Abstract

Background/Purpose: Osteoarthritis affects a large population of adults and is the leading cause of disability in America, but has few effective treatments. The purpose of this review was to evaluate the effectiveness of physical therapy intervention versus total knee replacement on the functional outcome of the timed up and go test. Case Description: Miss R, a 75-year-old female underwent a total knee arthroplasty to her left knee. She had physical therapy rehabilitation post-operatively at a skilled nursing facility for 26 days. Outcomes: Miss R was discharged home to continue rehabilitation in an outpatient setting. During her rehabilitation she had progressed her functional deficits enough to return to her home and live independently. She was ambulating with a cane over 1000 feet and was independent for all transfers, bed mobility, and activities of daily living. Discussion: A literary review revealed that overall timed up and go scores improved for patients with osteoarthritis that underwent a total knee arthroplasty or physical therapy interventions, however the improvements were often found to be not statistically significant or were not equivalent to healthy age-matched adult controls.

Provenance

Submitted by Alyson Nicole Wilson (awilson9@salud.unm.edu) on 2014-06-25T19:32:35Z No. of bitstreams: 1 Alyson Wilson Capstone OA PT vs TKA to improve TUG.pdf: 3348160 bytes, checksum: 6ceadbc41321f4506bacf90fa2dae726 (MD5), Made available in DSpace on 2014-06-25T19:32:35Z (GMT). No. of bitstreams: 1 Alyson Wilson Capstone OA PT vs TKA to improve TUG.pdf: 3348160 bytes, checksum: 6ceadbc41321f4506bacf90fa2dae726 (MD5)

Document Type

Capstone

Comments

Case study and literature review to answer the PICO question "For people with osteoarthritis of the knee, does physical therapy alone or a total knee arthroplasty improved timed up and go scores more?

Keywords

Total Knee Arthroplasy, Osteoarthritis, Physical Therapy, Timed Up and Go

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