Periodization for Post-Orthopedic Surgical Recovery: An Overview for the Home Health Professional

Orthopedic surgeries, such as total knee arthroplasty (TKA) and anterior cruciate ligament (ACL) reconstruction, are increasingly prevalent yet post-operative recovery remains complex, particularly in home health care settings. Patients often present with muscle atrophy, joint stiffness, and neuromuscular impairments, which are compounded by constrained visit frequencies and remote clinical oversight. Periodization—the planned and strategic variation of training variables including intensity, volume, and recovery—offers a scalable and evidence-informed framework for guiding rehabilitation in these contexts. This commentary explores the application of linear and non-linear periodization models within home-based rehabilitation, emphasizing how structured exercise progression can align with tissue healing timelines, improve functional outcomes, and enhance patient autonomy. Practical implementation strategies and case-based illustrations are presented to support clinical adoption. Integrating periodization into home health rehabilitation may improve efficiency, reduce the risk of re-hospitalization, and support value-based care delivery in medically complex populations.