Orthopedics

In recent years, a combination of unimodal evidence-based perioperative care components has been demonstrated to enhance recovery with decreased need for hospitalization, convalescence, and risk of medical complications (the fast-track methodology or enhanced recovery programs). The orthopedic research conducted in PMR-C, focuses on the effectiveness of the peri-operative care component “physical rehabilitation” to enhance recovery after different types of fast-track surgery. The research approach is a three-step model. The model is used to  (1) quantify impairments so that physical rehabilitation modalities can be specifically designed, (2) determine the feasibility of physical rehabilitation modalities aimed at identified impairments, and (3) establish the effectiveness of physical rehabilitation modalities that have proven feasible. 

Selected papers
Bandholm & Kehlet (2012). Physiotherapy exercise after fast-track total hip and knee arthroplasty: time for reconsideration? Arch Phys Med Rehabil 93: 1292-1294.

Kehlet H (2013). Fast-track hip and knee arthroplasty. Lancet 381: 1600-1602.

Kristensen MT (2011). Factors affecting functional prognosis of patients with hip fracture. Eur J Phys Rehabil Med 47: 257-264.


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