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ORIGINAL ARTICLE
Year : 2019  |  Volume : 2  |  Issue : 3  |  Page : 117-125

Hospital versus home-based rehabilitation in patients undergoing knee arthroplasty: Evaluation of current evidence through meta-analysis approach


Public Health, Indian Institute of Public Health Gandhinagar, Gandhinagar, Gujarat, India

Correspondence Address:
Dr. Komal Shah
Indian Institute of Public Health Gandhinagar, Gandhinagar-Chiloda Road, Gandhinagar - 382 042, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jisprm.jisprm_54_19

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Background: Rehabilitation techniques have provided encouraging results in achieving functional goals in patients undergoing total hip &/or knee arthroplasty. Aims and Objectives: Current meta-analysis compares hospital-based rehabilitation techniques for improving pain score and functional status of patients undergoing hip and knee arthroplasty. Methods: From 1332 initial articles, 29 randomized controlled trials were included in quantitative synthesis. Results: Higher improvement in oxford knee score [MD = -0.60, 95% CI: -1.69 to 0.48, I2–58%, P = 0.05], 6 minutes' walk test [MD = 22.27, 95% CI: -1.96 to 46.49, I2–53%, P =0.06], mental health [MD = 3.56, 95% CI: -0.62 to -7.74, I2–88%, P < 0.00001] was observed with home as compared to hospital based rehabilitation. Greater cost reduction (P = 0.04) benefits were associated with home-based rehabilitation techniques. Conclusion: Home-based rehabilitation technique is clinical and cost-effective alternative of hospital-based rehabilitation in the patients undergoing knee arthroplasty.


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