Article

The aim of this study was to compare the effects of home-based with
those of hospital-based rehabilitation on patients undergoing total knee
arthroplasty (TKA). DESIGN: PubMed, Web of Science, EMBASE, and Cochrane Library
were systematically searched for randomized controlled trials ; the studies were
assessed with the modified Jadad scale. Ten trials involving 1240 patients were
eligible for meta-analysis. RESULTS: The results revealed that home-based
rehabilitation is not inferior to hospital-based rehabilitation according to the
total Western Ontario and McMaster Universities Osteoarthritis index score,
physical function, stiffness, walk test, and Oxford Knee Score at 12 or 52 weeks
after TKA (P > 0.05). Neither pain nor knee flexion range of motion differed
between the groups in the first 12 weeks. Unexpectedly, the pain score in the
hospital-based group was better than that in the home-based group (P < 0.05),
whereas the knee flexion range of motion in the home-based group was superior to
that in the hospital-based group (P < 0.05) at 52 weeks.
The meta-analysis
revealed that the 2 rehabilitation programs have similar costs (P > 0.05).
CONCLUSION: Home-based rehabilitation after primary TKA was comparable to
hospital-based rehabilitation and thus is a significant alternative for patients.

Langue : ANGLAIS