321002367#! |