Characteristics of Early Interventions for Pain and Function Following Lower Extremity Joint Replacement: Systematic Review.
Isabella FoussellMarisa NegleyAbigail ThompsonAndrea TurnerAmanda WygalAlison DeVriesClaudia HiltonKevin T PritchardPublished in: Occupational therapy in health care (2022)
Occupational therapy is beneficial among adults with chronic pain; however, occupational therapy interventions addressing earlier phases of pain have not been clearly explicated. This systematic review characterized acute and subacute interventions billable by occupational therapy after hip or knee replacement to improve pain and function. Seven articles met inclusion criteria. Six articles had a low risk of bias. Three intervention types were found: task-oriented exercise, water-based, and modalities. Only task-oriented interventions improved both pain and function one-year after surgery. There are long-term benefits to early task-oriented exercise. Further research is needed to contextualize occupational therapy's role in early pain interventions.
Keyphrases
- chronic pain
- systematic review
- pain management
- physical activity
- neuropathic pain
- meta analyses
- randomized controlled trial
- high intensity
- total knee arthroplasty
- spinal cord
- spinal cord injury
- liver failure
- intensive care unit
- tyrosine kinase
- postoperative pain
- resistance training
- drug induced
- hepatitis b virus
- acute respiratory distress syndrome
- aortic dissection