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Total Knee Arthroplasty Physical Therapist Management

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Group- vs. Individual-Based Therapy   ➤ Physical therapists may use group-based or individual-based physical therapy sessions for patients who have undergone TKA. (Evidence Quality: Moderate, Recommendation Strength: Weak) ★★★★ Physical Therapy: Postoperative Timing   ➤ Physical therapist management should start within 24 hours of surgery and prior to discharge for patients who have undergone TKA. (Evidence Quality: Low, Recommendation Strength: Moderate) ★★★★ Physical Therapy: Discharge Planning   ➤ It is the consensus of the work group that physical therapists should provide guidance to the care team and patient on safe and objective discharge planning, patient functional status, assistance equipment, and services needed to support a safe discharge from the acute care setting. (Evidence Quality: Low, Recommendation Strength: Moderate) ★★★★ Outcomes Assessment   ➤ It is the consensus of the work group that physical therapists should collect the Knee Injury Osteoarthritis Outcomes Survey Joint Replacement (KOOS JR) as a patient-reported outcome measure and both the 30-Second Sit-to-Stand and Timed Up and Go tests as performance-based outcomes to demonstrate the effectiveness of care provided. These measures should be collected at a minimum at the first visit and upon conclusion of care from each setting. (Evidence Quality: Insufficient, Recommendation Strength: Best Practice) ★★★★ Recommendations

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