Understanding the Patient Perspective When Designing Future Rehabilitation Interventions after Hip or Knee Replacement Surgery—A Patient and Public Involvement Exercise

Author:

Gavin James P.1ORCID,Burgess Louise C.2ORCID,Immins Tikki3ORCID,Wainwright Thomas W.34ORCID

Affiliation:

1. School of Health Sciences, University of Southampton, Southampton SO17 1BJ, UK

2. Department of Rehabilitation and Sport Sciences, Bournemouth University, Bournemouth BH12 5BB, UK

3. Orthopaedic Research Institute, Bournemouth University, Bournemouth BH8 8EB, UK

4. Physiotherapy Department, University Hospitals Dorset, Bournemouth BH7 7DW, UK

Abstract

Background and Objectives: Following discharge from hospital, there can be variability in the rehabilitation of patients who have undergone total hip or knee replacement surgery. We invited patients who had had hip or knee replacement surgery to take part in patient and public involvement sessions to help us understand their recovery needs and how rehabilitation services could potentially be improved to meet these needs better. Materials: Patients (n = 14) were invited to one of two patient advisory group sessions which took place in a university setting. Results: Feedback from patients highlighted the need for an inclusive, evidence-based intervention that would benefit patients experiencing all levels of pain, with differing motivations for recovery. Patients desired social support with others who have had similar surgery to reduce the burden of isolation during rehabilitation. Furthermore, patients valued the involvement of their partners and carers in their rehabilitation, to provide social support and guidance on recovery. Patients also expressed a need for consistent information and expert guidance on all aspects of their recovery. Conclusions: These findings can be used to guide the design of rehabilitation interventions following hip and knee replacement and ensure that patient perspectives inform future practice.

Publisher

MDPI AG

Subject

General Medicine

Reference28 articles.

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2. National Institute for Health and Care Excellence (2023, June 12). Joint Replacement (Primary): Hip, Knee and Shoulder. Available online: https://www.nice.org.uk/guidance/ng157.

3. National Institute for Health and Care Excellence (2023, June 12). Evidence Review for Outpatient Hip and Knee Postoperative Rehabilitation: Joint Replacement (Primary): Hip, Knee and Shoulder: London 2020, Available online: https://www.ncbi.nlm.nih.gov/books/NBK561413/.

4. Artz, N., Elvers, K.T., Lowe, C.M., Sackley, C., Jepson, P., and Beswick, A.D. (2015). Effectiveness of physiotherapy exercise following total knee replacement: Systematic review and meta-analysis. BMC Musculoskelet. Disord., 16.

5. Physiotherapist-directed rehabilitation exercises in the outpatient or home setting improve strength, gait speed and cadence after elective total hip replacement: A systematic review;Coulter;J. Physiother.,2013

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