From: Recovery and the use of postoperative physical therapy after total hip or knee replacement
THA | TKA | THA | TKA | |||||||
---|---|---|---|---|---|---|---|---|---|---|
n = 1289 | n = 1333 | No postoperative PT n = 110 | < 12 weeks postoperative PT n = 503 | ≥ 12 weeks postoperative PT n = 676 | Difference between PT groups P Value | No postoperative PT n = 31 | < 12 weeks postoperative PT n = 377 | ≥ 12 weeks postoperative PT n = 925 | Difference between PT groups P Value | |
Sex, female; n (%) | 771 (59.8) | 844 (63.3) | 63 (57.3) | 279 (55.5) | 429 (63.5) | 0.018 | 7 (54.8) | 218 (57.8) | 609 (65.8) | 0.015 |
Age, years | 68.3 (8.8) | 67.5 (8.4) | 69.9 (8.1) | 69.3 (8.5) | 67.3 (9.1) | < 0.001 | 67.1 (9.6) | 69.9 (7.9) | 66.5 (8.4) | < 0.001 |
Body mass index; kg/m2 | 27.2 (4.2) | 29.3 (4.6) | 27.4 (4.9) | 27.1 (4.1) | 27.4 (4.2) | 0.409 | 28.9 (5.4) | 29.6 (4.7) | 29.2 (4.5) | 0.309 |
Living status; n (%) | 0.015 | 0.015 | ||||||||
- Alone | 281 (21.8) | 309 (23.2) | 36 (32.7) | 104 (20.7) | 141 (20.9) | 12 (38.7) | 100 (26.5) | 197 (21.3) | ||
- With others | 1008 (78.2) | 1024 (76.8) | 74 (67.3) | 399 (79.3) | 535 (79.1) | 19 (61.3) | 277 (73.5) | 728 (78.7) | ||
Working, yes; n (%) | 306 (23.9) | 327 (24.5) | 23 (20.9) | 103 (20.6) | 180 (26.8) | 0.036 | 5 (16.1) | 57 (15.2) | 265 (29.0) | < 0.001 |
Working < 67 years | 280 (55.0) | 303 (53.0) | 21 (56.8) | 91 (51.1) | 168 (57.3) | 0.412 | 5 (41.7) | 49 (42.6) | 249 (56.2) | 0.024 |
Comorbidity*, yes, n (%) | ||||||||||
- Musculoskeletal | 501 (38.9) | 557 (41.8) | 47 (42.7) | 195 (38.8) | 259 (38.3) | 0.978 | 13 (41.9) | 159 (42.2) | 385 (41.6) | 0.833 |
- Non‐musculoskeletal | 795 (61.7) | 821 (61.6) | 71 (64.5) | 291 (57.9) | 433 (64.1) | 0.381 | 20 (64.5) | 238 (63.1) | 536 (60.39) | 0.170 |
- Sensory impairments | 65 (5.0) | 73 (5.5) | 3 (2.7) | 21 (4.2) | 41 (6.1) | 0.176 | 4 (12.9) | 23 (6.1) | 46 (5.0) | 0.121 |
Comorbidity, count, n (%) | 0.45 | 0.23 | ||||||||
- 0 | 214 (16.6) | 184 (13.8) | 14 (12.7) | 88 (17.5) | 112 (16.6) | 5 (16.1) | 43 (11.4) | 136 (14.7) | ||
- 1 or 2 | 738 (57.3) | 727 (54.5) | 74 (67.3) | 294 (58.4) | 370 (54.7) | 16 (51.6) | 207 (54.9) | 504 (54.5) | ||
- 3 or 4 | 280 (21.7) | 334 (25.1) | 18 (16.4) | 97 (19.3) | 165 (24.4) | 8 (25.8) | 97 (25.7) | 229 (24.8) | ||
- 5 or more | 57 (4.4) | 88 (6.6) | 4 (3.6) | 24 (4.8) | 29 (4.3) | 2 (6.5) | 30 (8.0) | 56 (6.1) | ||
