title: Late group-based rehabilitation has no advantages compared with supervised home-exercises after total knee arthroplasty.
abstract: BACKGROUND
  This study aimed to test whether group-based rehabilitation focusing on strength training, education and self-management is more effective than individual, supervised home-training after fast-track total knee arthroplasty (TKA).
  
  
  METHODS
  We allocated 80 participants undergoing primary TKA to either group-based rehabilitation or individual, supervised home-training (40 participants in each group). The group-based rehabilitation consisted of 12 outpatient visits during six weeks including strength and endurance exercises, education and self-management combined with home exercises. The primary outcome was Oxford Knee Score; secondary outcomes were EuroQoL-5 Dimensions QoL and Physical Function of the Medical Outcomes Short Form 36. Tertiary outcomes were pain, knee range of motion, tandem test, Leg Extensor Power, 10-m walking test, 30-sec. and five-times sit-to-stand. Outcomes were assessed four weeks, three months and six months after surgery. In addition, the questionnaires were completed before surgery.
  
  
  RESULTS
  We found no difference in gain of function or quality of life between the two groups at three and six months follow-up.
  
  
  CONCLUSIONS
  Individual, supervised home-training and group-based rehabilitation programmes improved patients' quality of life and physical function equally six months after TKA.
  
  
  BACKGROUND
  This study was funded by Holstebro Municipality, Region of Central Jutland, and Lundbeck Centre for Fast-Track Hip and Knee Surgery.
  
  
  BACKGROUND
  The study was registered in the Danish Data Protection Agency (Registration no.: 1-16-02-41-10) and Clinical Trials (Registration no.: KL24621).
authors: Orthopaedic Research Unit, Department of Orthopaedics, Holstebro Regional Hospital, Lægårdvej 12, Holstebro, Denmark.
authors: Majbritt
authors: M
authors: Madsen
authors: Kristian
authors: K
authors: Larsen
authors: Inger Kirkegård
authors: IK
authors: Madsen
authors: Hanne
authors: H
authors: Søe
authors: Torben B
authors: TB
authors: Hansen
mesh_terms: D000368:Aged; D000553:Ambulatory Care; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects / Q000534:rehabilitation*; D005080:Exercise Test; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006699:Home Care Services; D006801:Humans; D007719:Knee Joint / Q000503:physiopathology; D035002:Lower Extremity / Q000502:physiology; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength; D018482:Muscle, Skeletal / Q000502:physiology; D010149:Postoperative Pain / Q000209:etiology / Q000534:rehabilitation; D010353:Patient Education as Topic; D011788:Quality of Life; D016059:Range of Motion, Articular; D020127:Recovery of Function; D055070:Resistance Training; D012648:Self Care; D011795:Surveys and Questionnaires; D013997:Time Factors; D016138:Walking / Q000502:physiology