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Purpose: To examine the influence of a three weeks' intensive exercise training directly following hospital discharge for total hip or knee arthroplasty in patients with multiple joint disease, on physical function, quality of life, and general health. Method: This is a post-hoc analysis of a subsection of 100 patients with elective hip or knee arthroplasty included in a previous randomized controlled trial. The intervention group (n=53) received intensive exercise training (IET) for three weeks in a dedicated resort; the control group (n=47) was treated with usual care (UC). Outcomes were assessed at baseline and after three, 13, 26, and 52 weeks. Repeated measurement analyses were performed. The primary outcome was recovery of function measured by the HAQ. Results: After three weeks and continuing over one year, the patients in the IET group benefited from the program significantly with respect to physical function (HAQ), quality of life (SF36), functional ability, and general health (MACTAR) as compared with the control group. The intensive training did not increase the pain. Conclusions: Intensive exercise training with education immediately after hospital discharge has short- and long-term benefits for patients with multiple joint disease after total joint replacement surgery of hip and knee.

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Patients with impairment of multiple joints after a total joint replacement benefit from three weeks’ intensive exercise training directly following hospital discharge.