• Majbritt Madsen, Kristian Larsen, Inger Kirkegård Madsen, Hanne Søe, and Torben B Hansen.
• Orthopaedic Research Unit, Department of Orthopaedics, Holstebro Regional Hospital, Lægårdvej 12, Holstebro, Denmark.
• Dan Med J. 2013 Apr 1;60(4):A4607.

IntroductionThis study aimed to test whether group-based rehabilitation focusing on strength training, education and self-management is more effective than individual, supervised home-training after fast-track total knee arthroplasty (TKA).Material And MethodsWe allocated 80 participants undergoing primary TKA to either group-based rehabilitation or individual, supervised home-training (40 participants in each group). The group-based rehabilitation consisted of 12 outpatient visits during six weeks including strength and endurance exercises, education and self-management combined with home exercises. The primary outcome was Oxford Knee Score; secondary outcomes were EuroQoL-5 Dimensions QoL and Physical Function of the Medical Outcomes Short Form 36. Tertiary outcomes were pain, knee range of motion, tandem test, Leg Extensor Power, 10-m walking test, 30-sec. and five-times sit-to-stand. Outcomes were assessed four weeks, three months and six months after surgery. In addition, the questionnaires were completed before surgery.ResultsWe found no difference in gain of function or quality of life between the two groups at three and six months follow-up.ConclusionIndividual, supervised home-training and group-based rehabilitation programmes improved patients' quality of life and physical function equally six months after TKA.FundingThis study was funded by Holstebro Municipality, Region of Central Jutland, and Lundbeck Centre for Fast-Track Hip and Knee Surgery.Trial RegistrationThe study was registered in the Danish Data Protection Agency (Registration no.: 1-16-02-41-10) and Clinical Trials (Registration no.: KL24621).

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