Knie-artrose

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Feit

Bij hardlopen wordt de knie belast met 6x uw lichaamsgewicht bij elke stap

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Value-Based Health Care

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Orthopedie Groot Eindhoven

Goede uitleg is essentieel voor juiste keuze behandeling

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RPA Janssen MD PhD

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Spreekuur / Policlinique / Outpatient clinic

Nederlandse Vereniging voor Arthroscopie

Máxima Medisch Centrum

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Fact

Kneecap pain is a regular occurrence in fitness knee rehabilitation

Knee osteoarthritis

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Fact

When running, the knee is loaded with 6x your body weight with each step

Rationale and design of the PaTIO study: PhysiotherApeutic Treat-to-target Intervention after Orthopaedic surgery

Groot L, Gademan MGJ, Peter WF, van den Hout WB, Verburg H, Vliet Vlieland TPM, Reijman M; PaTIO study group
BMC Musculoskelet Disord. 2020 Aug 14;21(1):544

 

Abstract

Background: Physiotherapy is a proven effective treatment strategy after total knee and hip arthroplasty (TKA/THA), however there is considerable practice variation regarding its timing, content and duration. This study aims to compare the (cost-) effectiveness of a standardized, treat-to-target postoperative physiotherapy strategy with usual postoperative care.

Methods: Using a cluster randomized study design, consecutive patients scheduled for a primary TKA/THA in 18 hospitals in the Netherlands will be assigned to the treat-to-target physio therapy strategy or usual postoperative care. With the treat-to-target strategy a standardized, individually tailored, exercise program is aimed at the attainment of specific functional milestones. Assessments are done at baseline, 6 weeks and 3, 6, 9 and 12 months follow up. The primary outcome will be the Knee injury / Hip disability and Osteoarthritis Outcome Score – Physical Function Short Form (KOOS-PS / HOOS-PS) at 3 months follow up. Secondary outcomes are the numeric rating scale for pain, the Oxford Knee and Hip Scores, performance-based test and the EuroQol 5D-5L for quality of life. Healthcare use, productivity and satisfaction with postoperative care are measured by means of questionnaires. In total, 624 patients will be needed of which 312 TKA and 312 THA patients.

Discussion: The study will provide evidence concerning the (cost-) effectiveness of the treat-to-target postoperative physiotherapy treatment compared to usual postoperative care. The results of this study will address an important evidence gap and will have a significant impact in daily practice of the physio therapist.

Trial registration: Registered in the Dutch Trial Registry on April 15, 2018. Registration number: NTR7129 .

Keywords: Arthroplasty, replacement, hip; Arthroplasty, replacement, knee; Cost-benefit analysis; Physiotherapy modalities; Randomized controlled trial.

Link to Open Access publication