Research Reports (Original Article)
An Investigation of the Use of Rehabilitation Protocols Before and After Total Knee Arthroplasty Among Japanese Health Care Providers
2021 Volume 48 Issue 4 Pages 353-361
Details
2021 Volume 48 Issue 4 Pages 353-361
Objective: This study investigated the extent to which Japanese healthcare providers implemented rehabilitation protocols before and after total knee arthroplasty (TKA).
Methods: We sent a questionnaire to 442 hospitals and clinics that performed rehabilitation before and after TKA surgery. This questionnaire asked whether they implemented the rehabilitation protocol before and after TKA and whether the protocol was evidence-based. In addition to descriptive analysis, we used logistic regression analysis to examine differences in the number of hospitals and clinics that implemented the protocol considering the number of TKA surgeries.
Results: A total of 185 hospitals responded to the questionnaire. The number of hospitals that implemented the preoperative rehabilitation protocol (45.4%) was smaller than that of those that implemented the postoperative rehabilitation protocol (87.6%). Although we found no significant differences in the number of hospitals that implemented the preoperative rehabilitation by the number of TKA surgeries, there was a significant difference in the number of hospitals that implemented the postoperative rehabilitation by the number of TKA surgeries. Furthermore, we found no significant difference in the number of hospitals that implemented preoperative or postoperative rehabilitation by the location of the hospital.
Conclusions: Fewer hospitals implemented the rehabilitation protocol before TKA compared to after TKA. The number of hospitals that implemented the postoperative rehabilitation protocol varied with the number of TKA surgeries.
