Purpose: To evaluate the effects of prehabilitation (enhancing physical capacity before total hip or knee joint arthroplasty) on pain and physical function of adults with severe hip and knee osteoarthritis (OA). Methods: Consecutive patients (n=650) from 2006 to 2008 with hip or knee OA awaiting total joint arthroplasty (TJA) attended a hospital outpatient clinic for a prehabilitation assessment. All participants completed self-report (Lower Extremity Functional Scale [LEFS] and visual analogue scale for pain [VAS]) and functional performance measures (self-paced walk [SPW], timed stair, and timed up-and-go [TUG] tests). A subset of 28 participants with severe disability participated in a structured outpatient prehabilitation programme. Between-group differences were assessed via independent t-tests; paired Student's t-tests and Wilcoxon signed rank tests were used to compare changes in pain and function following the prehabilitation programme. Results: A total of 28 individuals (16 female) with mean (SD) age 67 (10) years and BMI 33 (8) kg/m2 awaiting TJA (10 hips, 18 knees) participated in a prehabilitation programme of 9 (6) weeks' duration. Relative to baseline, there was significant improvement in LEFS score (mean change 7.6; 95% CI, 1.7–3.5; p=0.013), SPW (mean change 0.17 m/s; 95% CI, 0.07–0.26; p=0.001), TUG (mean change 4.2 s; 95% CI, 2.0–6.4; p<0.001), and stair test performance (mean [SD] change 3.8 s [14.6]; p=0.005) following prehabilitation. Conclusion: This study presents preliminary evidence that prehabilitation improves physical function even in the most severely compromised patients with OA awaiting TJA.
- Content Type Journal Article
- Category Advance Online Article
- Pages 1-9
- DOI 10.3138/ptc.2011-60
- Authors
- François Desmeules, School of Rehabilitation, Faculty of Medicine
- Jayne Hall, Hamilton Health Sciences Corporation, Hamilton, Ont.
- Linda June Woodhouse, Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton
- Journal Physiotherapy Canada
- Online ISSN 1708-8313
- Print ISSN 0300-0508
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