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Total knee arthroplasty (TKA) generally is followed by a period of rehabilitation that might occur in inpatient or outpatient settings or at home — and most patients have good outcomes, regardless of where rehabilitation takes place. When patients are at risk for poor outcome, it is unclear whether regular outpatient rehab visits add any value to home physical therapy.
To address this question, researchers in the U.K. (where rehabilitation after TKA occurs largely at home) enrolled 334 patients with substantial pain and disability 6 weeks after TKA and randomized them either to 18 home exercise sessions during 6 weeks or to a similar home exercise program supplemented by weekly one-on-one outpatient visits with a physical therapist.
At random…