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Aggressive Physical Therapy After Knee Replacement: A Critical Analysis
Author: Dr. Evelyn Reed, PhD, PT, ATC – Professor of Physical Therapy and Rehabilitation Science at the University of California, San Francisco, specializing in post-surgical rehabilitation and musculoskeletal injury.
Publisher: Elsevier – A leading publisher of scientific, technical, and medical information, known for its rigorous peer-review process and high standards of publication.
Editor: Dr. David Chen, MD – Orthopedic Surgeon with 20 years of experience specializing in knee replacement surgery and post-operative care.
Keywords: aggressive physical therapy after knee replacement, early mobilization after knee replacement, accelerated rehabilitation after knee replacement, post-operative knee rehabilitation, intensive physical therapy, knee replacement recovery, fast track knee replacement recovery.
Introduction: Redefining the Post-Operative Landscape
The field of knee replacement surgery is constantly evolving, with a growing emphasis on accelerated rehabilitation. This has led to a significant increase in the use of "aggressive physical therapy after knee replacement," a strategy aimed at maximizing functional recovery and minimizing hospital stay. This analysis critically examines the current trends and evidence supporting this approach, exploring its benefits, risks, and the crucial role of individualized treatment plans. The goal is to navigate the complexities of aggressive physical therapy after knee replacement and provide a balanced perspective for both patients and healthcare professionals.
The Rise of Aggressive Physical Therapy After Knee Replacement
Traditionally, post-knee replacement rehabilitation followed a more conservative approach, prioritizing pain management and gradual progression. However, the current trend favors "aggressive physical therapy after knee replacement," characterized by early mobilization, intense exercise programs, and a faster return to functional activities. This shift is driven by several factors:
Improved surgical techniques: Minimally invasive surgical approaches and advancements in implant design allow for quicker recovery times.
Enhanced pain management: Advances in pain management techniques minimize discomfort, facilitating earlier and more intense physical therapy.
Focus on functional outcomes: Emphasis has shifted from simply restoring range of motion to achieving rapid functional independence.
Cost-effectiveness: Shorter hospital stays and faster return to daily activities translate to lower healthcare costs.
Benefits of Aggressive Physical Therapy After Knee Replacement
The benefits of aggressive physical therapy after knee replacement are compelling:
Faster recovery: Patients typically regain mobility and strength more quickly, allowing for an earlier return to normal activities.
Improved functional outcomes: Aggressive therapy can lead to superior functional outcomes compared to traditional methods, with increased strength, flexibility, and range of motion.
Reduced hospital stay: Early mobilization and faster recovery often lead to shorter hospital stays.
Enhanced quality of life: Faster return to daily activities and improved physical function contribute to enhanced quality of life.
Risks and Considerations of Aggressive Physical Therapy After Knee Replacement
Despite the advantages, "aggressive physical therapy after knee replacement" also carries potential risks:
Increased pain: Intense therapy can lead to increased pain and discomfort, particularly in the initial stages.
Risk of complications: Pushing the patient too hard too soon may increase the risk of complications, such as implant loosening, infection, or joint instability.
Patient compliance: The intensity of aggressive therapy requires high patient compliance and motivation.
Individual variability: Recovery varies significantly among individuals, and an aggressive approach may not be suitable for all patients.
The Crucial Role of Individualized Treatment Plans
The key to successful "aggressive physical therapy after knee replacement" lies in the development of individualized treatment plans. A tailored approach considers factors such as the patient's age, overall health, pre-operative function, and surgical approach. Regular assessment and adjustments to the therapy program are crucial to ensure safety and efficacy. A collaborative approach involving surgeons, physical therapists, and other healthcare professionals is essential to optimize outcomes. Ignoring individual patient needs can negate the benefits and increase the risk of complications.
Current Trends and Future Directions
The current trend toward "aggressive physical therapy after knee replacement" reflects a paradigm shift in post-surgical rehabilitation. Research continues to explore optimal protocols, focusing on identifying predictors of successful outcomes and developing personalized rehabilitation strategies. The integration of technology, such as wearable sensors and virtual reality, holds promise for enhancing the effectiveness and efficiency of post-operative care. The future of aggressive physical therapy after knee replacement lies in developing more precise, data-driven approaches that optimize patient outcomes while minimizing the risk of complications.
Conclusion
"Aggressive physical therapy after knee replacement" offers significant potential for improving patient outcomes. However, a balanced approach is crucial, prioritizing patient safety and individual needs. A well-designed, individualized treatment plan, implemented under the careful guidance of healthcare professionals, can maximize the benefits of aggressive therapy while minimizing risks. The future of knee replacement rehabilitation lies in continuing to refine these individualized strategies and leverage technological advancements to personalize care and optimize patient recovery.
FAQs
1. Is aggressive physical therapy suitable for all patients undergoing knee replacement? No, the suitability of aggressive physical therapy depends on various factors, including the patient’s age, overall health, and the type of surgery performed. A comprehensive assessment is essential to determine the best approach for each individual.
2. What are the potential complications of aggressive physical therapy after knee replacement? Potential complications include increased pain, joint instability, infection, and implant loosening. Careful monitoring and individualized treatment planning are crucial to minimize these risks.
3. How long does aggressive physical therapy typically last after knee replacement? The duration varies depending on individual progress and goals, but it usually lasts several weeks or months.
4. What kind of exercises are typically included in aggressive physical therapy after knee replacement? Exercises focus on range of motion, strength training, balance, and functional activities such as walking and stair climbing.
5. What is the role of the surgeon in aggressive physical therapy after knee replacement? Surgeons play a crucial role in determining the suitability of aggressive therapy and closely collaborating with the physical therapist to ensure patient safety and optimal outcomes.
6. How can I ensure I am a good candidate for aggressive physical therapy? Discuss your health history and goals with your surgeon and physical therapist. Open communication and adherence to the treatment plan are crucial.
