Content Validation of Total Knee Replacement Rehabilitation Protocol in Indian Population

Aseer, P. Antony Leo; Maiya, Arun G.; Kumar, Mahendra; Vijayaraghavan, P. V.

doi:10.7860/jcdr/2017/27528.10137

Cited by 6 publications

(7 citation statements)

References 18 publications

(26 reference statements)

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“…The panel of experts used at this stage is commonly recognized in questionnaire validation [22,26]. Its use, however, can also be observed in other contexts such as in content validation of health educational materials and clinical protocols [27,28]. Considering that the aims of this study were achieved, the methodology was found to be appropriate for this context by the panel of experts.…”

Section: Discussionmentioning

confidence: 99%

Content validity of an educational workshop based on the Dietary Guidelines for the Brazilian Population

et al. 2018

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Objective To describe the development and validation of a workshop protocol for the implementation of the Dietary Guidelines for the Brazilian Population in primary healthcare units. Methods This descriptive study was developed in the state of São Paulo, Brazil, and it involved 20-25 professionals in the experimentation phase and 12 experts in the content validity phase. The workshop protocol was developed according to three theoretical references: Dietary Guidelines, Interprofessional Collaborative Practice and Critical Reflexive Methodology. The protocol consisted of four 4-hour modules, 16 activities in 16 hours. The activities matrix was composed of three axes: (a) organizational strategies, (b) dietary guideline comprehension and (c) dietary guideline implementation. For the validity analysis, the expert panel assessed clarity, relevance and theoretical representativeness. Content validity index was calculated, and adequate activities scored >0.80. The proportion of experts who recognized the presence of the theoretical framework in the activities was calculated. Results All 16 proposed activities obtained a score greater than the established cut-off point, both for clarity and relevance. For theoretical representativeness analysis, the dietary guidelines reached higher scores on the (b) and (c) axes of the protocol and was less recognized on the (a) axis, whose highest score was for the Critical Reflexive Methodology. Interprofessional Collaborative Practice presented a higher score on the (c) axis and a lower one on the (b) axis. Conclusion The protocol was considered appropriate for its purpose and with potential application in the different scenarios of primary health care in Brazil.

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Section: Discussionmentioning

confidence: 99%

Content validity of an educational workshop based on the Dietary Guidelines for the Brazilian Population

et al. 2018

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“…The structured rehabilitation protocol 6 was staged into three phases comprising early function phase (protective phase) from Day 1 to the 2nd week, progressive function phase (recovery phase) from the 3rd week to the 6th week and advanced function phase (activity phase) from the 7th week to 12th week.…”

Section: Methodsmentioning

confidence: 99%

Structured Total Knee Replacement Rehabilitation Programme and Quality of Life following Two Different Surgical Approaches - A Randomised Controlled Trial

et al. 2019

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Introduction: The key important factor influencing the outcomes following rehabilitation is the surgical approach involved in Total Knee Replacement (TKR). Most studies have analysed the functional outcome in comparing the approaches on surgical perspective rather on post-operative therapeutic interventions. The current study was to analyse the effects of structured TKR rehabilitation programme on the quality of life and joint specific outcomes between two different surgical approaches. Materials and Methods: In this double-blind randomised controlled trial, participants were randomly allocated to one of two groups: Group 1- those who underwent medial parapatellar approach and Group 2- those who underwent mid-vastus approach. Both groups received three-phase structured rehabilitation protocol for 12 weeks. The outcome measures of SF-36, knee mobility, isometric knee musculature strength and six-minute walk distance were measured at baseline, on discharge and at review after three months. Results: The quality of life and joint specific outcome scores were better in mid-vastus approach than the popular medial parapatellar approach. The outcomes of knee flexion mobility (p=0.04), knee extension mobility (p=0.03), isometric muscle strength of quadriceps (p=0.001), isometric muscle strength of hamstrings (p=0.03), six-minute walk distance (p=0.001) and Physical Cumulative Scores (PCS) (p=0.03) were found to exhibit significant improvements at three months follow up. Conclusion: The mid-vastus approach was found to exhibit better improvements following structured rehabilitation care, in physical summary scores of quality of life and joint specific outcomes than medial parapatellar approach.

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“…According to Aseer et al, a study from 2017, there has been "an average growth of 30% in TKR procedures each year and the growth rate is expected to surge in the forthcoming decade" [19].…”

Section: Systematic Review Registrationmentioning

confidence: 99%

Clinical outcomes and quality of life after Total Knee Replacement (TKR) - A systematic review

Dutta

Qadeer

Rachel

et al. 2022

Preprint

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Background The current review aimed to refresh the existing evidence on clinical effectiveness of Total Knee Replacement (TKR) in various settings, using a wide follow-up window, and to examine the determinants influencing the success of TKR, so the evidence can be systematically synthesized. Methodology Studies only with pre-post study designs, measuring patient reported outcome measures (PROMs) at two time points, pre-TKR and post-TKR, were included. Commonly used PROMs, such as Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Short Form (SF-36) were harmonized across studies from worst to best and in the range of 0-100 scale. Effect Sizes (ES) were computed using pre-post mean differences in PROMs, quantifying post-TKR changes in the OA-affected knee. Results A total of 27 studies were included in this review. During short-term follow-up (≤ 6 months), greater improvement in WOMAC components such as pain (ES = 2.0) and function (ES = 2.3) was observed as opposed to stiffness. There was an improvement in all the scales of SF-36 except general health post-TKR. Gender (female), co-morbidities and post-operative complications were associated with poor outcomes of TKR. Discussion Improvement in clinical outcomes and performance was observed after TKR, especially between 6 months and 1 year. There was less improvement in PROMs in the long term but without any deterioration within 10 years of follow-up period. Conclusion The overall findings of this review conclude the confirmation of older knowledge with fresh evidence that TKR is definitely a clinically effective and beneficial treatment for individuals with OA knee and that too in different settings. Systematic review registration The systematic review protocol was registered in INPLASY (Registration No: INPLASY202240166)

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Content Validation of Total Knee Replacement Rehabilitation Protocol in Indian Population

Cited by 6 publications

References 18 publications

Content validity of an educational workshop based on the Dietary Guidelines for the Brazilian Population

Content validity of an educational workshop based on the Dietary Guidelines for the Brazilian Population

Structured Total Knee Replacement Rehabilitation Programme and Quality of Life following Two Different Surgical Approaches - A Randomised Controlled Trial

Clinical outcomes and quality of life after Total Knee Replacement (TKR) - A systematic review

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