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. 2016 Jan 6;3:116. Originally published 2014 May 23. [Version 3] doi: 10.12688/f1000research.4178.3

Table 2. First step postoperative rehabilitation in OA.

Schematic representation of primary rehabilitation activities that should be included in post-operative rehabilitation program soon after the surgery.

PHASE TYPE OF ACTIVITY EFFECTS
FIRST STEP CONTROLLED WEIGHT BEARING Nourishes the articular cartilage and provides molecular
signals necessary to produce an optimal extracellular matrix.
RANGE OF MOTION (ROM) Facilitates healing process and prevents degeneration.
FORCE PLATFORM Facilitates a normal gait pattern and enhances strength,
proprioception, and balance.
PASSIVE RANGE OF MOTION (PROM) Nourishes the healing articular cartilage and prevents the
formation of adhesions.
CONTINUOUS PASSIVE MOTION (CPM) Enhances cartilage healing and long-term outcomes.
ELECTRICAL MUSCLE STIMULATION AND
BIOFEEDBACK
Promotes the active contraction of musculature.
STRETCHING EXERCISES (in advanced
phases of rehabilitation)
Increases the amount of stress applied to the joint and
provides a stimulus for cartilage tissue healing.
* In case of
prosthesis
PASSIVE FLEXION-EXTENSION (with use of
special machines)
Facilitates healing process.