7. What are the signs that aggressive physical therapy is not working for me? Increased pain that doesn't subside with rest, swelling, instability, or significant limitations in function should be addressed immediately with your healthcare team.
8. Are there any alternative approaches to aggressive physical therapy? Yes, conservative approaches with a gradual increase in activity levels are also available. The best approach is determined collaboratively with your healthcare team.
9. How can I find a qualified physical therapist experienced in aggressive physical therapy after knee replacement? Consult your surgeon for recommendations, or search for physical therapists with certifications in orthopedic rehabilitation and experience in post-surgical care.
Related Articles:
1. Early Mobilization Protocols After Total Knee Arthroplasty: A Systematic Review: This article reviews the existing literature on early mobilization protocols, analyzing their effectiveness and identifying best practices.
2. The Role of Pain Management in Aggressive Physical Therapy After Knee Replacement: This article examines the importance of effective pain management in facilitating aggressive physical therapy and maximizing patient outcomes.
3. Predicting Outcomes of Aggressive Physical Therapy After Total Knee Arthroplasty: A Prospective Cohort Study: This study investigates factors that predict successful outcomes in patients undergoing aggressive physical therapy.
4. Comparative Effectiveness of Aggressive vs. Conservative Physical Therapy After Knee Replacement: This study compares the outcomes of aggressive and conservative approaches to post-operative rehabilitation.
5. The Impact of Age on Recovery After Knee Replacement and the Role of Aggressive Physical Therapy: This article explores the influence of age on recovery and the suitability of aggressive physical therapy in different age groups.
6. Technological Advancements in Aggressive Physical Therapy After Knee Replacement: This article discusses the use of technology such as virtual reality and wearable sensors in enhancing the effectiveness of aggressive therapy.
7. Patient-Reported Outcomes After Aggressive Physical Therapy Following Total Knee Arthroplasty: This study examines patient-reported outcomes, including quality of life and functional status, after aggressive physical therapy.
8. The Psychological Impact of Aggressive Physical Therapy After Knee Replacement: This article explores the psychological aspects of recovery, considering the challenges and benefits of intensive therapy.
9. Cost-Effectiveness Analysis of Aggressive Physical Therapy After Knee Replacement: This study assesses the economic impact of aggressive physical therapy, comparing its cost-effectiveness to traditional approaches.
| aggressive physical therapy after knee replacement: Total Knee Arthroplasty James Alan Rand, 1993 This comprehensive reference on total knee arthroplasty describes all surgical techniques and prosthetic designs for primary and revision arthroplasty, discusses every aspect of patient selection, preoperative planning, and intraoperative and postoperative care. |
| aggressive physical therapy after knee replacement: Knee Surgery João Bosco Sales Nogueira, José Alberto Dias Leite, Leonardo Heráclio Do Carmo Araújo, Marcelo Cortez Bezerra, 2020-04-22 Knee Surgery - Reconstruction and Replacement is an intriguing book. From basic to advanced concepts, it collects relevant and reliable information obtained globally from validated collaborating researchers. |
| aggressive physical therapy after knee replacement: The Knee Book - A Guide to the Aging Knee Adam S. Rosen, DO, 2021-12-09 Suffering from knee pain and desperate to know why? Discover the hows and whats of chronic discomfort and the steps you can take to get better. Seeking answers about your joint problems? Trying to decide how to decrease symptoms and improve your quality of life? Considering having an operation but worried over what it entails? Board Certified Orthopedic Surgeon, podcast host, and lecturer Dr. Adam Rosen has treated thousands of people in need of total knee and hip replacement, helping them on their journeys to wellness. Now he’s here to share his vast experience and knowledge so that you can enjoy recovery and healing, with or without surgery. The Knee Book - A Guide to the Aging Knee is the must-have resource for those with health complaints who are looking for relief. With easy-to-understand language and patient-friendly discussion, Dr. Rosen walks readers through the different types of diagnoses, treatment options from conservative fixes to going under the knife, and how to approach rehabilitation for the best results. And by relying on the crucial information offered in these pages, you will be able to talk to your doctor and move forward with an actionable plan full of confidence and hope. In The Knee Book, you’ll discover: - How to better understand why you are hurting and the things you can do to improve your symptoms - Comprehensive but easily accessible breakdown of the various kinds of diagnoses to help you make assured decisions - Simple exercises that can strengthen your legs at home and increase body functionality - Methods to control pain and use physical therapy to encourage good outcomes - Ways weight-loss can reduce suffering, straightforward explanations of common conditions such as meniscus tears, Baker’s cysts, and arthritis, and much, much more! The Knee Book is the perfect road map for navigating health challenges. If you like user-friendly descriptions, knowing all your options, and simplifying medical speech, then you’ll love Dr. Adam Rosen’s invaluable primer. Buy The Knee Book to walk without pain today! |
| aggressive physical therapy after knee replacement: The Unhappy Total Knee Replacement Michael T. Hirschmann, Roland Becker, 2015-09-15 This book addresses the need for improved diagnostic and treatment guidelines for patients in whom total knee arthroplasty (TKA) has had an unsatisfactory outcome. It opens by discussing the basics of TKA and the various causes of failure and pain. Diagnostic aspects are considered in detail, with attention to advances in clinical investigation, laboratory analysis and in particular, imaging techniques. In addition, helpful state of the art diagnostic algorithms are presented. Specific pathology-related treatment options, including conservative approaches and salvage and revision TKA strategies, are then explained, with identification of pitfalls and key points. A series of illustrative cases cover clinical scenarios frequently encountered in daily clinical practice. The evidence-based, clinically focused guidance provided in this book, written by internationally renowned experts, will assist surgeons in achieving the most effective management of these challenging cases. |
