Characteristics of Early Interventions for Pain and Function Following Lower Extremity Joint Replacement: Systematic Review

Isabella Foussell, Marisa Negley, Abigail Thompson, Andrea Turner, Amanda Wygal, Alison DeVries, Claudia Hilton, Kevin T. Pritchard

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)627-647
Number of pages21
JournalOccupational Therapy in Health Care
Volume37
Issue number4
DOIs
StatePublished - 2023

Keywords

  • Arthroplasty
  • early intervention
  • function
  • opioid analgesics
  • pain

ASJC Scopus subject areas

  • Occupational Therapy

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