A comparative study to determine functional and clinical outcome differences between patients receiving outpatient direct physical therapy versus home physical therapy followed by outpatient physical therapy after total knee arthroplasty

Meghan Warren, Jennifer Kozik, Jon Cook, Paul Prefontaine, Kathleen Ganley

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Rehabilitation outcomes for patients with total knee arthroplasty (TKA) after hospital discharge are not well understood. Purpose: The purpose of this retrospective cohort study was to describe outpatient physical therapy (PT) after TKA and compare short-term (2 months) functional and clinical outcomes of patients following TKA who were discharged from the hospital to home and received (a) outpatient PT immediately (OP) or (b) home health PT before outpatient PT (HH). Methods: The medical records of 109 men and women postoperative TKA discharged home were abstracted for the 6-minute walk test (6MWT), Knee Osteoarthritis and Outcome Score (KOOS), and knee range of motion (ROM) preoperatively and after discharge from all postoperative PT. Patients received outpatient clinic-based PT immediately after discharge from the hospital (OP) (n = 87) or home health PT before continued rehabilitation in an outpatient setting (HH) (n = 22). Results: Despite demographic differences between OP and HH preoperatively, adjusted models revealed no significant differences among KOOS, 6MWT, or knee ROM between OP and HH upon completion of postoperative PT. Patients in OP completed PT on average 20 days sooner (p =.0007), although the amount of time in outpatient PT (p =.55) and the number of outpatient PT visits (p =.68) were similar between groups. Conclusion: Gains in function were achieved by patients in OP and HH independent of the postoperative PT setting, although OP achieved gains sooner.

Original languageEnglish (US)
Pages (from-to)382-390
Number of pages9
JournalOrthopaedic Nursing
Volume35
Issue number6
DOIs
StatePublished - 2016

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Knee Replacement Arthroplasties
Outpatients
Therapeutics
Knee Osteoarthritis
Articular Range of Motion
Knee
Health
Ambulatory Care Facilities
Medical Records
Cohort Studies
Rehabilitation
Retrospective Studies

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Advanced and Specialized Nursing

Cite this

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title = "A comparative study to determine functional and clinical outcome differences between patients receiving outpatient direct physical therapy versus home physical therapy followed by outpatient physical therapy after total knee arthroplasty",
abstract = "Background: Rehabilitation outcomes for patients with total knee arthroplasty (TKA) after hospital discharge are not well understood. Purpose: The purpose of this retrospective cohort study was to describe outpatient physical therapy (PT) after TKA and compare short-term (2 months) functional and clinical outcomes of patients following TKA who were discharged from the hospital to home and received (a) outpatient PT immediately (OP) or (b) home health PT before outpatient PT (HH). Methods: The medical records of 109 men and women postoperative TKA discharged home were abstracted for the 6-minute walk test (6MWT), Knee Osteoarthritis and Outcome Score (KOOS), and knee range of motion (ROM) preoperatively and after discharge from all postoperative PT. Patients received outpatient clinic-based PT immediately after discharge from the hospital (OP) (n = 87) or home health PT before continued rehabilitation in an outpatient setting (HH) (n = 22). Results: Despite demographic differences between OP and HH preoperatively, adjusted models revealed no significant differences among KOOS, 6MWT, or knee ROM between OP and HH upon completion of postoperative PT. Patients in OP completed PT on average 20 days sooner (p =.0007), although the amount of time in outpatient PT (p =.55) and the number of outpatient PT visits (p =.68) were similar between groups. Conclusion: Gains in function were achieved by patients in OP and HH independent of the postoperative PT setting, although OP achieved gains sooner.",
author = "Meghan Warren and Jennifer Kozik and Jon Cook and Paul Prefontaine and Kathleen Ganley",
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T1 - A comparative study to determine functional and clinical outcome differences between patients receiving outpatient direct physical therapy versus home physical therapy followed by outpatient physical therapy after total knee arthroplasty

AU - Warren, Meghan

AU - Kozik, Jennifer

AU - Cook, Jon

AU - Prefontaine, Paul

AU - Ganley, Kathleen

PY - 2016

Y1 - 2016

N2 - Background: Rehabilitation outcomes for patients with total knee arthroplasty (TKA) after hospital discharge are not well understood. Purpose: The purpose of this retrospective cohort study was to describe outpatient physical therapy (PT) after TKA and compare short-term (2 months) functional and clinical outcomes of patients following TKA who were discharged from the hospital to home and received (a) outpatient PT immediately (OP) or (b) home health PT before outpatient PT (HH). Methods: The medical records of 109 men and women postoperative TKA discharged home were abstracted for the 6-minute walk test (6MWT), Knee Osteoarthritis and Outcome Score (KOOS), and knee range of motion (ROM) preoperatively and after discharge from all postoperative PT. Patients received outpatient clinic-based PT immediately after discharge from the hospital (OP) (n = 87) or home health PT before continued rehabilitation in an outpatient setting (HH) (n = 22). Results: Despite demographic differences between OP and HH preoperatively, adjusted models revealed no significant differences among KOOS, 6MWT, or knee ROM between OP and HH upon completion of postoperative PT. Patients in OP completed PT on average 20 days sooner (p =.0007), although the amount of time in outpatient PT (p =.55) and the number of outpatient PT visits (p =.68) were similar between groups. Conclusion: Gains in function were achieved by patients in OP and HH independent of the postoperative PT setting, although OP achieved gains sooner.

AB - Background: Rehabilitation outcomes for patients with total knee arthroplasty (TKA) after hospital discharge are not well understood. Purpose: The purpose of this retrospective cohort study was to describe outpatient physical therapy (PT) after TKA and compare short-term (2 months) functional and clinical outcomes of patients following TKA who were discharged from the hospital to home and received (a) outpatient PT immediately (OP) or (b) home health PT before outpatient PT (HH). Methods: The medical records of 109 men and women postoperative TKA discharged home were abstracted for the 6-minute walk test (6MWT), Knee Osteoarthritis and Outcome Score (KOOS), and knee range of motion (ROM) preoperatively and after discharge from all postoperative PT. Patients received outpatient clinic-based PT immediately after discharge from the hospital (OP) (n = 87) or home health PT before continued rehabilitation in an outpatient setting (HH) (n = 22). Results: Despite demographic differences between OP and HH preoperatively, adjusted models revealed no significant differences among KOOS, 6MWT, or knee ROM between OP and HH upon completion of postoperative PT. Patients in OP completed PT on average 20 days sooner (p =.0007), although the amount of time in outpatient PT (p =.55) and the number of outpatient PT visits (p =.68) were similar between groups. Conclusion: Gains in function were achieved by patients in OP and HH independent of the postoperative PT setting, although OP achieved gains sooner.

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