Aims program | Improving physical functioning Improving physical activity level in daily life Improving self-management skills | |
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Inclusion criteria | For inclusion in the high-intensity physiotherapy program, the patient had to satisfy the following criteria: Patient 1) was undergoing primary TKA procedure for osteoarthritis 2) was physically able to complete the intensive program 3) had no comorbidity that hindered the patient in doing exercises two times a day 4) was independent in activities of daily living before surgery 5) had no psychological distress related to a higher risk of worse outcome (49,50) 6) had a BMI ≤ 30, (risk factor for worse outcomes) (51)) 7) provided informed consent | |
Hospital stay | Three days Physiotherapy was given two times a day with a mean duration of 18 min per session Physiotherapy consisted of education, isometric quadriceps muscle exercises, Range of Motion exercises, transfers, walking with a walking aid and walking stairs | |
Program | Location | Resort hotel |
Duration program | 10 days | |
Frequency PT | 2 times a day | |
Duration per PT session | 1.5 h | |
Intensity | High | |
Content PT | Learning dynamic and symmetric walking pattern Range of Motion exercises (outside) walking on different surfaces cycling on a home trainer transfer training muscle strength exercises walking stairs aqua therapy fall prevention education | |
Discharge home | After the program patients were advised to exercise by themselves or continue physiotherapy in the home environment if necessary till goals were achieved in activities of daily living, sport and work activities. |