| aggressive physical therapy after knee replacement: Total Knee Replacement and Rehabilitation Daniel J. Brugioni, Jeff Falkel, 2011-01-01 While several treatment options exist for knee arthritis patients, end-stage treatment is total knee arthroplasty (TKA or total knee replacement). For patients to achieve maximum benefits of this surgical correction, they need understand and manage many important details both before and in the first year after surgery. This comprehensive guide explains everything from the preoperative decision-making process to the surgery itself, how to prepare your home for post-surgery rehabilitation, and a week by week description of how to rehabilitate yourself following your TKA. The road to recovery is laid out clearly in this book in such detail that there are no surprises. It concentrates extensively on postoperative rehabilitation, which is vital to the success of a TKA, and as important as the surgery itself. This book contains 145 exercises, 190 illustrations and photos, and questions and answers at the end of each chapter. It empowers patients with the knowledge they need to take charge of their own rehabilitation program. |
| aggressive physical therapy after knee replacement: Rehabilitation in Orthopedic Surgery Andreas B. Imhoff, Knut Beitzel, Knut Stamer, Elke Klein, Augustus D Mazzocca, 2016-05-24 Orthopedic rehabilitation –See, Understand, Apply This practical guide tells you everything you need to know about interdisciplinary aftercare and rehabilitation following orthopedic operations in the area of the extremities and the spine: concise information about surgical procedures, medical aftercare guidelines and physiotherapeutic treatment concepts for all stages of rehabilitation, based on the many years of interdisciplinary experience of physiotherapists and specialists in sports orthopedics. |
| aggressive physical therapy after knee replacement: Knee Surgery Daniel Fulham O'Neill, 2008-12-09 In this age of same-day surgery and do-it-yourself health, Knee Surgery presents an easy-to-do, well-illustrated program of movement for knee rehabilitation - with a special focus on the mind/body connection - and describes the physical and mental rehabilitation process in complete detail, providing all the guidance you need to decrease pain and increase fitness after knee surgery. Millions of people have knee surgery each year, and in the years to come millions more will head to the O.R. Chances are, you or someone you know has had or will undergo knee surgery. Busy doctors, therapists, and athletic trainers have limited time to spend on quality physical and mental rehabilitation education, yet this is the key to full recovery. Written by renowned knee surgeon and Sport Psychologist Daniel F. O'Neill, M.D., Ed.D., this comprehensive and accessible guide presents what you'll want and need the most after knee surgery: a scientifically-based recovery program you can understand that will get you back to work and sports as quickly as possible. |
| aggressive physical therapy after knee replacement: Play Forever Kevin R. Stone, 2021-12-14 Why are some octogenarians competitive athletes while others struggle to walk up the stairs? It isn't luck. It's orthopaedic science. If you're tired of doctors telling you that an injury will prevent you from playing the sports you enjoy, you'll love Dr. Kevin R. Stone's Play Forever. All great athletes get injured. Only the best of them use those injuries to come back to their sport better-fitter, faster, and stronger than before. Through Dr. Stone's revolutionary approach to sports medicine, you'll discover how injuries can lead to a lifetime of high-performance fitness and athleticism. Learn how the musculoskeletal system can be repaired through cutting-edge therapies, then honed and strengthened through semiannual fitness tests, preseason education and training programs, and regular in-season tune-ups. Backed by scientific outcome studies on orthopaedic treatments and implants, Play Forever will become your go-to health and fitness source, helping you play the sport you love to age 100 and beyond. |
| aggressive physical therapy after knee replacement: Science, Theory and Clinical Application in Orthopaedic Manual Physical Therapy: Applied Science and Theory Ola Grimsby, Jim Rivard, 2008-09-16 This long awaited textbook from The Ola Grimsby Institute provides decades of clinical experience and reasoning, with both historical and current evidence, with rationale for both passive and active treatments in orthopaedic manual therapy. Practical guidelines for joint mobilization and exercise rehabilitation are presented with this logical and exciting work. Incorporating experience and science, this book provides new approaches and treatment principles to make what you already do more effective. Extensive Content: Over 535 pages and 275 illustrations, photographs and tables Ola Grimsby and his co-authors have compiled a significant resource for the practicing physical therapist, manual therapist or osteopath. |
| aggressive physical therapy after knee replacement: Joint Denervation A. Lee Dellon, 2019-03-01 This book serves as an anatomic atlas of the nerves that innervate the joints of the human body in a format that also provides technical insight into pathways that both interventional pain management and surgical subspecialists can use to denervate those painful joints when traditional approaches to manage the pain are no longer successful. This book avails the knowledge of how denervation can relieve joint pain available to the many groups of physicians who care for this problem. Each chapter is devoted to a joint and reviews the neural anatomy as it relates to the clinical examination of the patient. Chapters are user friendly and provide details on the indicated nerve blocks and the clinical results of partial joint denervation. Clinical case studies also serve as a helpful guide in each chapter. Extensive intra-operative clinical photographs and photographs from new prosections provide examples to guide those physicians providing care to the patients with joint pain. Joint Denervation: Anatomic Atlas of Surgical Technique should be of interest to surgical subspecialists from Neurosurgery, Plastic Surgery, Hand Surgery, Orthopedic Surgery, Podiatric Foot & Ankle Surgery, and Oral & Maxillofacial Surgeons. It may also interest those physicians trained in Anesthesia, Radiology, and Physical & Rehabilitation Medicine for their evaluation and treatment protocols using hydrodissection, cryoablation and pulsed radiofrequency approaches to pain. |
