Effect of perioperative occupational therapy on patients after total knee arthroplasty
10.3969/j.issn.1006-9771.2023.04.016
- VernacularTitle:全膝关节置换术围手术期作业治疗的效果
- Author:
Jing ZHAO
1
;
Ming WU
1
;
Chaomin NI
1
;
Yang ZHANG
1
;
Juncai CUI
1
Author Information
1. Department of Rehabilitation, the First Affiliated Hospital of USTC, Anhui Provincial Hospital, Hefei, Anhui 230001, China
- Publication Type:Journal Article
- Keywords:
total knee arthroplasty;
occupational therapy;
activity of daily living
- From:
Chinese Journal of Rehabilitation Theory and Practice
2023;29(4):491-496
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo observe the early and mid-term clinical effect of occupational therapy on patients after total knee arthroplasty (TKA) during perioperative period. MethodsFrom July to August, 2018, 100 patients who underwent the first TKA in the First Affiliated Hospital of USTC were divided into control group (n = 50) and observation group (n = 50) according to the treatment plan. Both groups received routine preoperative rehabilitation education, surgical treatment and postoperative physical therapy, in addition, the observation group received perioperative occupational therapy. They were assessed with modified Barthel Index (MBI) and Instrumental Activities of Daily Living (IADL) before operation; one, two and three days after operation; on the day of discharge; one month, three months and six months after operation. ResultsOne day, two days, one month, three months and six months after operation, the scores of MBI were higher in the observation group than in the control group (t > 2.113, P < 0.05). One month, three months after operation, the scores of IADL were significantly higher in the observation group than in the control group (t > 5.125, P < 0.001). The postoperative hospitalization time was significantly shorter (t = -5.356, P < 0.001), and the total treatment cost was lower (t = -2.455, P < 0.05) in the observation group than in the control group. ConclusionOccupational therapy could effectively improve the early and mid-term activities of daily living of TKA patients and help them return to normal life earlier.
