I realize this particular abstract outlines a future study and has no results yet. As I read the abstract it really made me wonder.
So, here in the States, most individuals are discharged from the hospital after a total knee athroplasty day 2 or 3. In the Netherlands, it appears discharge happens day 3 or 5 post operatively.
The proposed exercise program would begin day 4 or day 6 post operatively. I don't know about what happens across the country, but I'm amazed at the progression. In my area, if a patient has home health services, the physical therapists won't utilize or even have a patient utilize their stationary bikes or recumbent bikes. So much time and energy is spent on standing on the non-surgical side and doing marches and kick backs and hip abduction with the surgical side. Patients will typically bring in a booklet of exercises that take the majority of their time to perform.
I need to rethink my progression. I begin to push patients to begin a walking program at the 4 week point and pushing themselves doing stairs. I suppose I'm typically worried about joint swelling. I worry about motion not occurring due to joint swelling. I need to think like the Dutch and begin to be a bit more aggressive in pushing the two activities that I have feared my whole career!
Oh... I appreciated the accelerometer-based activity sensor. I have a feeling it will help patients be more accountable. When we can find something that gives feedback on their stretches and their progress in that area, that will be hugely helpful also.
Below you will find a quick view of the abstract.