AMB-REMOB

Outpatient remobilization after total knee and hip arthroplasties

Decription

In the program region, especially in Austria, the frequency of hip and knee replacement surgeries is high compared to the rest of Europe. In recent years, there have been advances in both surgical techniques as well as in rehabilitation.

The aim of the study is to develop an alternative and inexpensive treatment scheme to better develop early outpatient remobilization. Another advantage of this early remobilization close to the homes of patients is that patients remain in their familiar social environment, which supports the rapid re-integration into everyday life.

The project is carried out in cooperation with orthopaedic and traumatology departments of acute hospitals, in addition to social insurance and health insurance companies in Vienna and Bratislava.

The results of the project will be made publicly available and will be transferred into practice by strategic partners.

a. X-ray image of a hip prosthesis
b. Frequency of A) total knee and B) hip replacements in Europe per 100,000 population (source: EUROSTAT).
c. Newspaper article about the project in Die Presse from 11.12.2021

Project Partners

Logo EN

Ludwig Boltzmann Gesellschaft
Ludwig Boltzmann Institute for Rehabilitation Research

FTVS UK logo

Comenius University Bratislava
Fakultät für Körpererziehung und Sport

Program

INTERREG Slovakia Austria Logo

Funding Program: INTERREG Slovakia-Austria

Priority:1b Contribution to a smart and inclusive cross-border region

Duration: 01.04.2021 – 31.12.2022

Project Budget: 1 022 644,30 €

ERDF funding: 869 247,65 €

Results

Centers that offer outpatient remobilization

Centre of Active Ageing (Bratislava, Slowakei)
https://www.active-ageing.sk/veda/

Institut für Physikalische Medizin mit Ambulanz, Klinik Ottakring (Wien, Österreich)
https://klinik-ottakring.gesundheitsverbund.at/leistung/institut-fuer-physikalische-medizin-mit-ambulanz/

IPM Amstetten (Amstette, Österreich)
https://www.ipm-amstetten.at

Physiko- und Rheumatherapie St. Pölten (St. Pölten, Österreich)
https://www.ipm-stpoelten.at

Amb-Remob therapy program

Amb-Remob therapy program after total knee arthroplasty (PDF 340kB)

Lectures at congresses

Comparison of Early Outpatient Rehabilitation and Standard Inpatient Rehabilitation After Knee or Hip Arthroplasty.
Špela Matko. European Congress of Physical and Rehabilitation Medicine 2024 (Ljubljana) https://www.esprm2024.com/

Functional assessment and quality of life in older individuals: A comparative study of total joint replacement patients and healthy controls.
Špela Matko. Jahreskongress der Österreichische Gesellschaft für Geriatrie und Gerontologie 2024 (Wien) https://oeggg2024.univie.ac.at/willkommen/

Is Isokinetic Dynamometry a useful assessment for physical function post- knee and hip arthroplasty?
Ferdinand Prüfer. Padua 5 Days on Muscle and Mobility Medicine (2024Pdm3) (Italy)

Comparing rehabilitation programs using different types of outcome measures.
Špela Matko. Padua 5 Days on Muscle and Mobility Medicine (2024Pdm3) (Italy)

Prehabilitation and best practices from acute therapy and early outpatient underwater therapy after knee replacement. Helmut Kern. Padua 5 Days on Muscle and Mobility Medicine (2024Pdm3) (Italy)

AMB-REMOB – results of an early outpatient rehabilitation program.
Stefan Löfler. Padua Days of Muscle 2023 (Italy) https://www.pagepressjournals.org/index.php/bam/article/view/11247

Grenzüberschreitende Kooperation ein Überblick. Cvečka Jan
Frühe ambulante Remobilisation nach Knie –& Hüft TEP. Löfler Stefan
AMB-REMOB Abschlussveranstaltung 2022 (Wien). https://rehabilitation.lbg.ac.at/news/abschlussevent-eu-projekt-amb-remob/

Institutionelle Zusammenarbeit in der Forschung.
Stefan Löfler. Grenzüberschreitende Zusammenarbeit und Vernetzung von Regionen 2022 (Bratislava)

AMB-REMOB – study protocol of an early outpatient rehabilitation program.
Stefan Löfler. Padua Days of Muscle & Mobility Medicne (2022 PDM3) (Italy). https://www.pagepressjournals.org/index.php/bam/article/view/10440

Scientific publications

Responsiveness of Isokinetic Dynamometry in Patients with Osteoarthritis after Knee and Hip Arthroplasty: A Prospective Repeated-Measures Cohort Study.
Prüfer F, Pavlović M, Matko ŠLöfler SFischer MJ, Šarabon N, Grote V.
Healthcare. 2024; 12(3):314. https://doi.org/10.3390/healthcare12030314

Benefits of Eccentric Training with Emphasis on Demands of Daily Living Activities and Feasibility in Older Adults: A Literature Review.
Cvečka J, Vajda M, Alexandra Novotná A, Löfler S, Hamar D, Krčmár M.
Int. J. Environ. Res. Public Health 2023, 20(4), 3172; https://doi.org/10.3390/ijerph20043172

Linear Motor Driven Leg-Press Dynamometer for Testing, Training, and Rehabilitation: A Scoping Review with a Focus on the Concept of Serial Stretch Loading.
Cvečka J, Krčmár M, Hamar D,  Kern H, Hofer C, Löfler S, Vajda M.
Int. J. Environ. Res. Public Health 2022, 19(8), 4445; https://doi.org/10.3390/ijerph19084445

Registration entry of the clinical trial

DRKS-ID: DRKS00028152 – German Clinical Trial Register
https://drks.de/search/de/trial/DRKS00028152