A specific inpatient aquatic physiotherapy program improves strength after total hip or knee replacement: A randomised controlled trial

Journal article


Rahmann, Ann Elizabeth, Brauer, Sandra G. and Nitz, Jennifer C. 2009. A specific inpatient aquatic physiotherapy program improves strength after total hip or knee replacement: A randomised controlled trial. Archives of Physical Medicine and Rehabilitation. 90 (5), pp. 745 - 755. https://doi.org/10.1016/j.apmr.2008.12.011
AuthorsRahmann, Ann Elizabeth, Brauer, Sandra G. and Nitz, Jennifer C.
Abstract

Objective To evaluate the effect of inpatient aquatic physiotherapy in addition to usual ward physiotherapy on the recovery of strength, function, and gait speed after total hip or knee replacement surgery. Design: Pragmatic randomized controlled trial with blinded 6-month follow-up. Setting: Acute-care private hospital. Participants: People (n=65) undergoing primary hip or knee arthroplasty (average age, 69.6±8.2y; 30 men). Interventions: Participants were randomly assigned to receive supplementary inpatient physiotherapy, beginning on day 4: aquatic physiotherapy, nonspecific water exercise, or additional ward physiotherapy. Main Outcome Measures: Strength, gait speed, and functional ability at day 14. Results: At day 14, hip abductor strength was significantly greater after aquatic physiotherapy intervention than additional ward treatment (P=.001) or water exercise (P=.011). No other outcome measures were significantly different at any time point in the trial, but relative differences favored the aquatic physiotherapy intervention at day 14. No adverse events occurred with early aquatic intervention. Conclusions: A specific inpatient aquatic physiotherapy program has a positive effect on early recovery of hip strength after joint replacement surgery. Further studies are required to confirm these findings. Our research indicates that aquatic physiotherapy can be safely considered in this early postoperative phase.

Keywordsarthroplasty; replacement; hydrotherapy; physical therapy modalities; rehabilitation
Year2009
JournalArchives of Physical Medicine and Rehabilitation
Journal citation90 (5), pp. 745 - 755
PublisherW.B. Saunders Company
ISSN0003-9993
Digital Object Identifier (DOI)https://doi.org/10.1016/j.apmr.2008.12.011
Page range745 - 755
Research GroupSchool of Allied Health
Place of publicationUnited States of America
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