| aggressive physical therapy after knee replacement: Surgical Techniques in Total Knee Arthroplasty Giles R. Scuderi, Alfred J., Jr. Tria, 2006-04-28 here, two well-known knee experts have assembled a group of leaders in the field to present a book encompassing the best techniques for total knee arthroplasty. Concise chapters cover indications, contraindications, complications, results, instrumentation, infection, preop planning, prosthetic choice, revision arthroplasty, and more -- with the emphasis on the best techniques and surgical pearls. Supported by line drawings, intraoperative photographs and radiographs, this definitive volume will serve as the complete and quick reference on total knee arthroplasty. |
| aggressive physical therapy after knee replacement: Rothman Institute Manual of Total Joint Arthroplasty Javed Parvizi, William J Hozack, Peter F Sharkey, Gregory K Deirmengian, 2017-03-31 This book is a complete guide to total joint arthroplasty for orthopaedic surgeons presented as a collection of key protocols for surgery. Divided into four sections, the text begins with preoperative considerations, covering patient evaluation, clinical examination, indications, and implant selection. The following section provides step by step guidance on the complete range of arthroplasty techniques and associated procedures. Section three covers postoperative management such as wound care, transfusions, physical therapy, medication, and much more. The final chapters in the book discuss the management of numerous potential complications. Edited by an internationally recognised team of experts, led by Javad Parvizi from the renowned Rothman Institute in Philadelphia, this comprehensive guide is enhanced by surgical images and diagrams to assist learning. Key points Comprehensive guide to total joint arthroplasty for orthopaedic surgeons Presented as collection of key protocols for surgical procedures Provides step by step guidance from preoperative considerations, to surgical techniques, postoperative management, and complications Edited by internationally recognised experts from the Rothman Institute |
| aggressive physical therapy after knee replacement: Principles and Practice of Geriatric Surgery Ronnie Ann Rosenthal, Michael E. Zenilman, Mark R. Katlic, 2013-06-29 Principles and Practice of Geriatric Surgery presents the fundamentals of surgical care for the fastest growing segment of the US population, providing a vital integration of operative strategies with the physiological changes of aging. Among the topics covered are the endocrine system, otolaryngology, respiratory system, cardiovascular system, GI system, hepatobiliary system, urogenital system, soft tissue and musculoskeletal system, neurosurgery, and transplantation. |
| aggressive physical therapy after knee replacement: Complex Cases in Total Knee Arthroplasty Alfred J. Tria, Giles R. Scuderi, Fred D. Cushner, 2018-02-20 Covering both primary and revision total knee arthroplasty (TKA), each technique-oriented chapter in this book opens with a clinical case and an overview of the challenges and multiple options for management, and each section within the chapter will describe the physical exam, surgical approach, clinical outcome and recent supporting literature. Chapters will utilize bullet points for quick reference and plentiful intra-operative photos to illustrate the various techniques described. Part one covers primary TKA, with cases demonstrating management strategies for the varus and valgus knee, flexion contracture, patellofemoral arthritis, and extra-articular deformity, among others, while part two covers revision TKA, with cases demonstrating acute infection, flexion and global instability, severe tibial and femoral bone loss, and periprosthetic fracture, among others. Written and edited by experts in the field, Complex Cases In Total Knee Arthroplasty: A Collection of Current Techniques will be a useful reference for orthopedic surgeons, residents and fellows as well as sports medicine specialists and anyone involved in surgical care of the knee. |
| aggressive physical therapy after knee replacement: Yoga for Healthy Knees Sandy Blaine, 2016-08-09 A gentle, easy-to-learn yoga program designed to treat persistent knee pain and improve overall knee health, from a longtime yoga practitioner and instructor Drawing on her expertise as a yoga teacher who has used yoga to recover from knee pain and to keep her knees healthy, Sandy Blaine presents a comprehensive yoga program to help you: • understand common knee problems that cause pain and limit mobility • establish safety guidelines to help you get started • use props, such as blankets and towels, to support your body and your mind • practice poses for pain prevention and rehabilitation |
| aggressive physical therapy after knee replacement: Living with a Knee Replacement David Mellinger, 2011 This is a patient's view of the process of recovery from having a knee replaced. It uses layman's language and focuses on the tasks and challenges during the year of recovery. It gives the reader full confidence in using the prosthetic knee. |
| aggressive physical therapy after knee replacement: Perioperative Care of the Orthopedic Patient C. Ronald MacKenzie, Charles N. Cornell, Stavros G. Memtsoudis, 2014-08-01 Written by experts at the top-ranked Hospital for Special Surgery in New York, Perioperative Care of the Orthopedic Patient is a comprehensive, multidisciplinary manual providing preoperative considerations, postoperative complications, and guidelines for the anesthetic and medical management of patients undergoing orthopedic surgery. Beginning with chapters covering preoperative evaluations and general principles and practices of perioperative medicine, the book then considers anesthesiologic management in orthopedic surgery and the role of postoperative pain management. This is followed by a section on medical management in specific clinical settings, discussing patients with connective tissue disease, cardiac disease, chronic pulmonary and renal diseases, diabetes and psychiatric and neurological diseases. A fourth section covers specific perioperative problems in orthopedic surgery, such as care of the elderly patient, venous thromboembolism, infection, nutrition, compartment syndrome, and bone health. Finally, the role of allied services, quality improvement and ethics are highlighted, and selected case studies are included to illustrate real-world perioperative issues and management strategies in orthopedic surgery. A comprehensive yet concise reference, Perioperative Care of the Orthopedic Patient will be an invaluable resource for orthopedic surgeons, sports medicine specialists and any professional involved in orthopedic surgery. |
| aggressive physical therapy after knee replacement: The Meniscus Philippe Beaufils, René Verdonk, 2010-04-28 This guide focuses on the normal meniscal mechanism, body and function. Meniscal pathology and therapy are depicted in detail, followed by a presentation of long-term experience of meniscal transplantation and a look into the future of meniscal surgery. |
