No leg-up with hospital rehab

There's no evidence that inpatient rehab post-knee replacement is any better than home exercises

Inpatient rehabilitation after a total knee replacement is increasing in private hospitals, despite little evidence it’s any better than community or home-based exercises, researchers say.

While inpatient rehab figures are declining overseas, in Australia the rates are heading in the opposite direction, going from 30% to 45% of private patients, in the analysis of hospital data in the Medical Journal of Australia.

Whether or not patients had inpatient rehab depended mainly on what private hospital they attended, said the researchers, led by Associate Professor Dennis Petrie (PhD) of the Centre for Health Economics at Monash University, Melbourne. 

“We found that the inpatient rehabilitation rate in Australian private hospitals increased by almost 50% between 2009 and 2016, contrasting with the reported substantial declines in inpatient rehabilitation rates overseas during the 2000s,” the