Aquatic Therapy Soon After Total Knee Arthroplasty Improves Outcomes
Opposite effect found after total hip arthroplasty in a new study in the Archives of Physical Medicine and Rehabilitation
Philadelphia, PA, December 21, 2011 – Despite increased use of total hip arthroplasty (THA) and total knee arthroplasty (TKA), there is a notable lack of consensus about optimal postoperative treatment. Aquatic therapy has been shown to have a beneficial effect, and it is typically begun two weeks after surgery, after the wound has healed. According to a new study published in the Archives of Physical Medicine and Rehabilitation, beginning aquatic therapy just 6 days after TKA may lead to improved results, while delaying its onset an additional week may be more appropriate after a THA.
“This multicenter study demonstrates that the timing of physiotherapy measures, such as aquatic therapy, has clinically relevant effects after TKA,” says lead investigator Thoralf R. Liebs, MD, of the Department of Orthopaedic Surgery, University of Schleswig-Holstein Medical Center, Kiel, Germany. “Ours is one of the few studies that demonstrates a clinically important effect on the health-related quality of life after TKA by a factor that can be influenced by the healthcare professional. The intervention is simple to administer, and requires limited extra input from the health care professional.”
THA and TKA patients were randomly assigned to receive aquatic therapy beginning either 6 days or 14 days after the procedure. In both groups, therapy lasted 30 minutes, three times a week, up to the fifth postoperative week. Physical function, pain, and stiffness were evaluated 3, 6, 12, and 24 months after the procedure.
After hip arthroplasty, all measurements at every follow-up period were better in the patients who began aquatic therapy after the wound had healed. In contrast, all mean outcomes were better in the group that began therapy 6 days after knee arthroplasty.
“THA has a high rate of patient satisfaction, and patients report an improved quality of life after the procedure. Additional interventions, such as early aquatic therapy, may not lead to much improvement,” Dr. Liebs hypothesizes. “After TKA, patients are less satisfied, so the additional intervention has a greater effect. The hydrostatic force of water reduces effusion in the knee joint. Because the knee capsule is closed after TKA, reduced effusion leads to less pain. In THA, the joint capsule is not closed, so the effect of reduced effusion is less.”
The article is “Multicenter Randomized Controlled Trial Comparing Early Versus Late Aquatic Therapy Following Total Hip or Knee Arthroplasty,” by Thoralf R. Liebs, MD, Wolfgang Herzberg, MD, Wolfgang Rüther, MD, PhD, Jörg Haasters, MD, PhD, Martin Russlies, MD, PhD, Joachim Hassenpflug, MD, PhD, on behalf of the Multicenter Arthroplasty Aftercare Project, MAAP. It will appear in the Archives of Physical Medicine and Rehabilitation, Volume 93, Issue 2 (February 2012), published by Elsevier. doi:10.1016/j.apmr.2011.09.011.
# # #
Notes for editors
Full text of the article is available to credentialed journalists upon request; contact Chris Baumle at +1 215 239 3731 or email@example.com. To schedule an interview with the authors please contact Thoralf R. Liebs, MD, at +49 431 597 2431 or firstname.lastname@example.org.
About the Archives of Physical Medicine and Rehabilitation
The journal publishes original articles that report on important trends and developments in physical medicine and rehabilitation and in the more interdisciplinary field of rehabilitation. Archives of Physical Medicine and Rehabilitation brings readers authoritative information on the therapeutic utilization of physical and pharmaceutical agents in providing comprehensive care for persons with disabilities and chronically ill individuals. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal. www.archives-pmr.org
About the American Congress of Rehabilitation Medicine
The American Congress of Rehabilitation Medicine serves people with disabling conditions by promoting rehabilitation research and facilitating information dissemination and the transfer of technology. We value rehabilitation research that promotes health, independence, productivity, and quality of life for people with disabling conditions. We are committed to research that is relevant to consumers, educates providers to deliver best practices, and supports advocacy efforts that ensure adequate public funding for our research endeavors. www.acrm.org
Elsevier is a world-leading provider of scientific, technical and medical information products and services. The company works in partnership with the global science and health communities to publish more than 2,000 journals, including The Lancet and Cell, and close to 20,000 book titles, including major reference works from Mosby and Saunders. Elsevier’s online solutions include ScienceDirect, Scopus, SciVal, Reaxys, ClinicalKey and Mosby’s Suite, which enhance the productivity of science and health professionals, helping research and health care institutions deliver better outcomes more cost-effectively.
A global business headquartered in Amsterdam, Elsevier employs 7,000 people worldwide. The company is part of Reed Elsevier Group plc, a world leading provider of professional information solutions. The group employs more than 30,000 people, including more than 15,000 in North America. Reed Elsevier Group plc is owned equally by two parent companies, Reed Elsevier PLC and Reed Elsevier NV. Their shares are traded on the London, Amsterdam and New York Stock Exchanges using the following ticker symbols: London: REL; Amsterdam: REN; New York: RUK and ENL.
Executive Publisher, Elsevier
+1 215 239 3731