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Study Examines Care for Knee Replacement Patients at Physical Therapy Facilities

In an analysis of 112 records from 30 physical therapy (PT) sites regarding care for patients who had undergone total knee replacement (TKR) surgery, investigators found that the content and amount of specific exercises varied widely. The Arthritis Care & Research study also revealed that the specific details of PT interventions—including kinds of exercise, intensity, and dosage—may be important determinants of the functional outcomes of patients.

Wednesday, October 3, 2018 12:01 am EDT
"Without clear evidence for the contributions of post-acute PT following total knee replacement, new reimbursement models establish incentives that can potentially reduce post-acute PT services. Anecdotal data suggests this is already occurring for patients post TKR"

In an analysis of 112 records from 30 physical therapy (PT) sites regarding care for patients who had undergone total knee replacement (TKR) surgery, investigators found that the content and amount of specific exercises varied widely. The Arthritis Care & Research study also revealed that the specific details of PT interventions—including kinds of exercise, intensity, and dosage—may be important determinants of the functional outcomes of patients.

The results suggest that evidence-based PT interventions may be under-utilized in clinical practice and that the amount of therapy may be insufficient.

"Without clear evidence for the contributions of post-acute PT following total knee replacement, new reimbursement models establish incentives that can potentially reduce post-acute PT services. Anecdotal data suggests this is already occurring for patients post TKR,” said lead author Dr. Carol Oatis, of Arcadia University. “We are using our current results to inform further research to identify PT ‘best practice.’”

Additional Information

Link to Study: https://onlinelibrary.wiley.com/doi/10.1002/acr.23761

About Journal

Arthritis Care & Research, an official journal of the American College of Rheumatology and the Association of Rheumatology Health Professionals (a division of the College), is a peer-reviewed publication that publishes original research, review articles, and editorials that promote excellence in the clinical practice of rheumatology. Relevant to the care of individuals with rheumatic diseases, major topics are evidence-based practice studies, clinical problems, practice guidelines, educational, social, and public health issues, health economics, health care policy, and future trends in rheumatology practice.

About Wiley

Wiley is a global leader in education and scholarly research. Our online scientific, technical, medical, and scholarly journals, combined with our digital learning, assessment and certification solutions help universities, learned societies, businesses, governments and individuals increase the academic and professional impact of their work. For more than 210 years, we have delivered consistent performance to our stakeholders. The company's website can be accessed at www.wiley.com.

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