Considerable variety in usual care rehabilitation after knee arthroplasty : a survey amongst physiotherapists


physiotherapy ; rehabilitation ; knee ; arthroplasty ; return to sports

Published online: Sep 30 2018

Suzanne Witjes , Alexander Hoorntje , Koen L.M. Koenraadt , Pjotr Goossens , Gino M.M.J. Kerkhoffs , Rutger C.I. van Geenen

From the Foundation FORCE, Department of Orthopaedic Surgery Amphia Hospital, Breda


Knee arthroplasty (KA) is increasingly performed, but rehabilitation and the possibility of returning to sports after KA are understudied areas. A web-based survey amongst physiotherapists was conducted to obtain insight in current rehabilitation methods and their return to sports advice after KA. 82 physiotherapists (62%) completed the survey. Broad agreement existed concerning important goals of rehabilitation, including the improvement of ROM, muscle strength, coordination and gait pattern. However, physiotherapists use a wide variety of treatment strategies to achieve these goals. Return to low-impact sports is mostly recommended, while return to intermediate- and high-impact sports is either advised against or considered impossible. The development of new evidence-based guidelines on physiotherapy after KA could lead to a more uniform approach in the rehabilitation for KA patients. Furthermore, investigating effects of individualization in the rehabilitation may prove valuable in optimising both patient outcomes and cost-effectiveness of this worldwide increasingly performed intervention.