title: Comprehensive geriatric assessment of effects of hospitalization and long-term rehabilitation of patients following lower extremity arthroplasty.
abstract: [Purpose] This study was performed to examine the effects of subacute physical therapy (PT) on activities of daily living (ADL), quality of life, and geriatric aspects of patients who underwent total knee arthroplasty (TKA) or total hip arthroplasty (THA). [Subjects] The subjects were TKA (n=56) and THA (n=39) patients who received PT on the first day of independent ADL (up to 2 weeks) and just prior to discharge (4 weeks). [Methods] The functional independence measure (FIM), grip strength, knee extension strength (KES), timed up and go (TUG) test, mini-mental state examination (MMSE), geriatric depression scale short form (GDS-15), fall efficacy scale (FES), and medical outcome study 8-item short-form health survey (SF-8) were used as outcome measure, and comorbidity involvement was also investigated. [Results] Improvements in FIM, KES, TUG, GDS-15, FES, and SF-8 scores were seen in both groups (effect size, 0.31-0.87). Poor PT effects were found for THA patients aged ≥65 years, for TKA and THA patients with an MMSE score ≤28, and for THA patients with two or more comorbidities. [Conclusion] Positive effects were seen in patients who received PT at 2-4 weeks after surgery. Thus, additional PT for approximately 2 weeks after the beginning of independent ADL may be beneficial.
authors.affiliation: Rehabilitation Units, Shiga University of Medical Science, Japan.
authors.forename: Yuma
authors.initials: Y
authors.lastname: Sonoda
authors.affiliation: Rehabilitation Units, Shiga University of Medical Science, Japan.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Sawano
authors.affiliation: Rehabilitation Units, Shiga University of Medical Science, Japan.
authors.forename: Yuka
authors.initials: Y
authors.lastname: Kojima
authors.affiliation: Rehabilitation Units, Shiga University of Medical Science, Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Kugo
authors.affiliation: Rehabilitation Units, Shiga University of Medical Science, Japan.
authors.forename: Masashi
authors.initials: M
authors.lastname: Taniguchi
authors.affiliation: Rehabilitation Units, Shiga University of Medical Science, Japan.
authors.forename: Shoji
authors.initials: S
authors.lastname: Maegawa
authors.affiliation: Rehabilitation Units, Shiga University of Medical Science, Japan; Department of Orthopedic Surgery, Shiga University of Medical Science, Japan.
authors.forename: Taku
authors.initials: T
authors.lastname: Kawasaki
keywords: Comprehensive geriatric assessment (CGA); Total hip arthroplasty (THA); Total knee arthroplasty (TKA)