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Published on: April 19, 2019
Home-based vs supervised rehabilitation programs following knee surgery: a systematic review
Rocco Papalia1, Sebastiano Vasta, Andrea Tecame
1Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo 200, Rome, Italy.
British Medical Bulletin
|May 22, 2013
Summary
Home-based and supervised outpatient rehabilitation after knee surgery show similar outcomes. Patient factors like comorbidities and motivation significantly influence results, necessitating further research into personalized approaches.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Evidence-Based Practice
Background:
- Postoperative rehabilitation significantly impacts knee surgery outcomes.
- A systematic review was conducted to compare home-based versus supervised outpatient rehabilitation.
Purpose of the Study:
- To systematically review and compare clinical outcomes of home-based and outpatient supervised rehabilitation protocols following knee surgery.
Main Methods:
- Searched multiple databases (Medline, CINAHL, Embase, Google Scholar, Cochrane Library, SPORTDiscus).
- Included studies comparing clinical outcomes of different knee surgery rehabilitation programs.
- Evaluated methodological quality using the Coleman Methodology Score (CMS).
Main Results:
- Eighteen studies (15 prospective randomized trials) were reviewed.
- No significant overall difference in outcomes between supervised and home-based protocols.
- Mean CMS was 77.2, indicating generally good study quality.
Conclusions:
- Rehabilitation supervision and location do not appear to be direct determinants of final knee surgery outcomes.
- Patient comorbidities and motivation are key variables influencing results.
- Future research should investigate these variables and design studies for clearer comparisons.
