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Effects of preoperative Otago exercise program on rehabilitation in total knee arthroplasty patients
Wang Q, Ma J, Yan M, Yan Y, Wang Y, Bian D
International Journal of Clinical and Experimental Medicine 2020;13(8):5914-5922
clinical trial
8/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Unspecialized perioperative functional exercise guidance for lack of professional rehabilitation therapists in China delayed the rehabilitation of total knee arthroplasty (TKA) patients. To investigate the intervention effect of preoperative Otago exercise program (OEP) on rehabilitation in TKA patients, 200 TKA cases from October 2018 to October 2019 were selected and divided into control group and OEP group by random. The control group was administrated with routine perioperative orthopedic nursing while the OEP group was administrated with Otago exercise program besides the regular orthopedic nursing. On the postoperative third, seventh and fourteenth days, range of motion (ROM) of the knee joint in OEP group increased significantly compared with the control group. HSS knee score, Barthel Index score, and modified falls efficacy scale (MFES) score of OEP group were significantly higher than those of the control group. Therefore, preoperative OEP is beneficial to TKA patients in accelerating rehabilitation and lowering the risk of falling.

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