Postoperative Knee Range of Motion Exercise
➤ It is the consensus of the work group that physical therapists should teach and
encourage patients to implement passive, active assistive, and active range
of motion exercises for the involved knee following TKA. (Evidence Quality:
Insufficient, Recommendation Strength: Best Practice)
★★★★
Immediate Postoperative Knee Flexion During Rest for Blood Loss
And Swelling
➤ To reduce immediate postoperative blood loss and swelling in the first 7 days
after surgery, physical therapists or other team members may teach patients to
position the operated knee in some degree of flexion (30 to 90 degrees), while
resting. (Evidence Quality: High, Recommendation Strength: Weak)
★★★★
Neuromuscular Electrical Stimulation (NMES)
➤ Physical therapists should use NMES for patients who have undergone TKA to
improve quadriceps strength, gait performance, performance-based outcomes,
and patient-reported outcomes. (Evidence Quality: High, Recommendation
Strength: Moderate)
★★★★
Resistance and Intensity of Strengthening Exercise
➤ Physical therapists should design, implement, teach, and progress patients
who have undergone TKA in high-intensity strength training and exercise
programs during the early postacute period (i.e., within 7 days after surgery)
to improve function, strength, and range of motion. (Evidence Quality: High,
Recommendation Strength: Moderate)
★★★★
Recommendations