| aggressive physical therapy after knee replacement: Cartilage Restoration Jack Farr, Andreas H. Gomoll, 2013-08-15 Attempting to bridge the gap between the science and art of cartilage restoration, Cartilage Restoration: Practical Clinical Applications combines an overview of clinical research and methodologies with clinical cases to help guide the orthopedic treatment and care of patients presenting with cartilage issues. With chapters written by internationally-renowned orthopedic surgeons, topics include an overview of current surgical options, debridement and marrow stimulation, autograft plug transfer, allografts, cell therapy, and meniscal issues. Cartilage Restoration is a valuable resource for orthopedic surgeons, residents, and fellows. |
| aggressive physical therapy after knee replacement: Orthopaedic Physical Therapy Secrets - E-Book Jeffrey D. Placzek, David A. Boyce, 2016-09-10 Whether you're preparing for the OCS or just want to brush up on your orthopedic knowledge, you don't want to be without Placzek and Boyce's new third edition of Orthopaedic Physical Therapy SECRETS. As with previous editions, SECRETS covers a variety of different physical therapy concepts, healing modalities, specialties, and orthopedic procedures to ensure you are well-prepared to pass the OCS and provide the best orthopedic therapy options for today's patients. Common diseases are included as well as more innovative diagnostic tools. Each chapter features thoroughly updated content that's entirely evidence-based and outcome-based. This ebook also features insightful anecdotes — including clinical tips, memory aids, and secrets — and helpful review tools — such as bulleted lists, algorithms and illustrations — to help you thoroughly master all aspects of orthopedic physical therapy practice. - Coverage of topics found on the orthopedic specialty exam makes this a useful review resource for those studying for the exam. - Clinical tips provide insightful guidance on a variety of clinical situations and tasks. - Charts, tables, and algorithims simplify information into logical frameworks. - Evidence-based content supports the latest orthopedic research. - Strong chapter on the shoulder and hand succinctly presents important information on this complex topic. - Annotated references provide a useful tool for research. - NEW! Completely updated content reflects the latest physical therapy guidelines. - NEW! Electronic-only format makes this study tool completely portable and accessible on a variety of devices such as the Kindle, Nook, iPad, and more. |
| aggressive physical therapy after knee replacement: Personalized Hip and Knee Joint Replacement Charles Rivière, Pascal-André Vendittoli, 2020-06-30 This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications. The techniques described in the book aim to reproduce patients’ native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality. Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery |
| aggressive physical therapy after knee replacement: Prosthetic Joint Infections Trisha Peel, 2017-11-28 This book outlines the most updated clinical guidelines that are vital for the prevention infections and care of patients with joint infections following a replacement surgery, one of the highest volume medical interventions globally. Sections address the diagnosis, management approaches and prevention of prosthetic joint infections. Written by experts in the field, this text provides a brief overview of the literature and current recommendations in each of the specified areas. Given the rapidly evolving state-of-play in this clinical area, this compendium grows increasingly important to clinicians in their management decisions. Prosthetic Joint Infections is a valuable resource for infectious disease specialists, epidemiologists, surgeons, and orthopedic specialists who may work with patients with prosthetic joint infections. |
| aggressive physical therapy after knee replacement: Therapeutic Exercise Carolyn Kisner, Lynn Allen Colby, John Borstad, 2022-10-17 The premier text for therapeutic exercise Here is all the guidance you need to customize interventions for individuals with movement dysfunction. You’ll find the perfect balance of theory and clinical technique—in-depth discussions of the principles of therapeutic exercise and manual therapy and the most up-to-date exercise and management guidelines. |
| aggressive physical therapy after knee replacement: That's Gotta Hurt Dr. David Geier, 2017-06-06 In That's Gotta Hurt, the orthopaedist David Geier shows how sports medicine has had a greater impact on the sports we watch and play than any technique or concept in coaching or training. Injuries among professional and college athletes have forced orthopaedic surgeons and other healthcare providers to develop new surgeries, treatments, rehabilitation techniques, and prevention strategies. In response to these injuries, sports themselves have radically changed their rules, mandated new equipment, and adopted new procedures to protect their players. Parents now openly question the safety of these sports for their children and look for ways to prevent the injuries they see among the pros. The influence that sports medicine has had in effecting those changes and improving both the performance and the health of the athletes has been remarkable. Through the stories of a dozen athletes whose injuries and recovery advanced the field (including Joan Benoit, Michael Jordan, Brandi Chastain, and Tommy John), Dr. Geier explains how sports medicine makes sports safer for the pros, amateurs, student-athletes, and weekend warriors alike. That's Gotta Hurt is a fascinating and important book for all athletes, coaches, and sports fans. |
| aggressive physical therapy after knee replacement: The Paradoxical Union Melveena D. Edwards Ph.D., 2019-01-16 The Paradoxical Union: Category: Novel ? Fiction (Spiritual Short-Story) with Religion/Inspirational message ? Family & Relationships/Divorce: Manhattan, New York City Borough, primary setting beginning in the 1980s The Paradoxical Union, follows the life of the main character named Paris Hope who powers through multiple trails, tribulation, and challenges growing up, then as a young woman enters a relationship seemly created by heaven, but they were from opposite worlds. Instead, Paris soon learns that she entered into unhealthy and toxic matrimony that leads to a sheer pit of hell. The union gradually augments to an intertwined subtle ploy, extensive abuse, mental cruelty, aggression, and domestic violence. The character Paris has a loving spirit. She is intellectual, ambiguous, classy and has big aspirations and dreams, but; becomes stripped TO her joy,—but not stripped of it. After devastating struggles and traumatization fostered by the twisted union, she finds a way TO escape finding survival through faith, shaping who she'd become, and accomplishing her dreams. Paris' intimate partner is a community, national and global figure who is self-exalted, grandiose and breeds narcissism. Dr. Melveena D. Edwards the author and therapist, is the narrator of this short-story who has the birds-eye-view of all the goings-on from the perspective of Paris. Dr. Edwards is the outsider looking into Paris' life as she pauses, revisits, and sojourns to impart her experience regarding the severe social epidemic issue of abusive and violence culture that plagues our society today. Paris shares her must tell all story to help and motivate someone. In so telling the story, Dr. Edwards is educational and shares vital facts promoting awareness. |
