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Impact of home-based exercise and clinic-based physiotherapy on mobility status of patients undergoing total knee
Mohammadamin Ahmadi1, Esmaeil Teymoori2, Armin Fereidouni3
1Orthopedic Surgeon, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Background:
Total knee replacement (TKR) is a common intervention for knee osteoarthritis; however, the most effective post-surgical rehabilitation strategy remains uncertain. This study aimed to compare the effects of home-based exercise versus clinic-based physiotherapy on functional mobility in patients following TKR.
Methods:
A single-center randomized controlled trial was conducted involving 80 TKR patients. Participants were randomly assigned to either a home-based exercise group (n = 40) or a clinic-based physiotherapy group (n = 40). Both groups followed structured, four-week rehabilitation protocols. Functional mobility was assessed pre- and post-intervention using the Lysholm Knee Scoring Scale.
Results:
Both groups demonstrated statistically significant improvements in functional mobility after the intervention (p < 0.001). However, no significant difference was observed between the two rehabilitation approaches (p = 0.078).
Conclusion:
These findings suggest that home-based rehabilitation is as effective as clinic-based physiotherapy for enhancing mobility after TKR. The structure of the rehabilitation program and patient adherence may play a more critical role than the setting in determining outcomes.
Trial Registration:
IRCT20230928059543N3, July 25, 2024.

