Preoperative Physical Therapy Education Reduces Time to Meet Functional Milestones After Total Joint Arthroplasty

Soeters, Rupali; White, Peter B.; Murray-Weir, Mary; Koltsov, Jayme; Alexiades, Michael M.; Ranawat, Amar S.

doi:10.1007/s11999.0000000000000010

Cited by 68 publications

(92 citation statements)

References 26 publications

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“…Soeters et al 20 implemented preoperative physical therapy education for patients with total joint arthroplasty (hip and knee) that included a one-time, one-on-one educational session with a physical therapist and gave patients access to a microsite providing additional information about postoperative complications, precautions, and mobility. They found that patients reached the criteria for readiness for discharge from physical therapy services in the inpatient setting faster if they had the educational intervention.…”

Section: Preoperative Education ♦◊◊◊mentioning

confidence: 99%

“…The nature of an uncomplicated TKA is not explicit in most studies. Only 1 study implied a definition of uncomplicated by exclusions of patients with “concurrent intervention during surgery that could interfere with outcomes (eg, collateral ligament repair), infection of the affected knee, and any major health complication during the hospital stay (eg, pulmonary embolism, heart attack, problems with scar healing).” 20 …”

Section: Continuous Passive Movement Device (Cpm) Use For Mobilizatiomentioning

confidence: 99%

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Physical Therapist Management of Total Knee Arthroplasty

et al. 2020

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Section: Preoperative Education ♦◊◊◊mentioning

confidence: 99%

Section: Continuous Passive Movement Device (Cpm) Use For Mobilizatiomentioning

confidence: 99%

Physical Therapist Management of Total Knee Arthroplasty

et al. 2020

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“…Education must also be provided in all stages of treatment and the repetition of essential items (23). Also, knowledge related to physical therapy was also able to improve patient readiness due to the achievement of physical therapy goals, although this did not affect the length of stay and WOMAC Score (The Western Ontario and McMaster Universities Arthritis Index) (24).…”

Section: Discharge Teachingmentioning

confidence: 99%

Discharge Teaching to Improve Discharge Readiness for Patients Post Hip Surgery

Rahmahwati

Maria²

2019

IJNHS

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The condition of returning home unpreparedness post hip surgery has an impact on the patient's ability after returning home. This unpreparedness is caused by the inability of patients to manage their own needs and care needs after returning home in carrying out daily tasks, caring for themselves, and the ability to do health care. So that a nursing strategy is needed in preparing the patient's discharge planning in the form of discharge teaching. Four data bases namely Cochrane, EBSCO, Google Scholar, and Scopus were used to explain the effect of discharge teaching to improve patient readiness post hip surgery. Educational needs expected by patients post hip surgery are related to complications, operating procedures, rehabilitation programs, prosthesis, and pain management. Patients hope to get knowledge related to all dimensions, but in reality they only get from the functional dimension. Patients get more knowledge only during treatment than when they are going home. Discharge teaching must also pay attention to the content of information and delivery methods and must be given in all stages of treatment and repetition of important items. So nurses are required to have competence and knowledge in carrying out discharge teaching with the aim of increasing patient readiness. Keywords: discharge teaching, discharge readiness, post hip surgery

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Section: Introductionmentioning

confidence: 99%

“…The perioperative care process around TKA and THA procedures has greatly improved in recent years due to advances in surgical techniques and the introduction of clinical care pathways [ 6 , 7 , 8 ]. Clinical care pathways are directed at preparing the patient for discharge as soon as possible after surgery, without compromising outcomes [ 3 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Smartphone App with an Accelerometer Enhances Patients’ Physical Activity Following Elective Orthopedic Surgery: A Pilot Study

Dijk-Huisman

Weemaes

Boymans

et al. 2020

Sensors

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Low physical activity (PA) levels are common in hospitalized patients. Digital health tools could be valuable in preventing the negative effects of inactivity. We therefore developed Hospital Fit; which is a smartphone application with an accelerometer, designed for hospitalized patients. It enables objective activity monitoring and provides patients with insights into their recovery progress and offers a tailored exercise program. The aim of this study was to investigate the potential of Hospital Fit to enhance PA levels and functional recovery following orthopedic surgery. PA was measured with an accelerometer postoperatively until discharge. The control group received standard physiotherapy, while the intervention group used Hospital Fit in addition to physiotherapy. The time spent active and functional recovery (modified Iowa Level of Assistance Scale) on postoperative day one (POD1) were measured. Ninety-seven patients undergoing total knee or hip arthroplasty were recruited. Hospital Fit use, corrected for age, resulted in patients standing and walking on POD1 for an average increase of 28.43 min (95% confidence interval (CI): 5.55–51.32). The odds of achieving functional recovery on POD1, corrected for the American Society of Anesthesiologists classification, were 3.08 times higher (95% CI: 1.14–8.31) with Hospital Fit use. A smartphone app combined with an accelerometer demonstrates the potential to enhance patients’ PA levels and functional recovery during hospitalization.

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Preoperative Physical Therapy Education Reduces Time to Meet Functional Milestones After Total Joint Arthroplasty

Abstract: Level II, therapeutic study.

Cited by 68 publications

References 26 publications

Physical Therapist Management of Total Knee Arthroplasty

Physical Therapist Management of Total Knee Arthroplasty

Discharge Teaching to Improve Discharge Readiness for Patients Post Hip Surgery

Smartphone App with an Accelerometer Enhances Patients’ Physical Activity Following Elective Orthopedic Surgery: A Pilot Study

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