| aggressive physical therapy after knee replacement: Taylor's Musculoskeletal Problems and Injuries Robert B. Taylor, 2006-11-25 This derivative handbook addresses the diagnosis and management of musculoskeletal problems and injuries in the primary care setting. It covers problems involving all areas of the skeleton and related musculature in both children and adults. Since primary care clinicians manage most sports injuries, athletic injuries are discussed in depth. In addition to sprains, strains, and fractures, chapters cover illnesses affecting the musculoskeletal system, various types of arthritis, fibromyalgia, and the complex regional pain syndrome. The pocket-sized book will appeal to a range of family care providers. |
| aggressive physical therapy after knee replacement: Revision Total Knee Arthroplasty James V. Bono, Richard D. Scott, 2017-12-01 Now in its fully revised and updated second edition, this comprehensive, how-to text covers all aspects of revision total knee arthroplasty (TKA), complete with step-by-step descriptions of surgical techniques. Divided thematically into three main sections, part I discusses evaluation and diagnosis of the failed TKA, including imaging and updates on incidence and rationale for reoperation. General principles of revision surgery are presented in part II, addressing skin and extensile exposure, component removal, allografts, metaphyseal sleeves and cones, femoral and tibial alignment, and restoration of stability. Part III presents the many special considerations that come into play with revision TKA, including periprosthetic fracture, infection, stiffness and other post-operative complications and complexities. The role of arthrodesis and the economics of revision TKA are also elucidated. Utilizing the most current evidence and generously illustrated, orthopedic surgeon s, sports medicine specialists and residents alike will find Revision Total Knee Arthroplasty, Second Edition a thorough and informative resource when treating the patient following knee replacement surgery. |
| aggressive physical therapy after knee replacement: Pain Management and the Opioid Epidemic National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Sciences Policy, Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid Abuse, 2017-09-28 Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring. |
| aggressive physical therapy after knee replacement: Return to Sport after ACL Reconstruction and Other Knee Operations Frank R. Noyes, Sue Barber-Westin, 2019-11-05 The wealth of information provided in this unique text will enable orthopedic surgeons, medical practitioners, physical therapists, and trainers to ensure that athletes who suffer anterior cruciate ligament (ACL) injuries, or who require major knee operations for other reasons, have the best possible chance of safely resuming sporting activity at their desired level without subsequent problems. Divided into seven thematic sections, the coverage is wide-ranging and encompasses common barriers to return to sport, return to sport decision-based models, and the complete spectrum of optimal treatment for ACL injuries, including preoperative and postoperative rehabilitation. Advanced training concepts are explained in detail, with description of sports-specific programs for soccer, basketball, and tennis. Readers will find detailed guidance on objective testing for muscle strength, neuromuscular function, neurocognitive function, and cardiovascular fitness, as well as validated assessments to identify and manage psychological issues. In addition, return to sport considerations after meniscus surgery, patellofemoral realignment, articular cartilage procedures, and knee arthroplasty are discussed. Generously illustrated and heavily referenced, Return to Sport after ACL Reconstruction and Other Knee Operations is a comprehensive resource for all medical professionals and support staff working with athletes and active patients looking to get back in the game with confidence. |
| aggressive physical therapy after knee replacement: Revision ACL Reconstruction Robert G. Marx, 2013-09-05 Although anterior cruciate ligament (ACL) reconstruction has a high success rate, a substantial number of patients are left with unsatisfactory results. Revision ACL Reconstruction: Indications and Technique provides detailed strategies for planning and executing revision ACL reconstructions. Concise chapters by a leading group of international orthopedic surgeons cover the diagnosis of failed ACL reconstruction, patient evaluation, preoperative planning for revision ACL surgery and complex technical considerations. |
| aggressive physical therapy after knee replacement: Wound Care Carrie Sussman, Barbara M. Bates-Jensen, 2007 Designed for health care professionals in multiple disciplines and clinical settings, this comprehensive, evidence-based wound care text provides basic and advanced information on wound healing and therapies and emphasizes clinical decision-making. The text integrates the latest scientific findings with principles of good wound care and provides a complete set of current, evidence-based practices. This edition features a new chapter on wound pain management and a chapter showing how to use negative pressure therapy on many types of hard-to-heal wounds. Technological advances covered include ultrasound for wound debridement, laser treatments, and a single-patient-use disposable device for delivering pulsed radio frequency. |
