Mind–Body Interventions for an Occupational Athlete Following Total Knee Arthroplasty: A Clinical CASE Report

in International Journal of Athletic Therapy and Training
Lucas C. Bianco DAT, LAT, ATC, CSCS * , 1
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A 58-year-old female had a total knee arthroplasty due to arthritic changes in her right knee, along with pain and loss of function. Mind and body intervention techniques were utilized to improve patient-centered outcomes. Protocols are in place for the rehabilitation of patients following a total knee arthroplasty. However, sometimes the mind–body connection can be disrupted, and plateaus in the rehabilitative process may benefit from innovative techniques. As patient-centered care, biopsychosocial models, and collaborative practice continue to push the athletic training profession, these types of cases that provide holistic approaches to expand health care will lead to future research.

Bianco (lucas.bianco@biokinetix.com) is with BIOKINETIX, Lynchburg, VA, USA.

  • 1.

    Sloan M, Premkumar A, Sheth NP. Projected volume of primary total joint arthroplasty in the U.S., 2014 to 2030. J Bone Joint Surg Am. 2018;100(17):14551460. PubMed ID: 30180053 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    United States Bone and Joint Initiative. The Burden of Musculoskeletal Diseases in the United States (BMUS). 4th ed. Rosemont, IL. 2018. https://www.boneandjointburden.org/fourth-edition. Accessed June 12, 2019.

    • Search Google Scholar
    • Export Citation
  • 3.

    Gentner L, Hervey Q, Lahey R. Post-operative pain management in patients undergoing total knee arthroplasty: a literature review. In: 15th Annual Symposium on Graduate Research and Scholarly Projects. Wichita, KS: Wichita State University; 2019.

    • Search Google Scholar
    • Export Citation
  • 4.

    Falvey JR, Bade MJ, Forster JE, et al. Home-health-care physical therapy improves early functional recovery of medicare beneficiaries after total knee arthroplasty. J Bone Joint Surg Am. 2018;100(20):17281734. PubMed ID: 30334882 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Buhagiar MA, Naylor JM, Harris IA, et al. Effect of inpatient rehabilitation vs a monitored home-based program on mobility in patients with total knee arthroplasty: the HIHO randomized clinical trial. JAMA. 2017;317(10):10371046. PubMed ID: 28291891 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Barber-Westin SD, Noyes FR. Aerobic physical fitness and recreational sports participation after total knee arthroplasty: a systematic review. Sports Health. 2016;8(6):553560. PubMed ID: 27644234 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Bovonratwet P, Ondeck NT, Nelson SJ, Cui JJ, Webb ML, Grauer JN. Comparison of outpatient vs inpatient total knee arthroplasty: an ACS-NSQIP analysis. J Arthroplast. 2017;32(6):17731778. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Mutsuzaki H, Takeuchi R, Mataki Y, Wadano Y. Target range of motion for rehabilitation after total knee arthroplasty. J Rural Med. 2017;12(1):3337. PubMed ID: 28593015 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Larsen JB, Mogensen L, Arendt-Nielsen L, Madeleine P. Intensive, personalized multimodal rehabilitation in patients with primary or revision total knee arthroplasty: a retrospective cohort study. BMC Sports Sci Med Rehabil. 2020;12(1):18. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10.

    Canovas F, Dagneaux L. Quality of life after total knee arthroplasty. OTSR. 2018;104(1):S41S46.

  • 11.

    Bandholm T, Wainwright TW, Kehlet H. Rehabilitation strategies for optimisation of functional recovery after major joint replacement. J Exp Orthop. 2018;5(1):44. PubMed ID: 30306337 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Henderson KG, Wallis JA, Snowdon DA. Active physiotherapy interventions following total knee arthroplasty in the hospital and inpatient rehabilitation settings: a systematic review and meta-analysis. Physiotherapy. 2018;104(1):2535. PubMed ID: 28802773 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Hamson-Utley JJ, Martin S, Walters J. Athletic trainers’ and physical therapists’ perceptions of the effectiveness of psychological skills within sport injury rehabilitation programs. J Athl Train. 2008;43(3):258264. doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Bay S, Kuster L, McLean N, et al. A systematic review of psychological interventions in total hip and knee arthroplasty. BMC Musculoskelet Disord. 2018;19(1):201. PubMed ID: 30037341 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Connelly JW, Galea VP, Rojanasopondist P, et al. Patient acceptable symptom state at 1 and 3 years after total knee arthroplasty: thresholds for the knee injury and osteoarthritis outcome score (KOOS). J Bone Joint Surg Am. 2019;101(11):9951003. PubMed ID: 31169576 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Roos EM, Lohmander LS. The knee injury and osteoarthritis outcome score (KOOS): from joint injury to osteoarthritis. Health Qual Life Outcomes. 2003;1(1):64. PubMed ID: 14613558 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Kamper S. Global rating of change scales. Aust J Physiother. 2009;55(4):289. PubMed ID: 19929778 doi:

  • 18.

    Hislop H, Avers D, Brown M. Daniels and Worthingham’s Muscle Testing-E-Book: Techniques of Manual Examination and Performance Testing. St. Louis, MO: Elsevier Health Sciences; 2013.

    • Search Google Scholar
    • Export Citation
  • 19.

    Gajdosik R. Rectus femoris muscle tightness: intratester reliability of an active knee flexion test. JOSPT. 1985;6(5):289292. PubMed ID: 18802300 doi:

  • 20.

    Almeida GJ, Schroeder CA, Gil AB, Fitzgerald GK, Piva SR. Interrater reliability and validity of the stair ascend/descend test in subjects with total knee arthroplasty. Arch Phys Med Rehabil. 2010;91(6):932938. PubMed ID: 20510986 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Bennell K, Dobson F, Hinman R. Measures of physical performance assessments: Self‐Paced Walk Test (SPWT), Stair Climb Test (SCT), Six‐Minute Walk Test (6MWT), Chair Stand Test (CST), Timed Up & Go (TUG), Sock Test, Lift and Carry Test (LCT), and Car Task. Arthritis Care Res. 2011;63(S11):S350S370. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Perera S, Mody SH, Woodman RC, Studenski SA. Meaningful change and responsiveness in common physical performance measures in older adults. J Am Geriatr Soc. 2006;54(5):743749. PubMed ID: 16696738 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Larsen JB, Skou ST, Arendt-Nielsen L, Simonsen O, Madeleine P. Neuromuscular exercise and pain neuroscience education compared with pain neuroscience education alone in patients with chronic pain after primary total knee arthroplasty: study protocol for the NEPNEP randomized controlled trial. Trials. 2020;21(1):218. PubMed ID: 32197629 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Berceli D, Napoli M. A proposal for a mindfulness-based trauma prevention program for social work professionals. CHPR. 2006;11(3):153165.

    • Search Google Scholar
    • Export Citation
  • 25.

    Lee JH. The short-term effectiveness of balance taping on acute nonspecific low-back pain: a case report. Medicine. 2017;96(51):e9304. doi:

  • 26.

    Seah VW, Singh G, Yang KY, Yeo SJ, Lo NN, Seow KH. Thirty-day mortality and morbidity after total knee arthroplasty. Ann Acad Med Singapore. 2007;36(12):10101012. PubMed ID: 18185881

    • Search Google Scholar
    • Export Citation
  • 27.

    Petersen W, Rembitzki IV, Brüggemann GP, et al. Anterior knee pain after total knee arthroplasty: a narrative review. Int Orthop. 2014;38(2):319328. PubMed ID: 24057656 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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