EARLY MOBILIZATION PADA PASIEN OSTEOARTHRITIS KNEE DENGAN POST TOTAL KNEE REPLACEMENT: NARRATIVE REVIEW
DOI:
https://doi.org/10.61722/jmia.v1i3.1731Abstract
Background: Total knee replacement (TKR) is a common orthopedic surgical procedure for advanced knee osteoarthritis (OA). Early mobilization is a rehabilitation strategy that needs to be considered to facilitate optimal recovery post-TKR. Despite the proposed benefits of early mobilization, there is no strong consensus in the literature regarding its effectiveness in post-TKR patients. Therefore, it is important to conduct a comprehensive literature review to evaluate existing evidence on the impact of early mobilization on post-TKR recovery. This will help strengthen understanding of the benefits and influencing factors on post-TKR rehabilitation outcomes. Method: This study is a qualitative research with a narrative review approach. Article searches were conducted using the online databases EBSCO, SCOPUS, ProQuest, and ScienceDirect. Literature identification was performed using the PICO search strategy. Results: The initial search with full-text articles yielded 4153 articles. Study selection was based on pre-established inclusion and exclusion criteria, resulting in 20 final articles that will be qualitatively synthesized. Conclusion: Early mobilization is significantly associated with a reduction in the length of stay for post-TKR patients. Mobilization starting from day 0 of the operation will shorten the hospitalization duration. Additionally, early mobilization has been proven to decrease the risk of complications, thereby preventing prolonged care.
References
Ahmed, S. F., Kasha, S., & Reddy, I. V. (2023). Prospective Short ‑ term Study : Comparing Early Mobilization and Discharge in Fast ‑ track versus Conventional Protocols for Total Knee Replacement. 15–19. https://doi.org/10.4103/JTOSA.JTOSA
Argenson, J. N., Boisgard, S., Parratte, S., Descamps, S., Bercovy, M., Bonnevialle, P., Briard, J. L., Brilhault, J., Chouteau, J., Nizard, R., Saragaglia, D., & Servien, E. (2013). Survival analysis of total knee arthroplasty at a minimum 10 years’ follow-up: A multicenter French nationwide study including 846 cases. Orthopaedics and Traumatology: Surgery and Research, 99(4), 385–390. https://doi.org/10.1016/j.otsr.2013.03.014
Badan Pusat Statistik. (2022). BPS 2022. In Badan Pusat Statistik (Vol. 13, Issue 1).
Bandholm, T., Wainwright, T. W., & Kehlet, H. (2018). Rehabilitation strategies for optimisation of functional recovery after major joint replacement. Journal of Experimental Orthopaedics, 5(1), 2–5. https://doi.org/10.1186/s40634-018-0156-2
Bohl, D. D., Li, J., Calkins, T. E., Darrith, B., Edmiston, T. A., Nam, D., Gerlinger, T. L., Levine, B. R., & Della Valle, C. J. (2019). Physical Therapy on Postoperative Day Zero Following Total Knee Arthroplasty: A Randomized, Controlled Trial of 394 Patients. Journal of Arthroplasty, 34(7), S173-S177.e1. https://doi.org/10.1016/j.arth.2019.02.010
Bristol, J. (2021). Early Ambulation in Hip Replacement Patients Regarding Length of Hospital Stay. Journal of Orthopedics and Orthopedic Surgery, 2(2), 30–34. https://doi.org/10.29245/2767-5130/2021/2.1137
Bulut, A., & Vatansever, N. (Aydın). (2022). Determination of Factors Affecting Early Mobilization of Patients Who Have Undergone Knee and Hip Arthroplasty. Journal of Perianesthesia Nursing, 37(5), 646–653. https://doi.org/10.1016/j.jopan.2021.10.013