| aggressive physical therapy after knee replacement: Multiple Sclerosis and CNS Inflammatory Disorders Lawrence M. Samkoff, Andrew D. Goodman, 2014-07-14 Multiple Sclerosis and CNS Inflammatory Disorders is a practical guide to effective care of patients with multiple sclerosis and other neuroimmunologic and CNS inflammatory disorders. It provides the scientific basis of multiple sclerosis including etiology, epidemiology, and pathogenesis. It covers the diagnostic process, the course of the disease and prognosis, and the use of MRI in diagnosis and disease monitoring. Disease-modifying treatment algorithms for relapsing-remitting multiple sclerosis, switching therapy, and progressive multiple sclerosis treatment algorithms are all discussed in detail. It also addresses multiple sclerosis in childhood and pregnancy and includes assessment of alternative therapies. This new addition to the Neurology in Practice series contains practical guidance and learning features: • Algorithms and guidelines • “Tips and Tricks” boxes on improving outcomes • “Caution” warning boxes to avoiding problems • “Science Revisited”—quick reminders of the basic science principles necessary for understanding Multiple Sclerosis and CNS Inflammatory Disorders is an ideal reference for neurologists in practice and training. |
| aggressive physical therapy after knee replacement: Orthopedic Care of Patients with Cerebral Palsy Philip D. Nowicki, 2020-06-22 Many of the existing books focusing on the orthopedic management of patients with cerebral palsy encompass only care for the young patient, but this practical text reviews and delineates orthopedic care for patients with cerebral palsy throughout the lifespan. Readers will find a discussion of both non-operative and operative orthopedic management across all ages and functional levels. The text presents a general overview of cerebral palsy, evaluation of patients with cerebral palsy, and procedures commonly used to treat various orthopedic conditions in patients with cerebral palsy. Spasticity management and gait evaluation are likewise highlighted, and surgical chapters cover techniques for the hip, knee, foot and ankle, and spine. It also incorporates chapters focused on issues related to the rehabilitation of patients with cerebral palsy, including bracing, orthotics and other durable medical equipment, physical and occupational therapy, pain management, and adaptive activities and sports, which aim to improve the overall quality of life for patients through the lifespan. Finally, there is a chapter focused on the care transition from childhood to adulthood, an area of importance often neglected in current texts covering patients with cerebral palsy. Whether in the operating room, multi-specialty clinic or private office, Orthopedic Care of Patients with Cerebral Palsy will be a go-to resource for orthopedists, pediatricians and all medical professionals caring for this population. |
| aggressive physical therapy after knee replacement: Techniques in Revision Hip and Knee Arthroplasty E-Book Giles R Scuderi, 2014-05-29 Techniques in Revision Hip and Knee Arthroplasty is the one authoritative volume that gives you an efficient, problem-based approach to revision arthroplasty of both the hip and knee. Dr. Giles Scuderi and other leading experts from North America and Western Europe present their favored surgical procedures and post-surgical management strategies in this straightforward, heavily illustrated, video-intensive reference. It's your one-stop, go-to guide for successful revision surgery for a myriad of complications, such as implant loosening, polyethylene wear, osteolysis, or infection of the hip and knee. - Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. - Get expert guidance on implant choice, management of complications (including infection and wound healing), and failure of mechanisms, as well as step-by-step surgical techniques. - Quickly find the exact information you need with a straightforward just what you need to know approach, including surgical tips and pearls. - Stay up to date with new insights regarding anatomic landmarks, recommended reconstruction options in revision surgery, including management of bone defects and instability. - Access an abundance of surgical videos at Expert Consult. |
| aggressive physical therapy after knee replacement: Acute Pulmonary Embolism A. Geibel, Hanjoerg Just, W. Kasper, S. Konstantinides, 2012-12-06 The value of echocardiography in the diagnostic work-up of patients with suspected acute pulmonary embolism.- New developments in the thrombolytic therapy of venous thrombosis.- Mechanism of blood coagulation. Newer aspects of anticoagulant and antithrombotic therapy.MR-angiography in the diagnosis of pulmonary embolism.Scintigraphy-ventilation/perfusion scanning and imaging of the embolus.- Clinical course and prognosis of acute pulmonary embolism.- The molecular mechanisms of inherited thombophilia. |
| aggressive physical therapy after knee replacement: Review of Orthopaedics Mark D. Miller, Stephen R. Thompson, Jennifer Hart, 2012-01-01 At all levels of orthopaedic training and practice, Review of Orthopaedics, by Mark D. Miller, MD, is an ideal, state-of-the-art resource for efficient review of key orthopaedic knowledge and board prep. Thoroughly updated, this edition helps you ensure your mastery of the very latest scientific and clinical information. Focus on the concepts you are most likely to be tested on. Every chapter has been carefully compared to the most recent OITE and ABOS self-assessment exams to ensure that the content covers everything you need to pass.and nothing you don't.Learn from the best. Study confidently summaries and review questions compiled by noted national and international subspecialists. Efficiently retain and synthesize information thanks to a concise, at-a-glance format with numerous illustrations and summary boxes throughout the book that highlight salient top testing facts and condense complex concepts, to assist you in understanding key material presented in each chapter. Hone your skills with succinct, yet thorough synopses of a wide range of key operative techniques. Effectively understand and review key concepts through abundant full-color tables and images, including pathology slides.Test your knowledge with multiple-choice review questions.Spend more time studying and less time searching. Testable material is now bolded throughout and summarized at the end of each chapter, for quick reference to essential information. Easily locate additional sources for study with carefully selected bibliographies, organized by topic.Access the full contents online, fully searchable, at expertconsult.com, with links to full reference lists and original PubMed source material. Ace your board exams with the Miller Review! |
