The Phoenix

Aquatic therapy — faster recovery for total knee replacemen­ts

- By John R. Mishock, PT, DPT, DC Owner of Mishock Physical Therapy & Associates

Aquatic therapy is quickly becoming well known for its amazing effects on decreasing pain, speeding recovery and improving function. Aquatic therapy, or pool therapy, consists of an exercise program that is performed in the water.

New research shows that starting aquatic therapy sooner makes a dif- ference for total knee replacemen­ts. A recent German study involved 465 men and women (average age 58) who were scheduled to have knee replacemen­t. The goal of the study was to evaluate whether starting aquatic therapy earlier than the usual German starting point (on the 14th day after surgery) helped, hurt ormade no difference. (In the U.S., there is no standard starting point.) Some knee patients were assigned to begin poolbased therapy the sixth day after their surgery, while others were told to begin on the 14th day. All had three weekly, 30-minute supervised physical therapy sessions in a pool for up to five weeks post-op.

Who fared the best? Knee-replacemen­t patients who started aquatic therapy on day six, compared to knee patients who started on day 14, reported better scores on almost every question asked during all four follow-up measuremen­ts. Based on this study, the bottom line is clear. For those patients who have had total knee replacemen­ts, starting physical therapy on day six is better then starting on day 14.

The results may be due to a decrease in knee joint swelling. This reduction in swelling reduces pain by decreasing pressure on soft tissue and nerves. Lastly, the warmth of the water experience­d during aquatic therapy assists in relaxing muscles and vasodilate­s (opens up) blood vessels, increasing blood flow to injured area promoting healing.

At Mishock Physical Therapy, Gilbertsvi­lle, we have a state-of-the-art aqua therapy pool. This aqua therapy pool is similar to those used in hospitals, rehab clinics and college and profession­al sports teams including the Philadelph­ia Eagles, Flyers and Phillies.

If you have a recent total joint replacemen­t, consult with your orthopedic surgeon to see if aquatic therapy would be appropriat­e for your recovery.

Our staff would welcome the opportunit­y to help you decrease pain, improve your function and return you to the highest quality of life possible. We are here to serve you with six convenient locations in Skippack, Gilbertsvi­lle, Barto, Phoenixvil­le, Limerick and Stowe! For more informatio­n or to make an appointmen­t, please call 610-3272600, email mishockpt@ comcast.net or visit us online at www.mishockpt. com.

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