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February 28, 2026Indian Journal of OrthopaedicsOpen Access

Efficacy of Pre-operative Physical Therapy on Total Knee Replacements: A Systematic Review of Randomized Controlled Trials

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Authors

ARAngel Arturo RojasYLYumeng Li

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Overview

Systematic review shows pre-operative physical therapy improves early post-operative outcomes in adults undergoing total knee arthroplasty, suggesting potential benefits.

Key Points

  • This research aims to evaluate the impact of pre-operative physical therapy on post-operative outcomes in adults undergoing total knee replacements for osteoarthritis.
  • Conducted a systematic search of various medical databases
  • Included randomized controlled trials with adults awaiting total knee arthroplasty
  • Compared structured pre-operative physical therapy to usual care
  • Analyzed post-operative functional outcomes using narrative synthesis
  • Eleven trials met inclusion criteria with good methodological quality
  • Pre-operative physical therapy resulted in small-to-moderate improvements in early post-operative pain and function
  • Higher-intensity resistance training showed more favorable early outcomes
  • Few robust differences were observed in long-term outcomes (≥ 6–12 months)

Cite This Study

Rojas et al. (2026) studied this question.

synapsesocial.com/papers/69a286b80a974eb0d3c01dafhttps://doi.org/10.1007/s43465-026-01744-y
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Does Preoperative Rehabilitation Improve Patient‐Based Outcomes in Persons Who Have Undergone Total Knee Arthroplasty? A Systematic Review2012 · 34 citations
  2. 2Comparative effectiveness of exercise-based prehabilitation before total knee arthroplasty: a systematic review and network meta-analysis of randomized controlled trials2026
  3. 3The Effect of Preoperative Exercise on Total Knee Replacement Outcomes1996 · 122 citations
  4. 4Effect of prehabilitation before total knee replacement on postoperative patient-reported joint awareness, enablement and knee function: protocol for the PROTEKT randomised controlled trial2026
  5. 5Preoperative High-Intensity Strength Training and Outcomes After Total Knee Arthroplasty: A Systematic Review and Meta-analysis2025