TY - JOUR
T1 - Development international classification of functioning, disability and health core set for post total knee replacement rehabilitation program
T2 - Delphi-based consensus study in taiwan
AU - Huang, Shih Wei
AU - Chen, Yi Wen
AU - Escorpizo, Reuben
AU - Liao, Chun De
AU - Liou, Tsan Hon
N1 - Funding Information:
Funding: This research was funded by the Ministry of Science and Technology; Taiwan (MOST 107-2314-B-038-028-), research program of Taipei Medical University (TMU108-AE1-B01), and Taipei Medical University-Wan Fang Hospital, Taiwan (grant no. 98TMU-WFH-05-3). The funding source had no role in the design, implementation, data analysis, interpretation, or reporting of this study.
Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/2/2
Y1 - 2021/2/2
N2 - 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.
AB - 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.
KW - Core set
KW - Disability and Health
KW - International Classification of Functioning
KW - Rehabilitation
KW - Total knee arthroplasty (TKA)
KW - Disability Evaluation
KW - International Classification of Functioning, Disability and Health
KW - Humans
KW - Consensus
KW - Activities of Daily Living
KW - Delphi Technique
KW - Taiwan
KW - Quality of Life
KW - Arthroplasty, Replacement, Knee
UR - http://www.scopus.com/inward/record.url?scp=85100575769&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85100575769&partnerID=8YFLogxK
U2 - 10.3390/ijerph18041630
DO - 10.3390/ijerph18041630
M3 - Article
C2 - 33572081
AN - SCOPUS:85100575769
SN - 1661-7827
VL - 18
SP - 1
EP - 13
JO - International journal of environmental research and public health
JF - International journal of environmental research and public health
IS - 4
M1 - 1630
ER -