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Table 3 The high-intensity physiotherapy program

From: Recovery trajectories over six weeks in patients selected for a high-intensity physiotherapy program after Total knee Arthroplasty: a latent class analysis

Aims program

Improving physical functioning

Improving physical activity level in daily life

Improving self-management skills

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.