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BioMed Research International
Volume 2015, Article ID 450421, 9 pages
http://dx.doi.org/10.1155/2015/450421
Research Article

Home-Based versus Hospital-Based Rehabilitation Program after Total Knee Replacement

1Department of Nursing, Physiotherapy and Medicine, University of Almería, La Cañada de San Urbano, 04120 Almería, Spain
2Department of Psychology, University of Almería, La Cañada de San Urbano, 04120 Almería, Spain
3Health Communication, University Carlos III of Madrid, Getafe, 28903 Madrid, Spain

Received 30 June 2014; Revised 26 January 2015; Accepted 8 March 2015

Academic Editor: Giulio Gasparini

Copyright © 2015 Remedios López-Liria et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. To compare home-based rehabilitation with the standard hospital rehabilitation in terms of improving knee joint mobility and recovery of muscle strength and function in patients after a total knee replacement. Materials and Methods. A non-randomised controlled trial was conducted. Seventy-eight patients with a prosthetic knee were included in the study and allocated to either a home-based or hospital-based rehabilitation programme. Treatment included various exercises to restore strength and joint mobility and to improve patients’ functional capacity. The primary outcome of the trial was the treatment effectiveness measured by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results. The groups did not significantly differ in the leg side (right/left) or clinical characteristics (). After the intervention, both groups showed significant improvements () from the baseline values in the level of pain (visual analogue scale), the range of flexion-extension motion and muscle strength, disability (Barthel and WOMAC indices), balance, and walking. Conclusions. This study reveals that the rehabilitation treatments offered either at home or in hospital settings are equally effective.