Community Reintegration Following a Total Joint Replacement: A Pilot Study

Abstract

The present study highlights the significance of engaging in meaningful activities and being satisfied in one's level of engagement to achieving a sense of community reintegration following a TJR. This suggests that reintegration post-TJR has broader meanings than just improvements in functional abilities. Practitioners are encouraged to inquire about patients' meaningful activities, support their preparedness throughout the rehabilitation process, to identify confounding health issues that may limit reintegration, consider patients' fears and anxieties and establish supports to enhance their feelings of self-efficacy and abilities to cope following a TJR.

Telerehabilitation Versus Traditional Care Following Total Hip Replacement: A Randomized Controlled Trial Protocol

“…Many THR patients find it difficult to access health care once discharged from hospital. The elderly demographic coupled with the risk of THR dislocation postoperatively can make driving and transportation difficult [24]. Access to rehabilitation programs is compounded with the financial cost to the patient [25] and health systems to provide domiciliary services in conjunction with or in lieu of center-based care.…”

Total hip replacement rehabilitation: current practice and telerehabilitation as a mode of service delivery

“…Despite documented benefits, many patients with THR experience difficulties accessing health care once discharged from hospital. The elderly demographic coupled with the risk of THR dislocation post-operatively can make driving and transportation difficult 109 . Domiciliary rehabilitation commonly incurs substantial financial cost to the patient 110 , as the health system has limited scope to provide in-person rehabilitation services in patients' homes.…”

“…Many TJR patients find it difficult to access health care once discharged from hospital. The elderly demographic coupled with the risk of THR dislocation post-operatively can make driving and transportation difficult 109 . Access to rehabilitation programs is compounded by the financial cost to the patient 110 The aim of this study was to assess the feasibility of introducing a telerehabilitation program for post-operative TJR patients.…”

“…hip replacements being performed in Australia and the United Kingdom respectively in 2016 214, 215 . Physical rehabilitation for total hip replacement (THR) patients following hospital discharge is beneficial 16,86,92,93,96 ; however, transportation challenges and travel expenses 219 can impede access to centre-based rehabilitation due to driving restrictions and impaired mobility in the acute post-operative phase 109 . Telerehabilitation, or the provision of rehabilitation care through telecommunications technology, helps negate access issues by enabling the delivery of care directly into the home of the patient.…”

“…A national survey of Australian physiotherapists (116/151, 77%) from public and private facilities revealed traditional care physiotherapy generally consists of: patients are referred for outpatient physiotherapy following hospital discharge, programs involve three to four total sessions of physiotherapy at a frequency of one to two times per fortnight; programs commence within two weeks of hospital discharge and last five to six weeks; physiotherapy sessions include strengthening of hip abductors and extensors, hip and knee flexors, education on hip precautions and exercise progression, gait re-training, stairs practice, ROM exercises for hip abduction, extension and flexion; physiotherapy sessions are complemented by a home exercise program (HEP) 196 .Accessing post discharge care at facilities is difficult for THR patients due to challenges associated with driving and transport109 . Domiciliary services incur financial costs 110 that impact on the feasibility of this option.…”