Rehabilitation for total knee arthroplasty

Physical Therapy for total knee replacement.

Chronic knee pain is a leading cause of musculoskeletal disability . This condition often leads to TKA (also known as total knee replacement), which is the most commonly performed orthopedic surgery in the lower extremity. TKA consists of resection of the diseased or degenerative articular surfaces of the knee, replacing the surface with metal and polyethylene prosthetic components. The disease or degeneration is a result of destruction of the joint cartilage from osteoarthritis, rheumatoid arthritis, posttraumatic degenerative joint disease, or other pathologic conditions accounting for more than 95% of TKA surgeries.

In ours clinic we follows treatment guideline that includes only the highest-quality evidence available for any given outcome and recommendation.

In total knee arthroplasty recipients, muscular strength and power decrease by at least 24%.

 Ours Experts protocol aim on a  more demanding rehabilitation protocols to overcome these deficits.

 Ours rehabilitation strategies incorporate movement velocity, a component of power. Given its preferential activation of type 2 muscle fibers, high velocity (HV) exercise improve functional mobility. This form of exercise is defined as performing a muscle contraction as quickly as possible, or in 1 second or less. In contrast to HV, a LV muscle contraction is performed in two seconds or more. Evidence indicates that HV exercises improve static and dynamic balance while decreasing quadriceps impairment.

On the other hand, high intensity (HI) rehabilitation solely focuses on strength, defined as the contraction force. This program includes progressive resistance exercises (PRE) and rapid progression to weight-bearing (WB) exercises.