| aggressive physical therapy after knee replacement: Geriatric Physical Therapy - eBook Andrew A. Guccione, Dale Avers, Rita Wong, 2011-03-07 Geriatric Physical Therapy offers a comprehensive presentation of geriatric physical therapy science and practice. Thoroughly revised and updated, editors Andrew Guccione, Rita Wong, and Dale Avers and their contributors provide current information on aging-related changes in function, the impact of these changes on patient examination and evaluation, and intervention approaches that maximize optimal aging. Chapters emphasize evidence-based content that clinicians can use throughout the patient management process. Six new chapters include: Exercise Prescription, Older Adults and Their Families, Impaired Joint Mobility, Impaired Motor Control, Home-based Service Delivery, and Hospice and End of Life. Clinically accurate and relevant while at the same time exploring theory and rationale for evidence-based practice, it’s perfect for students and practicing clinicians. It’s also an excellent study aid for the Geriatric Physical Therapy Specialization exam. Comprehensive coverage provides all the foundational knowledge needed for effective management of geriatric disorders. Content is written and reviewed by leading experts in the field to ensure information is authoritative, comprehensive, current, and clinically accurate. A highly readable writing style and consistent organization make it easy to understand difficult concepts. Tables and boxes organize and summarize important information and highlight key points for quick reference. A well-referenced and scientific approach provides the depth to understand processes and procedures. Theory mixed with real case examples show how concepts apply to practice and help you enhance clinical decision-making skills. Standard APTA terminology familiarizes you with terms used in practice. A new chapter, Exercise Prescription, highlights evidence-based exercise prescription and the role of physical activity and exercise on the aging process. A new chapter, Older Adults and Their Families, helps physical therapists understand the role spouses/partners and adult children can play in rehabilitation, from providing emotional support to assisting with exercise programs and other daily living activities. New chapters on Impaired Joint Mobility, Impaired Motor Control, Home-based Service Delivery, and Hospice and End of Life expand coverage of established and emerging topics in physical therapy. Incorporates two conceptual models: the Guide to Physical Therapist Practice, 2nd Edition, and the International Classification of Function, Disability, and Health (ICF) of the World Health Organization (WHO) with an emphasis on enabling function and enhancing participation rather than concentrating on dysfunction and disability A companion Evolve website includes all references linked to MEDLINE as well as helpful links to other relevant websites. |
| aggressive physical therapy after knee replacement: Postoperative Orthopaedic Rehabilitation Andrew Gree, Roman Hayda, 2017-06-09 Bridge the gap between orthopaedic surgery and rehabilitation! Postoperative Orthopaedic Rehabilitation, published in partnership with the AAOS, is the first clinical reference designed to empower both orthopaedic surgeons and rehabilitation specialists by transcending the traditional boundaries between these two phases of patient management to achieve better outcomes. |
| aggressive physical therapy after knee replacement: Revision Total Knee Arthroplasty Jonathan P. Garino, 1998 Written by leading experts in total knee arthroplasty, this volume is a technique-oriented how-to guide to revision of failed arthroplasties. The book is sharply focused on the practical skills the surgeon needs to evaluate a failed knee replacement and safely and successfully reconstruct the joint. The authors describe all current reconstructive techniques and prosthetic options and offer advice on preventing and managing complications. More than 500 illustrations, including 188 full-color photographs, complement the text. |
| aggressive physical therapy after knee replacement: Acute Care Handbook for Physical Therapists Jaime C Paz, Michele P West, 2013-09-27 Review of body system basics and disease processes in each chapter provides concise information to help you better manage patients in a hospital setting.Familiarizes you with the acute care environment by explaining medical terminology, hospital protocol, and surgical workupsIncludes updated information on medications, laboratory and diagnostic tests, and surgical and invasive procedures pertinent to physical therapy practiceClinical tips throughout the text show you how to maximize safety, quality, and efficiency of care. Over 350 illustrations, tables, and boxed text highlight essential concepts and procedures for quick reference. Uses terminology consistent with the Guide to Physical Therapist Practice, Second EditionFocuses on evidence-based practice to help you determine the best interventions including recent literature regarding rehabilitation in the critical care setting. NEW! Pertinent practice patterns from the Guide to Physical Therapist Practice, Second Edition are included in each chapter. NEW! Additional illustrations to improve comprehension of the materialNEW! More pharmacologic implications for physical therapists, specifically concerning side effects and use of combination drugs. NEW! Additional decision-making algorithms facilitate critical thinking in the clinical setting. NEW! Updated surgical and invasive procedures include minimally invasive orthopedic surgery, bariatric procedures, and complete insight into circulatory assist devices. NEW! Expanded neurological chapter including vestibular dysfunction tests and measures, a discussion of dementia, and the latest in stroke evaluation and management. NEW! Revised appendices discuss the latest concepts in documentation standards, palliative care, and patient safety. NEW! Slimmer, larger format allows the book to lie open for easier reading. NEW! Improved design highlighting clinical tips and other key features lets you locate important information quickly in a busy clinical setting. |
外企所说“aggressive”是一种什么样的素质？ - 知乎
还能不能再aggressive一些？如果你能提前预判到B给你带来的风险，找到消除的对策，提前给领导完成任务，则更为理想。 在这个过程中，你可能会有一些aggressive的表现，直接，强势， …
什么是人际交往中的「被动攻击」？如何应对和避免？ - 知乎
被动攻击（passive aggressive）是用消极的、恶劣的、隐蔽的方式发泄愤怒情绪，以此来「攻击」令Ta不满意的人或事。 人们在进行被动攻击行为时，内心充满怨恨与愤怒，但却公开地展 …
同为CentOS的替代者，AlmaLinux 和 Rocky Linux有什么区别？ …
AlmaLinux社区的风格比较平和、尊重“规则”，Rocky Linux社区的风格比较aggressive。 我更推荐AlmaLinux，更像是在做社区和开源；而Rocky Linux更像是披着开源的外衣，做商业公司。
求职招聘中的 ssp、白菜价、总包等术语是什么意思，又是怎么来 …
Aggressive：形容词，负面描述，在无领导小组讨论中表现得很有攻击性，咄咄逼人； (Semi-)Structure Interview： 结构化面试，一般有 2-3 个面试官，拿公司测评的题库来面试你，时长 …
外企所说“aggressive”是一种什么样的素质？ - 知乎
还能不能再aggressive一些？如果你能提前预判到B给你带来的风险，找到消除的对策，提前给领导完成任务，则更为理想。 在这个过程中，你可能会有一些aggressive的表现，直接，强势， …
什么是人际交往中的「被动攻击」？如何应对和避免？ - 知乎
被动攻击（passive aggressive）是用消极的、恶劣的、隐蔽的方式发泄愤怒情绪，以此来「攻击」令Ta不满意的人或事。 人们在进行被动攻击行为时，内心充满怨恨与愤怒，但却公开地展 …
同为CentOS的替代者，AlmaLinux 和 Rocky Linux有什么区别？ …
AlmaLinux社区的风格比较平和、尊重“规则”，Rocky Linux社区的风格比较aggressive。 我更推荐AlmaLinux，更像是在做社区和开源；而Rocky Linux更像是披着开源的外衣，做商业公司。
求职招聘中的 ssp、白菜价、总包等术语是什么意思，又是怎么来 …
Aggressive：形容词，负面描述，在无领导小组讨论中表现得很有攻击性，咄咄逼人； (Semi-)Structure Interview： 结构化面试，一般有 2-3 个面试官，拿公司测评的题库来面试你，时长 …
