Self-Care and Total Knee Replacement

Kiefer, DeAnn; Emery, Lynnda J.

doi:10.1300/j148v24n04_04

Cited by 1 publication

(4 citation statements)

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“…Kiefer and Emery (2006) and Iyengar et al. (2007), do not agree on the need for adaptive equipment following total knee replacement.…”

Section: Discussionmentioning

confidence: 98%

“…(2007), do not agree on the need for adaptive equipment following total knee replacement. Kiefer and Emery (2006) stated that adaptive equipment was required to assist transfers and lower half dressing, whereas Iyengar et al. (2007) claimed that patients required no adaptive equipment following total knee replacement.…”

Section: Discussionmentioning

confidence: 99%

“…Level of function was assessed using the UK FIM on three occasions. The UK FIM is a functional assessment tool, covering areas such as personal care, transfers, mobility, cognitive function and household tasks (Tian et al., 2012), and is widely regarded as a valid and reliable tool and suitable for use within orthopaedics (Greenglass et al., 2005; Herbold et al., 2011; Kiefer and Emery, 2006; Tian et al., 2012; Turner-Stokes et al., 1999; Vincent et al., 2007, 2010). The UK FIM has a seven-point scoring system across 18 items.…”

Section: Methodsmentioning

confidence: 99%

“…Kiefer and Emery (2006) reviewed records of 47 patients who had a total knee replacement to identify patients' ability with self-care and transfer tasks on discharge following total knee replacement. They reported that, as assessed by the Functional Independence Measure (FIM), patients required adaptive equipment to be independent with the tasks.…”

Section: Literature Reviewmentioning

confidence: 99%

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The use of adaptive equipment following total knee replacement

McNaught

Paul

2015

British Journal of Occupational Therapy

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Key Findings:Although there were no differences pre-operatively or on discharge in pain and function, patients requiring adaptive equipment following total knee replacement had significantly worse pain and function six weeks post-operatively. What has the study added:Patients issued with adaptive equipment following total knee replacement will require to use it for a minimum of 4 weeks. 2 Abstract PurposeThis 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. MethodA 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 UK Functional Independence Measure and a weekly diary. Results19 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 six weeks post-operatively and had significantly longer in-patient stay (P = 0.041). ConclusionAlthough there are resource implications patients requiring adaptive equipment following total knee replacement should be assessed by Occupational Therapy staff six weeks post-operatively to ensure optimal functional outcomes following surgery.3

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“…Kiefer and Emery (2006) and Iyengar et al. (2007), do not agree on the need for adaptive equipment following total knee replacement.…”

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%