Abstract
Osteoarthritis is one of the leading causes of disability. Total knee arthroplasty (TKA) is a surgical intervention for patients with severe osteoarthritis. Post TKA rehabilitation is crucial for improving patient’s quality of life. However, traditional rehabilitation has only focused on physical function; a systemic analysis of other dimensions such as social participation and environmental factors of post TKA rehabilitation is lacking. The aim of this study was to develop a core set from the International Classification of Functioning, Disability and Health (ICF) to create a comprehensive rehabilitation program for patients with osteoarthritis post TKA. Before the Delphi-based consensus process, a literature review process was performed for related ICF categories selection. We used a three-round Delphi-based consensus among 20 physical therapists with orthopedic rehabilitation expertise in a university-based hospital. A five-point Likert scale was used to rate the importance of each item. The consensus of ratings was analyzed using Spearman’s rho and semi-interquartile range indices. The ICF core set for post TKA rehabilitation was determined based on a high level of consensus and a mean score of ≥4.0 in the third Delphi-based consensus round. The ICF core set comprised 32 categories, with 13 regarding body function, four regarding body structures, nine regarding activities and participation, four regarding environmental factors, and two regarding personal factors. Our ICF core set for post TKA rehabilitation can provide information on effective rehabilitation strategies and goal setting for patients post TKA. However, further validation and feasibility assessments are warranted.
Highlights
Osteoarthritis (OA) is a leading cause of walking and stair-climbing limitations among older adults, as well as of disability worldwide [1,2]
Delphi-based consensus study, we developed a brief ICF core set by physical therapists to reveal the portion that is valuable for effective rehabilitation program setting among patients post Total knee arthroplasty (TKA)
A total of 32 categories received scores of >4.0 on the Likert-type scale; these categories were included in the final ICF core set: 13, four, nine, four and two categories belonged to body functions, structure, activities and participation, environmental factors, and personal factors, respectively
Summary
Osteoarthritis (OA) is a leading cause of walking and stair-climbing limitations among older adults, as well as of disability worldwide [1,2]. Patients with OA present symptoms of pain and stiffness, which affect life quality and limits outdoor activities and social interactions [3]. The OA-related burden on the health system is increasing because of.
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