Authors' objectives: The objective of this analysis was to assess the effectiveness of increased intensity of rehabilitation during the acute hospitalization period after primary hip arthroplasty and knee arthroplasty.

Authors' recommendations: Research Question 1: Intensity of rehabilitation during the acute care stay after primary hip arthroplasty In total hip arthroplasty (THA) patients receiving higher intensity physiotherapy (PT) rehabilitation compared with lower intensity PT rehabilitation during the immediate acute care hospitalization period, there was: A statistically, but not clinically, significant difference in functional status measured using the Iowa Level of Assistance score at 3 days after surgery, and no significant difference 6 days after surgery based on moderate quality of evidence No significant difference in acute care hospital length of stay based on very low quality of evidence Research Question 2: Intensity of rehabilitation during the acute care stay after primary knee arthroplasty Among total knee arthroplasty (TKA) patients receiving higher intensity PT rehabilitation compared with lower intensity PT rehabilitation during the immediate acute care hospitalization period, there was no significant difference in hospital length of stay based on very low quality of evidence.

Project Status: Completed

Year Published: 2013

URL for published report: http://www.hqontario.ca/Portals/0/Documents/eds/rapid-reviews/rehabilitation-after-hip-knee-arthroplasty-131120-en.pdf

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: Canada

Organisation Name: Health Quality Ontario

Contact Address: Evidence Development and Standards, Health Quality Ontario, 130 Bloor Street West, 10th floor, Toronto, Ontario Canada M5S 1N5

Contact Name: EDSinfo@hqontario.ca

Contact Email: OH-HQO_hta-reg@ontariohealth.ca

Copyright: Health Quality Ontario