The use of adaptive equipment following total knee replacement

Jamie McNaught, Lorna Paul

    Research output: Contribution to journalArticle

    Abstract

    Introduction: This study evaluates the need for adaptive equipment following total knee replacement. There are no recent studies to guide occupational therapists in the optimum time adaptive equipment is required following total knee replacement.
    Method: A non-experimental, concurrent mixed methods approach was used. The study population was patients attending for total knee replacement at a large general hospital. Outcome measures were the Oxford Knee Score, the United Kingdom Functional Independence Measure and a weekly diary.
    Results: A total of 19 patients were included in the study. Following assessment, 53% (n¿=¿10) required adaptive equipment following total knee replacement. No significant difference was found in pre-operative pain or function scores, gender or surgical pathway when comparing those who did and did not need adaptive equipment post-operatively. Patients who required adaptive equipment post-operatively had significantly worse pain (p¿=¿0.030) and function (p¿=¿0.040) at 6 weeks post-operatively and had significantly longer inpatient stay (p¿=¿0.041).
    Conclusion: Although there are resource implications, patients requiring adaptive equipment following total knee replacement should be assessed by occupational therapy staff 6 weeks post-operatively to ensure optimal functional outcomes following surgery.
    Original languageEnglish
    Pages (from-to)187-195
    Number of pages9
    JournalBritish Journal of Occupational Therapy
    Volume78
    Issue number3
    DOIs
    Publication statusPublished - 16 Mar 2015

    Fingerprint

    Knee Replacement Arthroplasties
    Equipment and Supplies
    Pain
    Occupational Therapy
    General Hospitals
    Inpatients
    Knee
    Outcome Assessment (Health Care)
    Population

    Keywords

    • knee arthroplasty
    • fast track
    • occupational therapy
    • patient education
    • enhanced recovery
    • outcome measure

    Cite this

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    title = "The use of adaptive equipment following total knee replacement",
    abstract = "Introduction: This study evaluates the need for adaptive equipment following total knee replacement. There are no recent studies to guide occupational therapists in the optimum time adaptive equipment is required following total knee replacement.Method: A non-experimental, concurrent mixed methods approach was used. The study population was patients attending for total knee replacement at a large general hospital. Outcome measures were the Oxford Knee Score, the United Kingdom Functional Independence Measure and a weekly diary.Results: A total of 19 patients were included in the study. Following assessment, 53{\%} (n¿=¿10) required adaptive equipment following total knee replacement. No significant difference was found in pre-operative pain or function scores, gender or surgical pathway when comparing those who did and did not need adaptive equipment post-operatively. Patients who required adaptive equipment post-operatively had significantly worse pain (p¿=¿0.030) and function (p¿=¿0.040) at 6 weeks post-operatively and had significantly longer inpatient stay (p¿=¿0.041).Conclusion: Although there are resource implications, patients requiring adaptive equipment following total knee replacement should be assessed by occupational therapy staff 6 weeks post-operatively to ensure optimal functional outcomes following surgery.",
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    The use of adaptive equipment following total knee replacement. / McNaught, Jamie; Paul, Lorna.

    In: British Journal of Occupational Therapy, Vol. 78, No. 3, 16.03.2015, p. 187-195.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - The use of adaptive equipment following total knee replacement

    AU - McNaught, Jamie

    AU - Paul, Lorna

    PY - 2015/3/16

    Y1 - 2015/3/16

    N2 - Introduction: This study evaluates the need for adaptive equipment following total knee replacement. There are no recent studies to guide occupational therapists in the optimum time adaptive equipment is required following total knee replacement.Method: A non-experimental, concurrent mixed methods approach was used. The study population was patients attending for total knee replacement at a large general hospital. Outcome measures were the Oxford Knee Score, the United Kingdom Functional Independence Measure and a weekly diary.Results: A total of 19 patients were included in the study. Following assessment, 53% (n¿=¿10) required adaptive equipment following total knee replacement. No significant difference was found in pre-operative pain or function scores, gender or surgical pathway when comparing those who did and did not need adaptive equipment post-operatively. Patients who required adaptive equipment post-operatively had significantly worse pain (p¿=¿0.030) and function (p¿=¿0.040) at 6 weeks post-operatively and had significantly longer inpatient stay (p¿=¿0.041).Conclusion: Although there are resource implications, patients requiring adaptive equipment following total knee replacement should be assessed by occupational therapy staff 6 weeks post-operatively to ensure optimal functional outcomes following surgery.

    AB - Introduction: This study evaluates the need for adaptive equipment following total knee replacement. There are no recent studies to guide occupational therapists in the optimum time adaptive equipment is required following total knee replacement.Method: A non-experimental, concurrent mixed methods approach was used. The study population was patients attending for total knee replacement at a large general hospital. Outcome measures were the Oxford Knee Score, the United Kingdom Functional Independence Measure and a weekly diary.Results: A total of 19 patients were included in the study. Following assessment, 53% (n¿=¿10) required adaptive equipment following total knee replacement. No significant difference was found in pre-operative pain or function scores, gender or surgical pathway when comparing those who did and did not need adaptive equipment post-operatively. Patients who required adaptive equipment post-operatively had significantly worse pain (p¿=¿0.030) and function (p¿=¿0.040) at 6 weeks post-operatively and had significantly longer inpatient stay (p¿=¿0.041).Conclusion: Although there are resource implications, patients requiring adaptive equipment following total knee replacement should be assessed by occupational therapy staff 6 weeks post-operatively to ensure optimal functional outcomes following surgery.

    KW - knee arthroplasty

    KW - fast track

    KW - occupational therapy

    KW - patient education

    KW - enhanced recovery

    KW - outcome measure

    U2 - 10.1177/0308022614562797

    DO - 10.1177/0308022614562797

    M3 - Article

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    SP - 187

    EP - 195

    JO - British Journal of Occupational Therapy

    JF - British Journal of Occupational Therapy

    SN - 0308-0226

    IS - 3

    ER -