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Preoperative Physical Therapy Essay

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Preoperative Physical Therapy Essay
Besides improving inpatient functioning, preoperative physical therapy has the potential to decrease post-acute care utilization and the total episode-of-care cost for patients who undergo total joint replacement surgery (57). Snow et al. found in their cohort study that the use of preoperative physical therapy was associated with a 29% decrease in the use of any post-acute care services. This association was sustained after adjusting for comorbidities, demographic characteristics, and procedural variables. Furthermore pre- and postoperative home treatment and education appears to be more (cost-)effective than inpatient treatment and rehabilitation (58).

Time to improve
Considering the changing elderly population and healthcare, health professionals …show more content…
• Which people are at risk for delayed recovery of activities after THA?
• How is the feasibility of a home-based, short-term intensive therapeutic exercise program for frail elderly patients scheduled for elective THA.
• What are personal preferences, values and motivations of a person receiving physical therapy, and her relative and physical therapist, prior to total hip arthroplasty (THA)?

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Increasing physical functioning for people waiting for THA seems a complex intervention as it contains several interacting components (61). Complex interventions may work best if tailored to local circumstances and developed in local individual practice (61,62). Within a daily practice setting, Ziekenhuis Gelderse Vallei, we aim to develop evidence that can be combined with context and professional expertise (39). Integrating research into practice should lead to tailored personalized care: “what is best for this person, at this point in time, considering his or her healthcare condition”(63). In all studies physical functioning related to the individual context will be a key
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