TKR PROTOCOL EBOOK

Learn what to expect from physical therapy week-by-week after your total knee replacement surgery with this post-operative protocol. Total Knee Arthroplasty Protocol-Brigham and Women's Hospital. Phase I: Immediate Post-Surgical Phase (Days ). Goals: Perform bed mobility and transfers. This physical therapy protocol applies to primary total knee arthroplasty. Pain management following TKA at Brigham and Women's Hospital (BWH) is.


TKR PROTOCOL EBOOK

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TKR PROTOCOL EBOOK


A Hamish RW Simpson: This article has been cited by other articles in PMC.

Content Validation of Total Knee Replacement Rehabilitation Protocol in Indian Population

Physiotherapy is often provided by the NHS to address dysfunction following knee replacement; however the efficacy of tkr protocol is unknown.

Although clinically it is accepted that therapy is useful, provision of physiotherapy to all patients post-operatively does not enhance outcomes at one year. No study tkr protocol previously assessed the effect of targeting therapy to individuals struggling to recover in the early post-operative phase.

The aim of the TRIO study is to determine whether stratifying care by targeting physiotherapy to those individuals performing poorly following knee replacement is effective in improving the one year tkr protocol. We are also investigating whether the structure of the physiotherapy tkr protocol itself influences outcomes.

TKR PROTOCOL EBOOK

The present study aimed to validate the content of TKR tkr protocol protocol in Indian population. The protocol was designed into three stages with extensive review of literature [ 712 - 16 ].

The staging of tkr protocol is mannered in a progressive tkr protocol, meeting the functional needs of patient. The staged rehabilitation of TKR protocol follows a set pattern of exercises in non weight bearing position followed by weight bearing exercises then with functional exercises.

Totally ten experts were selected for the validation process but only nine experts in field of musculoskeletal physiotherapy gave consent to participate in the study. TKR Protocol The structured rehabilitation protocol [Annexure-1] is staged into three comprising early function phase protective phase from day 1 to two weeks, progressive function phase transitional phase from three weeks to six weeks and advanced function phase activity phase from seven weeks to 12 weeks.

Each phase has several categories including: In phase 1, therapeutic tkr protocol has specific components as like general tkr protocol, mobility exercises, stretching, muscle activation and functional training.

TKR PROTOCOL EBOOK

The progressive function phase and in advanced function phase has mobility, stretching, strengthening, closed chain activities, balance training, functional training and aerobic conditioning components.

Phase1 tkr protocol considered as inpatient phase and discharge planning is made, whereas phase 2 and 3 are home based under supervision and minimal supervision phases respectively. The TKR protocol is aimed to reduce joint pain, swelling, promote scar healing, remodelling and improve pain free knee mobility tkr protocol accordance to prosthetic kinematics.

Further aimed to improve key muscle strength of quadriceps muscle and hamstrings muscle in varied types of contraction, regaining a normal gait pattern and neuromuscular coordination for walking.

Tkr protocol, the protocol concludes in regaining complex weight bearing activities like stair ascent, descent, proprioception, balance and coordination for complex activities.

Content Validation of Total Knee Replacement Rehabilitation Protocol in Indian Population

The protocol is developed tkr protocol on current literature and muscle impairments following TKR [ 1012 - 16 ]. On analysis of protocol, it was found many tkr protocol as like closed chain exercise and balance exercises are not commonly incorporated amongst TKR patients.

Hence, the protocol requires content validation by experts.

TKR PROTOCOL EBOOK

Procedure of Validation The primary investigator invited 10 independent experts with minimum 10 years of experience tkr protocol musculoskeletal physiotherapy. As per recommendations by Lynn MR [ 17 ] a minimum of five and a maximum of 10 experts are required tkr protocol the validation process.