• myGriffith
    • Staff portal
    • Contact Us⌄
      • Future student enquiries 1800 677 728
      • Current student enquiries 1800 154 055
      • International enquiries +61 7 3735 6425
      • General enquiries 07 3735 7111
      • Online enquiries
      • Staff phonebook
    View Item 
    •   Home
    • Griffith Research Online
    • Journal articles
    • View Item
    • Home
    • Griffith Research Online
    • Journal articles
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

  • All of Griffith Research Online
    • Communities & Collections
    • Authors
    • By Issue Date
    • Titles
  • This Collection
    • Authors
    • By Issue Date
    • Titles
  • Statistics

  • Most Popular Items
  • Statistics by Country
  • Most Popular Authors
  • Support

  • Contact us
  • FAQs
  • Admin login

  • Login
  • Pedaling-Based Protocol Superior to a 10-Exercise, Non-Pedaling Protocol for Postoperative Rehabilitation After Total Knee Replacement A Randomized Controlled Trial

    Thumbnail
    View/Open
    Vertullo217900Accepted.pdf (597.5Kb)
    File version
    Accepted Manuscript (AM)
    Author(s)
    Sattler, Larissa Nicole
    Hing, Wayne Anthony
    Vertullo, Christopher John
    Griffith University Author(s)
    Vertullo, Christopher J.
    Year published
    2019
    Metadata
    Show full item record
    Abstract
    Background: Despite the routine use of physical therapy in the immediate and early postoperative phase for patients who undergo total knee replacement (TKR), there is a paucity of research into the optimal exercise protocols in both the acute inpatient setting and early period after discharge. Pedaling has often been recommended by clinicians after TKR for rehabilitation, but to our knowledge, there has been no investigation into its utility in the acute postoperative setting. Therefore, we performed a randomized controlled trial evaluating the efficacy of pedaling in the acute postoperative period. Methods: Sixty TKR patients ...
    View more >
    Background: Despite the routine use of physical therapy in the immediate and early postoperative phase for patients who undergo total knee replacement (TKR), there is a paucity of research into the optimal exercise protocols in both the acute inpatient setting and early period after discharge. Pedaling has often been recommended by clinicians after TKR for rehabilitation, but to our knowledge, there has been no investigation into its utility in the acute postoperative setting. Therefore, we performed a randomized controlled trial evaluating the efficacy of pedaling in the acute postoperative period. Methods: Sixty TKR patients were randomized to receive postoperative physical therapy involving either a 3-exercise pedaling (pedaling-based) or 10-exercise, non-pedaling (multi-exercise) protocol. Outcomes were assessed at 2 days, 2 weeks, and 4 months, and included physical tests of function, patient-reported outcomes, and other perioperative measures. Results: With respect to the primary outcome, the 6-minute walk test (6MWT), the measured distance was significantly greater in the pedaling-based group than in the multi-exercise group at 2 days postoperatively (mean difference, 66 m; p = 0.001). Results of other functional tests, the 10-m walk test (10MWT) and the Timed Up & Go (TUG) test, were both significantly superior for the 3-exercise pedaling group at 2 days (p = 0.016 for 10MWT, and p = 0.020 for TUG), as was the patient-reported Oxford Knee Score (p = 0.034). The latter continued to be superior at 2 weeks (p = 0.007), as was the EQ-5D score (p = 0.037). The visual analogue scale (VAS) component of the EQ-5D was significantly better for the pedaling group at all time points assessed. Length of stay was also significantly shorter, by a half-day, for the pedaling-based group (median of 2.5 days compared with 3.0 days for the multi-exercise group; p = 0.024). The multi-exercise protocol was not superior for any outcome measure at any time point. Conclusions: A pedaling-based protocol in the immediate postoperative period after TKR was superior to a standard multi-exercise protocol in both functional and patient-reported outcomes, with these benefits decreasing over time.Level of Evidence:Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
    View less >
    Journal Title
    Journal of Bone and Joint Surgery: American Volume
    Volume
    101
    Issue
    8
    DOI
    https://doi.org/10.2106/JBJS.18.00898
    Copyright Statement
    © 2019 Journal of Bone and Joint Surgery. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal website for access to the definitive, published version.
    Subject
    Biomedical engineering
    Clinical sciences
    Science & Technology
    Life Sciences & Biomedicine
    Orthopedics
    Surgery
    TOTAL HIP
    Publication URI
    http://hdl.handle.net/10072/396149
    Collection
    • Journal articles

    Footer

    Disclaimer

    • Privacy policy
    • Copyright matters
    • CRICOS Provider - 00233E

    Tagline

    • Gold Coast
    • Logan
    • Brisbane - Queensland, Australia
    First Peoples of Australia
    • Aboriginal
    • Torres Strait Islander