Castle, H., Dragovic, M., & Waterreus, A. (2021). Mobilization after joint arthroplasty surgery: who benefits from standing within 12 hours? ANZ Journal of Surgery, 91(6), 1271–1276. https://doi.org/10.1111/ans.16795
Chengwu, Z., Florenly, Johannes Bastira Ginting, & Fioni. (2021). Influence before and after Early Mobilization of Changes in Pain Levels in Post Orthopedic Surgery Patients at Royal Prima Medan Hospital in 2021. Britain International of Exact Sciences (BIoEx) Journal, 4(1), 24–30. https://doi.org/10.33258/bioex.v4i1.541
Chua, H., Brady, B., Farrugia, M., Pavlovic, N., Ogul, S., Hackett, D., Farag, D., Wan, A., Adie, S., Gray, L., Nazar, M., Xuan, W., Walker, R. M., Harris, I. A., & Naylor, J. M. (2020). Implementing early mobilisation after knee or hip arthroplasty to reduce length of stay: a quality improvement study with embedded qualitative component. BMC Musculoskeletal Disorders, 21(1), 765. https://doi.org/10.1186/s12891-020-03780-7
Chua, M. J., Hart, A. J., Mittal, R., Harris, I. A., Xuan, W., & Naylor, J. M. (2017a). Early mobilisation after total hip or knee arthroplasty: A multicentre prospective observational study. PloS One, 12(6), e0179820. https://doi.org/10.1371/journal.pone.0179820
Chua, M. J., Hart, A. J., Mittal, R., Harris, I. A., Xuan, W., & Naylor, J. M. (2017b). Early mobilisation after total hip or knee arthroplasty: A multicentre prospective observational study. PLoS ONE, 12(6), 1–15. https://doi.org/10.1371/journal.pone.0179820
Clement, N. D., Jenkins, P. J., Brenkel, I. J., & Walmsley, P. (2012). Predictors of mortality after total knee replacement: A ten-year survivorship analysis. Journal of Bone and Joint Surgery - Series B, 94 B(2), 200–204. https://doi.org/10.1302/0301-620X.94B2.28114
Cui, A., Li, H., Wang, D., Zhong, J., Chen, Y., & Lu, H. (2020). Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine, 29–30, 100587. https://doi.org/10.1016/j.eclinm.2020.100587
Gautreau PhD, S., Haley MScPT, R., Gould PhD, O. N., Canales MA, D. D., Mann BSCPT, Ma, T., & Forsythe MD, M. E. (2020). Predictors of farther mobilization on day of surgery and shorter length of stay after total joint arthroplasty. Canadian Journal of Surgery, 63(6), E509–E516. https://doi.org/https://doi.org/10.1503/cjs.003919
Gnanakumaran, S., Li, F., White, M., Shiel, N., Walker, P., & Rappo, T. (2017). The effect of early mobility in patients after Total Knee Replacement on hospital length of stay, pain and function: A randomised control trial. Physiotherapy Practice and Research, 38(2), 121–125. https://doi.org/10.3233/PPR-170093
Guerra, M. L., Singh, P. J., & Taylor, N. F. (2015). Early mobilization of patients who have had a hip or knee joint replacement reduces length of stay in hospital: A systematic review. Clinical Rehabilitation, 29(9), 844–854. https://doi.org/10.1177/0269215514558641
Harikesavan, K., Chakravarty, R. D., & Maiya, A. G. (2019). Influence of early mobilization program on pain, self-reported and performance based functional measures following total knee replacement. Journal of Clinical Orthopaedics and Trauma, 10(2), 340–344. https://doi.org/https://doi.org/10.1016/j.jcot.2018.04.017
Jenkins, C., Jackson, W., Bottomley, N., Price, A., Murray, D., & Barker, K. (2019). Introduction of an innovative day surgery pathway for unicompartmental knee replacement: no need for early knee flexion. Physiotherapy, 105(1), 46–52. https://doi.org/https://doi.org/10.1016/j.physio.2018.11.305
