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Orthopaedic Proceedings
Vol. 100-B, Issue SUPP_3 | Pages 6 - 6
1 Apr 2018
Beswick A Wylde V Artz N Lenguerrand E Jepson P Sackley C Gooberman-Hill R Blom A
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Background

To aid recovery, rehabilitation is an important adjunct to surgery. Acknowledging the MRC framework for complex interventions we assessed the evidence-base for components of comprehensive rehabilitation in total hip (THR) and total knee replacement (TKR) pathways.

Methods

We conducted systematic reviews and meta-analyses of randomised controlled trials (RCT) of pre-surgical exercise and education, occupational therapy and post-operative physiotherapy. In feasibility RCTs we explored acceptability of pain self-management and occupational therapy before THR, and physiotherapy after TKR. We searched trial registers for ongoing RCTs.