Why is it important for a physical therapist to consider a patient’s prior functional level post total joint arthroplasty?

• A. To ensure quicker recovery regardless of prior status
• B. Patients with low function may have persistently low function post-op
• C. To prevent complications from excessive stress
• D. To determine the need for surgical revision

Answer: (B)

Considering a patient's prior functional level after total joint arthroplasty is essential because it provides important insight into how they may respond to surgery and rehabilitation. Patients who had a low level of function before the procedure may face challenges in achieving improved outcomes post-operatively. This understanding is crucial for setting realistic expectations and tailoring rehabilitation strategies.

Essentially, patients with low pre-operative functionality may retain that same level of function post-operatively if not adequately addressed. They may require more intensive physical therapy or specialized interventions to enhance their recovery process and improve their quality of life. Understanding their initial functional status allows physical therapists to adapt their approach, ensuring more personalized care that supports the patient’s rehabilitation journey.

While considerations like preventing complications from excessive stress and making decisions about surgical revision are important, they are secondary to understanding how a patient's baseline functionality can inform their rehabilitation process and outcomes.