Jenkins, C., Lowe, C. M., & Barker, K. L. (2023). Early post-operative physiotherapy rehabilitation after primary unilateral unicompartmental knee replacement: a systematic review. Physiotherapy, 118, 39–53. https://doi.org/https://doi.org/10.1016/j.physio.2022.05.003
Karim, A., Pulido, L., & Incavo, S. (2016). Does Accelerated Physical Therapy After Elective Primary Hip and Knee Arthroplasty Facilitate Early Discharge? American Journal of Orthopedics (Belle Mead, N.J.), 45(6), E337–E342. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021852406&partnerID=40&md5=48bf4b8dc62efcb3ed3af53ce5748e78
Kementrian Kesehatan Republik Indonesia. (2018). Laporan_Nasional_RKD2018_FINAL.pdf. In Badan Penelitian dan Pengembangan Kesehatan (p. 674). http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
Köksal, I., Tahta, M., Şimşek, M. E., Doğan, M., & Bozkurt, M. (2015). Efficacy of rapid recovery protocol for total knee arthroplasty: A retrospective study. Acta Orthopaedica et Traumatologica Turcica, 49(4), 382–386. https://doi.org/10.3944/AOTT.2015.14.0353
Lei, Y. T., Xie, J. W., Huang, Q., Huang, W., Pei, F.-X. X., Yi-Ting, L., Jin-Wei, X., Huang, Q., Huang, W., Pei, F.-X. X., Lei, Y. T., Xie, J. W., Huang, Q., Huang, W., & Pei, F.-X. X. (2021). Benefits of early ambulation within 24 h after total knee arthroplasty: a multicenter retrospective cohort study in China. Military Medical Research, 8(1), 1–7. https://doi.org/10.1186/s40779-021-00310-x
Lisi, C., Caspani, P., Bruggi, M., Carlisi, E., Scolè, D., Benazzo, F., & Toffola, E. D. (2017). Early rehabilitation after elective total knee arthroplasty. Acta Biomedica, 88(3), 56–61. https://doi.org/10.23750/abm.v88i4-S.5154
Loftus, T., Agee, C., Jaffe, R., Tao, J., Jacofsky, D. J., Tayrose, G., Newman, D., Slover, J., Jaffe, F., Hunter, T., Bosco 3rd, J., Bosco, J., Ripoll.s-Melchor, J., Aldecoa, C. . sa. S., Fern.índez-Garc.¡a, R., Varela-Dur.ín, M., Aracil-Escoda, N., Garc.¡a-Rodr.¡guez, D., Cabezudo-de-la-Muela, L., … Bosco, J. (2019). Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study. Brazilian Journal of Anesthesiology (English Edition), 73(1), 54–71. https://doi.org/10.1016/j.bjane.2021.05.008
Luiz, A., Cordeiro, L., Reis, J., Reis, D., Borges, H., Cruz, D., & Guimarães, A. R. (2021). Impact of early ambulation on functionality in patients undergoing valve replacement surgery. Journal of Clinical and Translational Research, 7(6), 754–758. https://doi.org/10.18053/jctres.07.202106.005
Morton, J. S., Tang, A., Moses, M. J., Hamilton, D., Crick, N., & Schwarzkopf, R. (2019). PT achievement in public hospitals and its effect on outcomes. Geriatrics (Switzerland), 4(4). https://doi.org/10.3390/geriatrics4040058
Pelt, C. E., Anderson, M. B., Pendleton, R., Foulks, M., Peters, C. L., & Gililland, J. M. (2017). Improving value in primary total joint arthroplasty care pathways: changes in inpatient physical therapy staffing. Arthroplasty Today, 3(1), 45–49. https://doi.org/https://doi.org/10.1016/j.artd.2016.02.003
Plessl, D., Salomon, B., Haydel, A., Leonardi, C., Bronstone, A., & Dasa, V. (2020). Rapid Versus Standard Recovery Protocol Is Associated With Improved Recovery of Range of Motion 12 Weeks After Total Knee Arthroplasty. Journal of the American Academy of Orthopaedic Surgeons, 28(21), E962–E968. https://doi.org/10.5435/JAAOS-D-19-00597
Pua, Y. H., & Ong, P. H. (2014). Association of early ambulation with length of stay and costs in total knee arthroplasty: Retrospective cohort study. American Journal of Physical Medicine and Rehabilitation, 93(11), 962–970. https://doi.org/10.1097/PHM.0000000000000116
