The Benefits of Pre-Operative Physical Therapy for Total Joint Replacement

As standard protocol, most patients will undergo physical therapy (PT) after total hip replacement (THP) or total knee replacement (TKR). However, a study that appeared in the Journal of Bone and Joint Surgery (JBJS) is turning this notion on its head. The study stated that physical therapy BEFORE joint replacement surgery, A.K.A. “prehabilitation,” may diminish the need for postoperative care by up to 30 percent. Furthermore, savings averaged $1,215 per patient in a skilled nursing facility, home health agency, or other postoperative care. Here are the details regarding the benefits of pre-operative physical therapy for total joint replacement (TJR).

Total Joint Replacement Facts and Stats

Around 50 million U.S. adults are afflicted with a form of physician-diagnosed arthritis. As the condition progresses, many of these patients require THR or TKR to maintain mobility and quality of life. (Source)
THR’s are expected to grow by a 174 percent or 572,000 patients, and TKR’s are expected to increase by a whopping 673 percent or 3.48 million patients all by 2030. (Source)
The length of hospital stay following JRT has drastically dropped from an average of 9.1 days in 1991, to approximately 3.7 days. However, the cost of post-acute care, primarily performed in skilled nursing facilities has exploded. (Source)

Specific Benefits of PT Before Joint Replacement Surgery

The study found that as few as two sessions of preoperative physical therapy can reduce postoperative care use by 29% for patients undergoing THR or TKR. The results? Better physical health and preparedness going into surgery and an extra $100 savings per individual. The researchers surmised that the benefit of preoperative PT derives from the way that it preps patients for post-operative rehabilitation. For example, PT trained patients how to use walking devices, managing expectations, and formulating a step-by-step recovery plan.

Personalized Rehabilitation Strategy

If your doctor has recommended a THR or a TKR contact Kinetic Physical Therapy. Together we can formulate a personalized rehabilitation strategy that ensures a safe and speedy recovery. We understand the benefits of pre-operative physical therapy for total joint replacement (TJR). Our therapists work with our clients to create an individualized plan that meets your specific needs.