| Objective: To investigate the effect of short-term preoperative family rehabilitation on total knee arthroplasty (TKA). Methods: Thirty cases of TKA were randomly divided into the pre-rehabilitation group (n=15) and the control group (n=15). Patients in the pre-habilitation group received preoperative family rehabilitation for 2 weeks before TKA, while those in the control group did not adopt any preoperative rehabilitation. All patients received the same regular pre-surgical education, surgery and post-surgical rehabilitation. The Visual Analogue Scale (VAS) of pain, active range of motion (AROM), and Hospital for Special Surgery-Knee Scale (HSS-KS) were evaluated on admission, one day prior to the operation and 8 weeks after operation respectively. Patients were assessed for their rehabilitation compliance on the postoperative day (POD) 3 and satisfaction of patients at 8th week after operation between the two groups. Results: There was no significant difference in baseline data between the two groups (P>0.05). Before operation, the VAS score in the pre-rehabilitation group was significantly lower than that at admission (P<0.05). The scores of VAS at 8th week after TKA were reduced significantly in both two groups as compared with those at admission and before the surgery (P<0.05), and those in pre-rehabilitation group were significantly lower than those in the control group (P<0.05). No significant change in scores of AROM and HSS-KS was found in the two groups at admission and before operation (P>0.05).Though there was no significant improvement in scores of AROM and HSS-KS in the pre-rehabilitation group at admission as compared with pre-operation and 8 weeks after TKA, scores of AROM and HSS-KS at 8th week after TKA were significantly higher in the pre-rehabilitation group than those in the control group (P<0.05). The rehabilitation compliance and satisfaction in the prehabilitation group were significantly superior to those in the control group (P<0.05). Conclusion: Short-term preoperative family rehabilitation can relieve joint pain before TKA, and plays an important role in knee function improvement, rehabilitation exercise compliance, and satisfaction in patients after TKA. |
