Witjes Suzanne, Hoorntje Alexander, Koenraadt Koen Lm, Goossens Pjotr, Kerkhoffs Gino Mmj, van Geenen Rutger Ci
Acta Orthop Belg. 2018 Sep;84(3):269-278.
Knee arthroplasty (KA) is increasingly performed, but rehabilitation and the possibility of returning to sports after KA are understudied areas. A web-based survey amongst physiotherapists was conducted to obtain insight in current rehabilitation methods and their return to sports advice after KA. 82 physiotherapists (62%) completed the survey. Broad agreement existed concerning important goals of rehabilitation, including the improvement of ROM, muscle strength, coordination and gait pattern. However, physiotherapists use a wide variety of treatment strategies to achieve these goals. Return to low-impact sports is mostly recommended, while return to intermediate- and high-impact sports is either advised against or considered impossible. The development of new evidence-based guidelines on physiotherapy after KA could lead to a more uniform approach in the rehabilitation for KA patients. Furthermore, investigating effects of individualization in the rehabilitation may prove valuable in optimising both patient outcomes and cost-effectiveness of this worldwide increasingly performed intervention.
膝关节置换术（KA）的实施越来越多，但KA后的康复以及恢复运动的可能性是研究不足的领域。我们对物理治疗师进行了一项基于网络的调查，以了解当前的康复方法以及他们对KA后恢复运动的建议。82名物理治疗师（62%）完成了调查。在康复的重要目标方面存在广泛共识，包括改善关节活动度（ROM）、肌肉力量、协调性和步态模式。然而，物理治疗师使用各种各样的治疗策略来实现这些目标。大多建议恢复低强度运动，而不建议或认为不可能恢复中高强度运动。制定关于KA后物理治疗的新的循证指南可能会使KA患者的康复方法更加统一。此外，研究康复个体化的效果可能对优化患者治疗效果以及这种在全球范围内越来越普遍的干预措施的成本效益具有重要价值。
