Ergometer cycling after hip or knee replacement surgery: a randomized controlled trial

The optimal treatment strategy following primary total hip or knee replacement remains unknown. The purpose of this study was to evaluate the effect of ergometer cycling after hip or knee replacement surgery on health-related quality of life and patient satisfaction. Three hundred and sixty-two patients were randomly assigned to either perform or not perform ergometer [...]

Response of male and female subjects after total knee arthroplasty to repeated neuromuscular electrical stimulation of the quadriceps femoris muscle.

The objective of this study was to examine responses to repeated neuromuscular electrical stimulation of the quadriceps femoris muscle in male and female subjects after total knee arthroplasty. Sixty-four subjects who underwent total knee arthroplasty were treated with neuromuscular electrical stimulation two to three times a week for 6 wks in addition to an exercise [...]

Continuous passive motion following total knee arthroplasty in people with arthritis.

The objective of this study was to evaluate the effectiveness of continuous passive motion following total knee arthroplasty in people with arthritis. The primary outcomes were active knee flexion range of motion, passive knee flexion range of motion, active knee extension range of motion, passive knee extension range of motion, length of hospital stay, function [...]

Prehabilitation and early rehabilitation after spinal surgery: randomized clinical trial.

The objective of this study was to evaluate the outcome after spinal surgery when adding prehabilitation to the early rehabilitation. The patients were computer randomized to prehabilitation and early rehabilitation (28 patients) or to standard care exclusively (32 patients). The intervention began two months prior to the operation. The prehabilitation included an intensive exercise programme [...]

Surgical versus non-surgical treatment for acute anterior shoulder dislocation

The objective of this review was to compare surgical versus non-surgical treatment for acute anterior dislocation of the shoulder.  The four included studies involved 163 participants, mainly active young adult males. All had had a primary (first time) traumatic anterior shoulder dislocation. Methodological quality was variable.  All participants of one trial returned to active military [...]

Multidisciplinary rehabilitation for older people with hip fractures

The objective of this study was to examine the effects of multidisciplinary rehabilitation, in either inpatient or ambulatory care settings, for older patients with hip fracture. The 13 included trials involved 2498 older, usually female, patients who had undergone hip fracture surgery. Though generally well conducted, some trials were at risk of bias such as [...]

A prospective, randomised trial of immediate exercise following lumbar microdiscectomy: a preliminary study

The objective of this study was to investigate whether immediate commencement of exercises after lumbar microdiscectomy enabled patients to become independently mobile more rapidly with no increase in risk of complications.  30 patients were randomised to an intervention group commencing exercises within 2 hours after surgery, or a control group commencing exercises on the first postoperative [...]

Factors associated with an immediate weight-bearing and early ambulation program for older adults after hip fracture repair.

The objective of this study was to evaluate baseline characteristics and in-hospital factors associated with nonadherence with an immediate weight-bearing and early ambulation (IWB-EA) program after hip fracture (HF) surgery. Participants who were older adults (N=469) admitted with an osteoporotic HF and underwent surgery underwent immediate weight-bearing and assisted ambulation training on the first postoperative [...]

Inspiratory muscle strength as a determinant of functional capacity early after coronary artery bypass graft surgery.

 The objective of this study was to evaluate the effects of a 6-day postoperative in-hospital cardiopulmonary rehabilitation program on inspiratory muscle strength and its potential association with improved functional capacity after coronary artery bypass graft (CABG) surgery.  Twenty  men were randomised to receive either usual care or a six-day cardiopulmonary rehabilitation program following CABG. The rehabilitation included the use of expiratory [...]

Effect of multiple physiotherapy sessions on functional outcomes in the initial postoperative period after primary total hip replacement: a randomized controlled trial.

The objective of this study was to determine whether increasing physiotherapy input from once to twice per day will result in earlier achievement of functional milestones (ie, independence in mobility and transfers) and decreased length of stay (LOS) in patients undergoing a primary total hip replacement. Patients (N=57) with primary total hip replacement were randomly [...]

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