EFFECTIVENESS OF REHABILITATION IN PATIENTS OPERATED FOR TOTAL KNEE ARTHROPLASTY. A SYSTEMATIC REVIEW
Keywords:
knee replacement, rapid recovery, fast track, Physical therapy.Abstract
Introduction: total knee arthroplasty is considered an important intervention to reduce pain when we find our-selves in a situation of knee osteoarthritis. Patients after knee replacement surgery have severe pain and loss of function after the intervention. Physiotherapy has a main function to avoid this. The aim of this review was to find out the moment in which Physiotherapy must be applied so that the treatment is more effective in patients' opera-ted on for total knee replacement. Material and method: a systematic review was carried out following the PRISMA standards of the studies published from January 1, 2016, to January 1, 2021, in 5 databases: PubMed, Embase, Science Direct, Cochrane Plus and PEDro. The methodological quality of the studies that were include in the re-view was assessed using the PEDro scale. Results: seven randomized control trials met the selection criteria and were included in the review. All subjects included in the samples of the articles analyzed underwent total knee replacement surgery. In all the studies, Physical therapy is a before and after in the improvement of function and symptoms after the operation, but in most studies, there were no significant differences between the different treatments applied. Conclusions: there is no difference in terms of symptoms and recovery time between applying Physiotherapy techniques on the same day of surgery or applying them one day after surgery.
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