Do patient factors and prehabilitation improve outcomes after total knee arthroplasty?

  • S.W. C
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Abstract

BACKGROUND: Total knee arthroplasty has been a treatment option for knee osteoarthritis since 1954. Recent evidence has identified various patient factors and prehabilitation strategies that may improve postoperative outcomes. OBJECTIVE:: To evaluate the influence of patient factors and prehabilitation on postoperative outcomes. METHODS: The literature was reviewed from 1954 to 2012 using PubMed, CINAHL, and ProQuest. RESULTS: Strength, age, range of motion, pain, and expectations have the strongest influence. Obesity, timing, and gender have the least influence. Short-term prehabilitation using neuromuscular electrical stimulation and proprioception training may improve outcomes. CONCLUSION: Patient factors and prehabilitation seem to be beneficial, but further research is needed. Copyright © 2013 Lippincott Williams & Wilkins.

Author-supplied keywords

  • analgesia
  • article
  • body mass
  • catastrophizing
  • flexion contracture
  • functional training
  • gait
  • gender
  • human
  • knee function
  • knee osteoarthritis
  • knee pain
  • muscle strength
  • muscle weakness
  • neuromuscular electrical stimulation
  • obesity
  • outcome assessment
  • patient satisfaction
  • postoperative pain
  • postoperative period
  • prehabilitation
  • preoperative care
  • proprioception
  • quadriceps femoris muscle
  • quality of life
  • range of motion
  • rehabilitation care
  • self concept
  • surgical timing
  • systematic review
  • time
  • total knee replacement

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Authors

  • Cheatham S.W.

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