A Pilot Study Exploring the Variability of Physical Therapy Practices of Members of the Total Joint Replacement Listserv

Abstract

Background. Total joint replacement rehabilitation is understudied with most research focusing on surgical methods, anesthesia protocols, pain management, and long-term surgical outcomes. Physical therapists cannot implement best practices for this population without a solid understanding of the current variations in rehabilitation practices after total joint arthroplasty. Addressing this problem in the acute care setting may make a more immediate impact on patient outcomes. Purpose. To begin to describe the current state of rehabilitation for persons post- total hip and total knee arthroplasty. Methods. An anonymous online survey was conducted. Questions were posted on the “totaljointtherapist” listserv. The membership of this listserv consists of therapists in the Acute Care Section-APTA working with patients post-total joint arthroplasty who wish to better understand the state of rehabilitation in this population. Results. Current practices related to the facilities where respondents practice, pre-operative teaching processes, discharge planning issues, medical-surgical management with rehabilitation implications, and rehabilitation practices in persons after total hip and total knee arthroplasty are described. Conclusions. These survey data provide a preliminary description of rehabilitation practices and factors influencing medical-surgical management in persons after total knee and total hip arthroplasty. The survey results provide an important first step to understanding of factors potentially important for total joint replacement rehabilitation. Further research into current rehabilitation practices in this population is needed and recommended, specifically surrounding evidence-based practice implementation.