Preoperative PT, n (%) | 728 (56.5) | 676 (50.7) | 63 (57.3) | 246 (50.9) | 419 (64.3) | < 0.001 | 13 (41.9) | 167 (47.7) | 496 (55.6) | 0.037 |
Postoperative PT; n (%) | 0.433 | 0.028 | ||||||||
- Primary care | 1038 (89.6) | 1171 (92.3) | - | 437 (88.8) | 601 (90.2) | - | 331 (89.7) | 840 (93.3) | ||
- Secondary care | 120 (10.4) | 98 (7.7) | - | 55 (11.2) | 65 (9.8) | - | 38 (10.3) | 60 (6.7) | ||
Frequency postoperative PT; n (%) | - | < 0.001 | < 0.001 | |||||||
- 1 × per week | 556 (47.5) | 397 (30.6) | - | 295 (59.4) | 261 (38.8) | - | 178 (47.5) | 219 (23.7) | ||
- 2 × per week | 572 (48.9) | 853 (65.7) | - | 178 (35.8) | 394 (58.5) | - | 190 (50.7) | 663 (71.8) | ||
- ≥ 3 × per week | 42 (3.6) | 48 (3.7) | - | 24 (4.8) | 18 (2.7) | - | 7 (1.9) | 41 (4.4) | ||
HOOS or KOOS | ||||||||||
- Symptoms | 40.9 (18.5) | 49.8 (18.3) | 42.6 (19.7) | 42.3 (18.4) | 39.6 (18.3) | 0.030 | 50.7 (20.2) | 50.9 (18.3) | 49.3 (18.3) | 0.345 |
- Pain | 39.1 (18.5) | 39.4 (17.4) | 41.6 (22.7) | 40.7 (18.5) | 37.6 (17.7) | 0.008 | 37.1 (16.5) | 40.3 (16.5) | 39.1 (17.8) | 0.404 |
- ADL | 41.6 (19.2) | 45.9 (18.1) | 43.1 (21.5) | 43.4 (19.0) | 39.9 (18.8) | 0.007 | 44.8 (21.6) | 46.8 (17.7) | 45.6 (18.2) | 0.544 |
- Sport | 19.6 (18.9) | 10.7 (14.2) | 20.4 (18.7) | 20.5 (19.1) | 18.7 (18.8) | 0.236 | 10.5 (16.5) | 11.5 (14.4) | 10.4 (14.1) | 0.452 |
- Quality of life | 29.5 (16.4) | 26.5 (15.3) | 29.6 (16.8) | 31.3 (17.3) | 28.2 (15.5) | 0.007 | 25.3 (17.0) | 27.6 (15.5) | 26.1 (15.1) | 0.266 |
NRS pain score; | ||||||||||
- During rest | 4.6 (2.5) | 4.7 (2.6) | 4.0 (2.5) | 4.7 (2.4) | 4.8 (2.6) | 0.014 | 5.8 (2.9) | 4.3 (2.5) | 4.8 (2.6) | 0.035 |
- During activity | 6.8 (2.2) | 6.7 (2.5) | 6.5 (2.3) | 6.7 (2.3) | 6.9 (2.1) | 0.287 | 7.4 (2.5) | 6.4 (2.7) | 6.7 (2.4) | 0.230 |
SF-12 | ||||||||||
- MCS | 53.7 (10.2) | 54.9 (9.6) | 53.4 (11.7) | 54.1 (9.8) | 53.4 (10.3) | 0.434 | 53.6 (10.7) | 55.1 (9.6) | 54.8 (9.6) | 0.705 |
- PCS | 32.9 (6.2) | 32.9 (6.1) | 32.5 (6.5) | 33.2 (6.3) | 32.8 (6.0) | 0.333 | 33.3 (6.1) | 32.9 (6.1) | 32.8 (6.1) | 0.895 |
Duration of PT; n (%) | ||||||||||
- No PT | 110 (9.1) | 31 (2.2) | ||||||||
- 4 weeks | 126 (10.4) | 75 (5.3) | ||||||||
- 6 weeks | 160 (13.2) | 142 (10.1) | ||||||||
- 8 weeks | 217 (17.9) | 160 (11.3) | ||||||||
- > 12 week | 676 (55.9) | 925 (65.5) |