Международный журнал физической медицины и реабилитации
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Comparative study for Evaluation of Effectiveness of Rehabilitation in Rapid Recovery for Patients with Total Knee Arthroplasty

Laura Tosi, Nicola Scapecchi, Alessandra Testa and Giustini Alessandro

Aim: Our Rehabilitative Center joined a Surgical Center, active in the same part of Tuscany, in order to prime fast recovery model. The aim of the present study is to verify the trend of the fore mentioned ongoing project compared with the earlier rehabilitative treatment regarding patients who have undergone the same kind of total knee arthroplasty.
Design: The study is retrospective and focuses on a plurality of factors.
Setting: Surgical and rehabilitative facilities' location, patients with knee prosthesis were considered.
Population: Patients with knee prosthesis (right and left) operated in elective surgery in surgical and rehabilitative facilities' location who underwent 'Standard' or "Rapid Recovery" rehabilitation for seven days, also patients that decided to stay in rehabilitation for more than seven days by their own decision.
Methods: The first hypothesis wants to prove that the clinical-rehabilitative improvements gained with Rapid Recovery, are more significant (or at least equal) than those gained with the standard treatment. It exist a positive and statistically significant correlation (Pearson's indicator) between the clinical-rehabilitative results based on the incoming and outcoming variations of the IKSS scale (considered as primary outcome measure) and the variations of other scales: we mean to demonstrate such a positive correlation. We intend to demonstrate that 7 days of rehabilitation are necessary and sufficient to achieve significant therapeutic results.
Results and conclusion: It is possible to say that improvements with a rehabilitation program are linked to improvements in everyday life ability's recovery.
The improvements that have been found in group 3 differ significantly with group 2. A hospitalization longer than 7 days appears definitely positive and patients experience a further improvement. Notwithstanding, it can be stated that a 7 days hospitalization might be sufficient to achieve a result compatible with a return home in autonomy.