Ripoll.s-Melchor, J., Aldecoa, C. sar, Fern.índez-Garc.¡a, R., Varela-Dur.ín, M., Aracil-Escoda, N., Garc.¡a-Rodr.¡guez, D., Cabezudo-de-la-Muela, L., Hormaechea-Bolado, L. ¡a, Nacarino-Alcorta, B., Hoffmann, R., Lorente, J. V., Ram.¡rez-Rodr.¡guez, J. M., & Abad-Motos, A. (2023). Early mobilization after total hip or knee arthroplasty: a substudy of the POWER.2 study. Brazilian Journal of Anesthesiology (English Edition), 73(1), 54–71. https://doi.org/10.1016/j.bjane.2021.05.008
Sarpong, N. O., Lakra, A., Jennings, E., Cooper, H. J., Shah, R. P., & Geller, J. A. (2019). Same-Day Physical Therapy Following Total Knee Arthroplasty Leads to Improved Inpatient Physical Therapy Performance and Decreased Inpatient Opioid Consumption. The Journal of Arthroplasty, 34(12), 2931–2936. https://doi.org/10.1016/j.arth.2019.07.029
Scheuing, W. J., Reginato, A. M., Deeb, M., & Acer Kasman, S. (2023). The burden of osteoarthritis: Is it a rising problem? Best Practice & Research Clinical Rheumatology, xxxx, 101836. https://doi.org/10.1016/j.berh.2023.101836
Shan, L., Shan, B., Suzuki, A., Nouh, F., & Saxena, A. (2015). Intermediate and long-term quality of life after total knee replacement: A systematic review and meta-analysis. Journal of Bone and Joint Surgery - American Volume, 97(2), 156–168. https://doi.org/10.2106/JBJS.M.00372
Szöts, K., Pedersen, P. U., Hørdam, B., Thomsen, T., & Konradsen, H. (2015). Physical health problems experienced in the early postoperative recovery period following total knee replacement. International Journal of Orthopaedic and Trauma Nursing, 19(1), 36–44. https://doi.org/https://doi.org/10.1016/j.ijotn.2014.03.005
Tayrose, G., Newman, D., Slover, J., Jaffe, F., Hunter, T., Bosco 3rd, J., Bosco, J., & Bosco 3rd, J. (2013). Rapid mobilization decreases length-of-stay in joint replacement patients. Bulletin of the Hospital for Joint Disease (2013), 71(3), 222–226. https://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=24151950&site=ehost-live
Tazreean, R., Nelson, G., & Twomey, R. (2022). Early mobilization in enhanced recovery after surgery pathways: Current evidence and recent advancements. Journal of Comparative Effectiveness Research, 11(2), 121–129. https://doi.org/10.2217/cer-2021-0258
Wainwright, T. W., & Kehlet, H. (2019). Fast-track hip and knee arthroplasty–have we reached the goal? Acta Orthopaedica, 90(1), 3–5. https://doi.org/10.1080/17453674.2018.1550708
Winkelmann, E. R., Dallazen, F., Bronzatti, A. B. S., Lorenzoni, J. C. W., & Windmöller, P. (2015). Análise do protocolo adaptado de steps na reabilitação cardíaca na fase hospitalar. Brazilian Journal of Cardiovascular Surgery, 30(1), 40–48. https://doi.org/10.5935/1678-9741.20140048
Yi-Ting, L., Jin-Wei, X., Huang, Q., Huang, W., & Pei, F.-X. (2021). Benefits of early ambulation within 24 h after total knee arthroplasty: a multicenter retrospective cohort study in China. Military Medical Research, 8, 1–7. https://doi.org/https://doi.org/10.1186/s40779-021-00310-x
Yi-Ting, L., Jin-Wei, X., Huang, Q., Huang, W., Pei, F.-X. X., Lei, Y. T., Xie, J. W., Huang, Q., Huang, W., & Pei, F.-X. X. (2021). Benefits of early ambulation within 24 h after total knee arthroplasty: a multicenter retrospective cohort study in China. Military Medical Research, 8(1), 1–7. https://doi.org/https://doi.org/10.1186/s40779-021-00310-x
Downloads
Published
Issue
Section
License
Copyright (c) 2024 JURNAL MULTIDISIPLIN ILMU AKADEMIK

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.